Nber Working Paper Series the Effect of Oef/oif Deployment Intensity on the Rate of Posttraumatic Stress Disorder among Active Duty Population

This study estimates the effect of deployment location and length on the risk of developing PTSD, relative to what it would be from the normal military operations. We use a random sample of activity-duty enlisted personnel serving between 2001 and 2006. We identify PTSD cases from TRICARE medical records and link deployment information from Contingent Tracking System. Comparing to those in other duties around the world, deployment to Iraq/Afghanistan increases the odds of developing PTSD substantially, with the largest effect observed for the Navy (OR=9.06, p<0.01) and the smallest effect for the Air Force (OR=1.25, p<0.01). A deployment longer than 180 days increases the odds of PTSD by 1.11 times to 2.84 times, depending on the service, compared to a tour under 120 days. For Army and Navy, a deployment to Iraq/Afghanistan further exacerbates the adverse effect of tour length. Our research identifies the extent of PTSD across services and quantifies the risks associated with OEF/OIF deployment intensity. Further research is needed for effective monitoring and preventive measures of PTSD on the active duty population. Yu-Chu Shen Graduate School of Business and Public Policy Naval Postgraduate School 555 Dyer Road Monterey, CA 93943 and NBER [email protected] Jeremy Arkes Graduate School of Business and Public Policy Naval Postgraduate School 555 Dyer St Monterey, CA 93943 [email protected] Boon Wah Kwan Naval Postgraduate School 555 Dyer Road, Monterey CA 93943 [email protected] Lai Yee Tan Naval Postgraduate School 555 Dyer Road, Monterey CA 93943 [email protected] Thomas V. Williams TRICARE 5111 Leesburg Pike, Suite 810 Falls Church, VA 22041-3238 [email protected]