MSMR
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Although suicide is a leading cause of death among new mothers during the postpartum period, there has been limited research on self-harm in the postpartum period and associated risk factors. One potential risk factor for suicidality (completed suicides, suicide attempts, and suicide ideation including thoughts of self harm) during the postpartum period is postpartum depression (PPD). In this study of women who gave birth for the first time between 1 January 2007 and 31 December 2011, 5,267 (9.9% of all who delivered) active component service women and 10,301 (8.2%) dependent spouses received incident PPD diagnoses during the one year postpartum period; 213 (0.4%) service women and 221 (0.2%) dependent spouses were diagnosed with incident suicidality. ⋯ The findings of this report suggest that a history of mental disorders was common among service women and dependent spouses with PPD in the postpartum period, and, in turn, PPD was a strong predictor for suicidality in the postpartum period. These results emphasize the importance of PPD screening during the postpartum period. They also suggest that additional focused screening for suicidal behavior among those already diagnosed with PPD may be warranted.
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Many individuals who suffer traumatic brain injuries (TBI) experience subsequent physical, neurocognitive, or psychological symptoms. This analysis examined the occurrence of 14 such symptoms in service members stratified by severity into three groups of TBI and also in two comparison groups (controls) of service members who had no documented TBI diagnosis. For members of each of the five groups, the proportion who had experienced the 14 symptoms of interest was captured for the first 3 month and 12 month periods after the relevant diagnosis. ⋯ The most common post-TBI diagnoses were headache disorders, alcohol and substance abuse, post-traumatic stress disorder, and sleep disorders. Proportions with diagnosed symptoms increased from the earliest (2000-2002) to the most recent part (2007-2012) of the surveillance period. Probable reasons for this observation are discussed.
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Vaccination against human papillomavirus (HPV) is recommended to prevent cervical cancer among women. Vaccinating men against human papillomavirus (HPV) can prevent penile, anal, and oral cancers, anogenital warts, and the transmission of HPV to their sexual partners. This study characterized HPV acquisition among male military members by evaluating both seroprevalence at entry into service and seroincidence of HPV infection after ten years of service. ⋯ S. civilian males. Vaccination to prevent genital warts and cancers resulting from HPV infection may decrease health care system burdens. Further analyses are warranted to understand the potential costs and benefits of a policy to vaccinate male service members.