Table 3

Adjusted risk of posttraumatic stress disorder among deployed male Marines by adverse childhood experiences

Postdeployment PTSDa


Characteristic

Prevalence

per 100

HR (95% CI)b


Physical neglect

No

2.48

1.00

Yes

4.58

1.74 (1.17, 2.59)

Physical abuse

No

2.70

1.00

Yes

2.88

0.58 (0.25, 1.32)

Emotional neglect

No

2.57

1.00

Yes

4.80

1.30 (0.78, 2.15)

Emotional abuse

No

2.61

1.00

Yes

3.97

1.30 (0.78, 2.16)

Domestic violence

No

2.63

1.00

Yes

3.59

1.19 (0.75, 1.90)

Sexual abuse

No

2.69

1.00

Yes

4.26

1.13 (0.40, 3.16)

Family history of mental illness or alcohol abuse

No

2.72

1.00

Yes

2.61

0.88 (0.60, 1.29)

Marital status at time of deployment

Not married

2.50

1.00

Married

3.83

1.48 (1.08, 2.04)

AFQT score

< 42 (below 25th percentile)

4.29

1.00

42-54 (25-49th percentile)

2.54

0.60 (0.42, 0.85)

55-70 (50-74th percentile)

2.60

0.63 (0.44, 0.89)

> 70 (above 74th percentile)

1.62

0.40 (0.27, 0.60)

Number of deployments

1

2.51

1.00

2-3

6.31

2.33 (1.54, 3.52)

Diagnosed with mental health disorder prior to deployment

No

2.63

1.00

Yes

6.58

2.52 (1.33, 4.77)


Abbreviations: AFQT = Armed Forces Qualification Test; CI = confidence interval; HR = hazard ratio; PTSD = posttraumatic stress disorder.

aDiagnosed with PTSD after returning from first deployment in support of the operations in Iraq and Afghanistan and within 2 years of last deployment. Responders with a PTSD diagnosis prior to first deployment are excluded from this model.

bHR and 95% CI are adjusted for AFQT score, number of deployments, mental health diagnosis prior to deployment, marital status, and ACE categories.

LeardMann et al. BMC Public Health 2010 10:437   doi:10.1186/1471-2458-10-437

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