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. 2022 Jun 28;17(6):e0270515. doi: 10.1371/journal.pone.0270515

Table 4. Adjusted odds ratios for trouble sleeping stratified by occupational specialization.

Model General Purpose Forces Ranger Qualified infantrymen Special Forces personnel
n = 5,309 n = 306 n = 586
AOR (95% CI) AOR (95% CI) AOR (95% CI)
Model 1: Combat severitya
 Low (0–6 items) 1.00 1.00 1.00
 High (7–12 items) 2.26 (2.00, 2.55) 0.98 (0.54, 1.77) 1.57 (1.05, 2.35)
Model 2: Type of combat eventb
Threat to oneselfc
 No 1.00 1.00 1.00
 Yes 1.38 (1.19, 1.60) 0.64 (0.33, 1.26) 0.99 (0.63, 1.54)
Model 3: Type of killingd,e
 Neither 0.61 (0.53, 0.70) 0.81 (0.43, 1.55) 0.46 (0.29, 0.73)
 Enemy combatant only 1.00 1.00 1.00
 Noncombatant 1.76 (1.41, 2.21) 0.78 (0.29, 2.08) 3.21 (1.40, 7.38)

AOR, adjusted odds ratio; CI, confidence interval; IED, improvised explosive device.

Significant results are shown in bold.

a Model 1 was adjusted for race and ethnicity, marital status, education, age, panel, component, and rank. A separate model was run for each occupational specialization.

b Model 2 was adjusted for the other types of combat events (fighting, killing, and death/injury of others), race and ethnicity, marital status, education, age, panel, component and rank. A separate model was run for each occupational specialization.

c Threat to oneself includes having an IED explode near you or being wounded or injured.

d Type of killing was categorized as “neither,” “enemy combatant only,” and “noncombatant.” Almost all who reported being responsible for the death of a noncombatant also reported being responsible for the death of an enemy combatant.

e Model 3 was adjusted for fighting, threat to oneself, death/injury of others, race and ethnicity, marital status, education, age, panel, component, and rank. A separate model was run for each occupational specialization.