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Materials and methods Using longitudinal data from The Substance Use and Psychological Injury Combat Study, we selected a sample of enlisted female Army members returning from Afghanistan or Iraq in FY2008–2011, who completed a health questionnaire within 60 days of their deployment end date (N = 42397; 6.6% of cohort). Combat score was constructed as an ordinal variable (0–3) based on four items: being wounded, injured, assaulted, or hurt; encountering dead bodies/seeing people killed; firing a weapon; and being in danger of being killed. Multivariate logistic regression models examined how combat score, demographic, and deployment characteristics predicted posttraumatic stress disorder (PTSD), depression, and at-risk drinking. Models were stratified by component: Active Duty (AD) and National Guard/Reserves (NG/Rs).

The association of combat exposure and injuries with behavioral health problems among enlisted female Army members returning from Iraq or Afghanistan