Exploring Military Exposures and Mental, Behavioral, and Neurologic Health Outcomes Among Post-9/11 Veterans (2025) / Chapter Skim
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1 Introduction
Pages 17-22

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From page 17...
... , the Department of Veterans Affairs (VA) contracted with the National Academies of Sciences, Engineering, and Medicine to convene an ad hoc committee to assess possible relationships between environmental and occupational exposures during military service and mental health conditions and other health outcomes.
From page 18...
... requests that the NASEM complete a report that conducts an independent scientific assessment of the potential relationship between the named mental health and other conditions and exposure to toxic exposures experienced during military service, to include the following information to the extent permitted by available Veterans Health Administration health care records and other VA data, provided by VA: • Demographic (age, sex, race and ethnicity) and military characteristics (era and length of military service, military occupational specialty or specialties, service branch, service component)
From page 19...
... data sources with information on military-related exposures and considerations for assessing selected health outcomes. At the third, the committee heard from veterans, advocates, and mental health providers to learn about their mental health problems, CMI, and concerns about military exposures.
From page 20...
... First, the committee's charge was to conduct an independent, scientific analysis using health records and other administrative data from VA and DoD. However, any conclusions drawn from a singular analysis may be limited by the availability and quality of the underlying data; as described in depth in Chapter 4, the committee was concerned about the quality of the available data and potential sources of bias from both systematic and random error that could cause errors when interpreting its results.
From page 21...
... For example, for an association analysis, the committee reviewed multiple statistical measures including the odds ratio estimates, uncertainty intervals, and stratification, and assessed the sensitivity of the inference to the choice of measured and unmeasured confounders. Third, the quality and strength of the epidemiologic literature across exposure–outcome pairs varies substantially and without assessing the quality of each individual included study, pooling results to describe the general magnitude and direction of association may introduce bias and make the results somewhat subjective.
From page 22...
... Presentation to the NASEM Committee on the Mental Health Effects of Toxic Exposures Among Veterans, meeting 1 (February 22, 2024)


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