000008717 001__ 8717
000008717 005__ 20240124114307.0
000008717 0247_ $$2DOI$$a10.6083/3t945r582
000008717 037__ $$aETD
000008717 245__ $$aEpidemiology and mechanisms of adverse hearing outcomes in us military service members and veterans of recent wars
000008717 260__ $$bOregon Health and Science University
000008717 269__ $$a2020
000008717 336__ $$aDissertation
000008717 502__ $$bM.P.H.
000008717 502__ $$gEpidemiology
000008717 520__ $$aHazardous noise and blasts are prevalent military occupational exposures that can result in adverse hearing outcomes among US military Service members and Veterans and have profound consequences on health and wellbeing. Significant knowledge gaps exist in understanding the burden of hearing loss and the associations between military exposures and hearing both during and after service. Moreover, little is known about the causal mechanisms that can explain these effects. Evidence that helps fill these gaps will aid the Departments of Defense (DoD) and Veterans Affairs (VA) in designing effective interventions and rehabilitation programs. The overall goal of this dissertation was to estimate: 1) the prevalence of hearing loss by severity; 2) rates of hearing changes during military service as a consequence of occupational noise exposure; and 3) mechanisms of the effect of blast exposure on self-reported hearing difficulty. These aims were designed to rigorously yield practically useful information with the goal of improving hearing health and guiding policy.
000008717 542__ $$fIn copyright - single owner
000008717 650__ $$aHearing$$019916
000008717 650__ $$aHumans$$020376
000008717 650__ $$aMilitary Personnel$$022316
000008717 650__ $$aVeterans$$027802
000008717 6531_ $$aposttraumatic stress disorders
000008717 6531_ $$aptsd
000008717 6531_ $$aoccupational noise
000008717 691__ $$aOHSU-PSU School of Public Health$$041366
000008717 7001_ $$aReavis, Kelly M.
000008717 8564_ $$9e7ce159c-7c07-4596-9978-3b7fe8fd59e0$$s2697536$$uhttps://digitalcollections.ohsu.edu/record/8717/files/Reavis.Kelly.2020.pdf
000008717 905__ $$a/rest/prod/3t/94/5r/58/3t945r582
000008717 909CO $$ooai:digitalcollections.ohsu.edu:8717$$pstudent-work
000008717 980__ $$aTheses and Dissertations
000008717 980__ $$aDual Author Affiliations Cleanup