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Organizational Psychosocial Factors and Deployment-Related Exposure Concerns in Afghanistan/Iraq War Veterans

Osinubi, Omowunmi Y. MD, MSc, MBA, FRCA, ABIHM; McAndrew, Lisa M. PhD; De Candia, Victor MS, MBA; Chandler, Helena K. PhD; Santos, Susan L. PhD; Falca-Dodson, Maria BSN, MA; Teichman, Ron MD, MPH, FACP, FACOEM

Section Editor(s): Teichman, Ron MD, MPH; Guest Editor

Journal of Occupational and Environmental Medicine: June 2012 - Volume 54 - Issue 6 - p 670–676
doi: 10.1097/JOM.0b013e318255ba57
Original Articles

Objective: Environmental exposure concerns are associated with adverse health outcomes in soldiers deployed to South West Asia. There is little data on factors associated with the reporting of exposure concerns. We explored the relationship between deployment-related preparedness/support and exposure concerns.

Methods: Retrospective chart review of 489 Afghanistan/Iraq veterans evaluated at a Veterans Affairs tertiary center for postdeployment health.

Results: Virtually all subjects were concerned about environmental exposure(s). There were no significant demographic differences in exposure concerns, preparedness/support variables, or both. Preparedness/support correlated inversely with exposure concerns. Mental health function mediated the relationship between preparedness/support and exposure concerns.

Conclusions: Deployment-related preparedness/support is associated with exposure concerns and mental health functioning. Definitive studies will provide data and insight on how the military may better prepare/support soldiers to optimize their resilience and reduce deployment-related exposure concerns.

From the Department of Veterans Affairs (Drs Osinubi, McAndrew, Chandler, Santos and Teichman), NJ War Related Illness & Injury Study Center, East Orange, NJ; School of Public Health (Drs Osinubi, Santos and Mr. De Candia), University of Medicine and Dentistry of New Jersey (UMDNJ), Piscataway, NJ; Robert Wood Johnson Medical School (Ms Falca-Dodson), UMDNJ, Piscataway, NJ; New Jersey Medical School (Dr McAndrew), UMDNJ, Newark, NJ; Occupational and Environmental Health Associates Inc. (Dr Osinubi), Somerset, NJ; and Teichman Occupational Health Associates (Dr Teichman), West Orange, NJ.

Address correspondence to Omowunmi Y. Osinubi, MD, MSc, MBA, FRCA, ABIHM, Department of Veterans Affairs, NJ War Related Illness & Injury Study Center, 385 Tremont Ave 129, East Orange, NJ 07018 mail to: and mail to:

Conflicts of Interest and Source of Funding: None declared.

©2012The American College of Occupational and Environmental Medicine