Annual Report 2016 - AMSARA Rep… · Attrition & Morbidity Data for 2015 Accessions Annual Report...

Accession Medical Standards

Analysis & Research Activity

Attrition & Morbidity Data for 2015 Accessions

Annual Report 2016

Accession Medical Standards Analysis & Research Activity

2016 Annual Report

Published & Distributed 1st Quarter of Fiscal Year 2017

CONTRIBUTORS

Michael R. Boivin, MD, MPH

MAJ, MC, US Army

Chief, Department of Epidemiology, WRAIR

David N. Cowan, PhD, MPH

Program Manager, AMSARA

Contractor, ManTech Health

Elizabeth R. Packnett, MPH

Principal Public Health Analyst


Nadia U. Garvin, MHS

Public Health Analyst


Xiaoshu Feng, MS

Statistician


Janice K. Gary, BS

Senior Task Supervisor


Christine F. Toolin, MS



Michelle M. Yancey, MPH



Yuwei Zhang, PhD, MPH



Preventive Medicine Branch

Walter Reed Army Institute of Research

503 Robert Grant Avenue, Forest Glen Annex

Silver Spring, MD 20910

http://www.amsara.amedd.army.mil

Material has been reviewed by the Walter Reed Army Institute of Research. There is no objection to its publication. The

opinions or assertions contained herein are the private views of the authors, and are not to be construed as official, or as

reflecting true views of the Department of the Army or the Department of Defense.

http://www.amsara.amedd.army.mil/

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Table of Contents

Executive Summary ................................................................................................... 1

Introduction to the Accession Medical Standards Analysis & Research Activity .... 5

Publications ................................................................................................................ 7

Relationship between Medical, Demographic, and Military Characteristics at Accession

and Attrition: a Comparison of Two Different Analytic Approaches ................................. 7

Fitness, Obesity, and Risk of Asthma among Army Trainees ............................................. 8

Excess Stress Fractures, Musculoskeletal Injuries and Healthcare Utilization among Unfit

and Overweight Female Army Trainees .............................................................................. 9

Non-Cognitive Personality Assessment Dimensions and Risk of Stress Fracture and other

Musculoskeletal Injuries among U.S. Army Trainees ....................................................... 10

Descriptive Statistics for Enlisted Service Applicants and Accessions ..................11

Summary Statistics for Applicants and Accessions for Enlisted Service ................13

Applicants and Accessions ......................................................................................20

Active Component Applicants and Accessions ................................................................. 20

Reserve Component Applicants and Accessions ............................................................... 23

Army and Air National Guard Applicants and Accessions ............................................... 26

Disqualifications ......................................................................................................29

Accession Medical Waivers .....................................................................................36

Part I: Medical waivers irrespective of an accession record .............................................. 36

Part II: Medical waivers with an accession record ............................................................ 47

Hospitalizations ........................................................................................................51

Attrition ....................................................................................................................62

EPTS Discharges ......................................................................................................69

Part I: EPTS discharges irrespective of accession record .................................................. 69

Part II: EPTS discharges with an accession record ............................................................ 74

Disability Discharges in the First Year of Service ..................................................79

Data Sources ............................................................................................................88

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Initial Entry Application and Physical Exam at MEPS ..................................................... 88

Gain and Loss Files ............................................................................................................ 88

Accession Medical Waiver ................................................................................................ 89

Hospitalization ................................................................................................................... 89

EPTS Discharges ............................................................................................................... 90

Disability Discharges ......................................................................................................... 91

Charter and Supporting Documents .........................................................................93

Frequently Used Acronyms ...................................................................................100

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Index of Tables

Executive Summary ................................................................................................... 1

Introduction to the Accession Medical Standards Analysis & Research Activity .... 5

Publications ................................................................................................................ 7

Descriptive Statistics for Enlisted Service Applicants and Accessions ..................11

Table 1: List of ICD-9 coding groups summarized to the fourth digit ................................... 12

Summary Statistics for Applicants and Accessions for Enlisted Service ................13

Table 2: Disqualification, waiver, and accession rates for enlisted active component

applicants at MEPS who received a medical examination by year: All Services ................... 14

Table 3: Disqualification, waiver, and accession rates for enlisted reserve component

applicants at MEPS who received a medical examination by year: All Services ................... 14

Table 4: Disqualification, waiver, and accession rates for enlisted National Guard applicants

at MEPS who received a medical examination by year: Army and Air Force ....................... 15

Table 5: Disqualification, waiver, EPTS, hospitalization, disability, and attrition rates among

enlisted active component accessions by year: All Services .................................................. 18


enlisted reserve component accessions by year: All Services ................................................ 18


enlisted National Guard accessions by year: Army and Air Force ......................................... 19

Applicants and Accessions ......................................................................................20

Table 8: Accession rate for enlisted active component applicants at MEPS who received a

medical examination in 2010-2015: all services ..................................................................... 20

Table 9: Demographic characteristics of enlisted active component applicants who received a

medical examination in 2010-2014 vs. 2015: All services ..................................................... 22

Table 10: Accession rate for enlisted reserve component applicants at MEPS who received a

medical examination in 2010-2015: all services ..................................................................... 23

Table 11: Demographic characteristics of enlisted reserve component applicants who

received a medical examination in 2010-2014 vs. 2015: All Services ................................... 25

Table 12: Accession rate for enlisted National Guard component applicants at MEPS who

received a medical examination in 2010-2015: Army and Air Force ..................................... 26

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Table 13: Demographic characteristics of enlisted National Guard applicants who received a

medical examination in 2010-2014 vs. 2015: Army and Air Force ....................................... 28

Disqualifications ......................................................................................................29

Table 14: Medical disqualification of first-time active component enlisted applicants by all

ICD-9 codes in 2010-2014 vs. 2015: All Services ................................................................. 30

Table 15: Medical disqualification of first-time reserve component enlisted applicants by all

ICD-9 codes in 2010-2014 vs. 2015: All Services ................................................................. 31

Table 16: Medical disqualification of first-time National Guard enlisted applicants by all

ICD-9 codes in 2010-2014 vs. 2015: Army and Air Force ..................................................... 32

Table 17: Medical disqualification of first-time active component enlisted applicants by all

listed USMEPCOM failure codes in 2010-2014 vs. 2015: All Services ................................ 33

Table 18: Medical disqualification of first-time reserve component enlisted applicants by all

listed USMEPCOM failure codes in 2010-2014 vs. 2015: All Services ................................ 34

Table 19: Medical disqualification of first-time National Guard enlisted applicants by all

listed USMEPCOM failure codes in 2010-2014 vs. 2015: Army and Air Force ................... 35

Accession Medical Waivers .....................................................................................36

Table 20: Active and reserve component waiver considerations by year and service§: 2010-

2015......................................................................................................................................... 37

Table 21: Active and reserve component waiver consideration counts§: 2010-2015 ............. 38

Table 22: Leading conditions for active and reserve component accession waivers considered

in 2010-2014 vs. 2015: Army ................................................................................................. 39

Table 23: Leading conditions for active and reserve component enlisted accession waivers

considered in 2010-2013 vs. 2014-2015: Navy ...................................................................... 40


considered in 2010-2014 vs 2015: Marine Corps ................................................................... 41


considered in 2010-2014 vs. 2015: Air Force ......................................................................... 42

Table 26: Condition-specific categories for those accession medical waivers with the highest

proportion of approved considerations among active and reserve component Army enlistees:

2010-2014 vs. 2015 ................................................................................................................. 43


proportion of approved considerations among active and reserve component Navy enlistees:

2010-2013 vs. 2014-2015 ....................................................................................................... 44

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proportion of approved considerations among active and reserve component Marine Corps

enlistees: 2010-2014 vs. 2015 ................................................................................................. 45


proportion of approved considerations among active and reserve component Air Force

enlistees: 2010-2014 vs. 2015 ................................................................................................. 46

Table 30: Active component accessions for enlisted applicants who received a waiver in

2010-2015† by year: All Services ........................................................................................... 48

Table 31: Reserve component accessions for enlisted applicants who received a waiver in

2010-2015† by year: All Services........................................................................................... 48

Table 32: Demographic characteristics of active component enlisted applicants who received

an accession medical waiver compared to active component accessions 2010-2014 vs. 2015:

All Services ............................................................................................................................. 49

Table 33: Demographic characteristics of reserve component enlisted applicants who

received an accession medical waiver compared to reserve component accessions 2010-2014

vs. 2015: All Services ............................................................................................................. 50

Hospitalizations ........................................................................................................51

Table 34: Active component hospitalizations in 2010-2015 by year: All Services ................ 52

Table 35: Reserve component hospitalizations in 2010-2015 by year: All Services ............. 52

Table 36: National Guard hospitalizations in 2010- 2015 by year: Army and Air Force ..... 52

Table 37: Hospital admissions within one year of accession for active component enlisted

personnel accessed in 2010-2015: All Services ...................................................................... 53

Table 38: Hospital admissions within one year of accession for reserve component enlisted

personnel accessed in 2010-2015: All Services ...................................................................... 54

Table 39: Hospital admissions within one year of accession for National Guard component

enlisted personnel accessed in 2010-2015: All Services ........................................................ 55

Table 40: Distribution of primary cause categories for hospitalizations during first year of

service among active component enlistees in 2010-2014 vs. 2015 by service ....................... 56

Table 41: Distribution of primary cause categories for hospitalizations during second year of

service among active component enlistees in 2010-2014 vs. 2015 by service ....................... 57


service among reserve component enlistees in 2010-2014 vs. 2015 by service ..................... 58

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service among reserve component enlistees in 2010-2014 vs. 2015 by service ..................... 59


service among National Guard enlistees in 2010-2014 vs. 2015 by service .......................... 60


service among National Guard enlistees in 2010-2014 vs. 2015 by service .......................... 61

Attrition ....................................................................................................................62

Table 46: Interservice separation code loss categories excluded from attrition ..................... 62

Table 47: Attrition among first time active component enlisted accessions in 2010-2015 by

days since accession: All Services .......................................................................................... 64

Table 48: Attrition among first time reserve component enlisted accessions in 2010-2015 by

days since accession: All Services .......................................................................................... 66

Table 49: Attrition among first time national guard component enlisted accessions in 2010-

2015 by days since accession: Army and Air Force ............................................................... 68

EPTS Discharges ......................................................................................................69

Table 50: EPTS discharges of enlistees in 2010-2014 by service, component, and year ....... 69

Table 51: EPTS discharges of enlistees in 2010-2014 by category and Service: All

Components ............................................................................................................................ 70

Table 52: Leading primary EPTS discharge conditions for all enlistees in 2010-2013 vs.

2014: Army ............................................................................................................................. 71


2014: Navy .............................................................................................................................. 71


2014: Marine Corps ................................................................................................................ 72


2014: Air Force ....................................................................................................................... 73

Table 56: EPTS discharges from active component by accession year: All Services ............ 74

Table 57: EPTS discharges from reserve component by accession year: All Services .......... 74

Table 58: EPTS discharges from National Guard component by accession year: Army and

Air Force ................................................................................................................................. 75

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Table 59: Characteristics of enlisted active component accessions in 2010-2014 ending in

EPTS discharge: All Services ................................................................................................. 76

Table 60: Characteristics of enlisted reserve component accessions in 2010-2014 ending in

EPTS discharge: All Services ................................................................................................. 77

Table 61: Characteristics of enlisted National Guard component accessions in 2010-2014

ending in EPTS discharge: Army and Air Force .................................................................... 78

Disability Discharges in the First Year of Service ..................................................79

Table 62: Disability discharges from active component in the first year of service among

2010-2015 accessions: All Services ........................................................................................ 79

Table 63: Disability discharges from reserve component in the first year of service among


Table 64: Disability discharges from National Guard in the first year of service among 2010-

2015 accessions: Army and Air Force .................................................................................... 80

Table 65: Disability discharges from active component in the first year of service among


Table 66: Disability discharges from reserve component in the first year of service among


Table 67: Disability discharges from National Guard in the first year of service among 2010-

2015 accessions: Army and Air Force .................................................................................... 84

Table 68: Diagnosis categories for disability discharges among first-time enlisted personnel

in the first year of service for 2010-2015 accessions: Army .................................................. 86


in the first year of service for 2010-2015 accessions: Navy ................................................... 86


within the first year of service for 2010-2015: Marine Corps ................................................ 87


within the first year of service for 2010-2015: Air Force ....................................................... 87

Data Sources ............................................................................................................88

Table 72: EPTS discharge data reported to USMEPCOM by training site and year† ............ 90

Table 73: VASRD code groupings ......................................................................................... 92

Charter and Supporting Documents .........................................................................93

Frequently Used Acronyms ...................................................................................100

1

Executive Summary

The Accession Medical Standards Analysis and Research Activity (AMSARA) has completed

its twentieth year of providing the Department of Defense with evidence-based evaluations of

accession medical standards. AMSARA evaluates medical standards and retention programs

to improve military readiness by maximizing both the accession and retention of motivated

and capable recruits. This report provides abstracts from manuscripts submitted for peer

review and descriptive data on fiscal year (FY) 2015 accessions.

Section 1 of this report, Publications, presents abstracts for manuscripts submitted for peer

review. One manuscript is currently under review at Military Medicine. Three manuscripts

are currently in press at Occupational Medicine (London), American Journal of Sports

Medicine, and American Journal of Preventive Medicine. One manuscript compares two

analytic approaches for examining the relationship between accession characteristics and risk

of attrition in the accessed population. Two manuscripts focus on the Assessment of Recruit

Motivation and Strength (ARMS) population, examining risk of asthma and healthcare

utilization in this cohort. The final manuscript focuses on the population of accessions who

took the Tailored Adaptive Personality Assessment System (TAPAS) test, studying the risk of

musculoskeletal injuries in this population.

Section 2 of this report includes the descriptive statistics AMSARA compiles and publishes

annually for historical and reference value. Descriptive statistics are for applicants who

enlisted in FY15 and are compared to the five-year aggregate data from FY 2010-2014. Data

are collected while the recruits are in their first year of service. By convention, the annual

report is dated for the first complete year after enlistment (FY 2016). Comparisons can be

made both between services and between enlisted components (active, reserve, National

Guard).

Approximately 250,000 active, reserve, and National Guard enlisted applicants were

examined for medical fitness at Military Entrance Processing Stations (MEPS) in 2015,

compared to approximately 308,000 per year average from 2010 to 2014. Among active

component applicants at MEPS between 2010 and 2015, about 20% were medically

disqualified, 8% applied for an accession medical waiver, 6% were approved for a medical

waiver, and 74% accessed. Reserve component applicants at MEPS had a 20% medical

disqualification rate, 7% waiver application rate, 5% waiver approval rate, and 67% accession

rate. Among National Guard applicants at MEPS the medical disqualification rate was 24%

and the accession rate was 71%. Accession medical waiver data is currently incomplete for

National Guard applicants.

In 2015, there were approximately 207,000 active, reserve, and National Guard enlisted

accessions as compared to an average of 220,000 per year in the period from 2010 to 2014.

Among active component accessions between 2010 and 2015, 13% accessed with a history of

medical disqualification, 6% accessed with a waiver, and 2% were hospitalized in the first

year of service. When examining discharges among active component accessions between

2010 and 2014, 2% of accessions had a discharge for conditions that existed prior to service

(EPTS), 0.29% had a disability discharge in the first year of service, and 11% experienced

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attrition in the first year of service. In reserve accessions between 2010 and 2015, 13%

accessed with a previous medical disqualification, 5% accessed with a medical waiver, and

1% were hospitalized in the first year of service. About 1% of reserve accessions had an EPTS

discharge and 0.13% had a disability discharge in the first year of service. Among National

Guard accessions between 2010 and 2015, 15% accessed with a history of medical

disqualification and 0.10% were hospitalized in the first year of service. About 1% of

National Guard accessions had an EPTS discharge and 0.12% had a disability discharge in the

first year of service. Attrition rates in the reserve component and National Guard are

underestimated due to the high prevalence of interservice separation codes (ISC) indicating

that the reason for the discharge was unknown.

Approximately 15% of 2010-2014 applicants for active component enlisted service were

initially disqualified for service due to permanently disqualifying medical conditions, and

another 5% received temporary disqualifications for conditions that could be remediated.

Such recruits, however, are less likely to ultimately become service members, with

approximately 50% of applicants with permanently disqualifications and 54% of applicants

with temporarily disqualifying conditions subsequently gained onto active component,

compared to 80% of fully qualified recruits who accessed. In 2015, disorders of refraction and

accommodation (i.e. visual impairment) were the most common reason for medical

disqualification in the active and reserve component. Visual impairment surpassed body

weight as the leading reason for medical disqualification for the first time in 2012 and has

remained the leading reason for medical disqualification in subsequent years.

Overweight/obesity and nondependent abuse of cannabis, both historically common

temporary disqualifications, continued to decrease compared to previous years.

Accession medical waivers are considered by each service for applicants with a disqualifying

medical condition. Accordingly, the conditions most frequently considered for a waiver

closely reflect the most common permanently disqualifying conditions. In total, about 15,000

applications for accession medical waivers were considered in 2015 in the Army and Air

Force. Army waiver applications in 2015 decreased relative to previous years. Data on waiver

applications in the Navy and Marine Corps for FY 2015 were not reported in time to meet the

publication deadline for this annual report. The percentage of waivers approved varies

substantially by the medical condition being considered, with overall approval percentages

ranging from 60% to over 90% for the most commonly applied for and most highly approved

waivers. Differences in approval percentages between the services may reflect differences in

the applicant pools, different distributions of conditions being considered for waiver, or

different needs of each service.

Hospitalization data are provided for the period from 2010 to 2015. In 2015, there were

approximately 2,000 hospitalizations among enlistees (all services) in the first year of service.

The rate of first year hospitalization in 2015 was lower than the rate observed in 2010-2014.

The top reasons for hospitalization within the first year of service among 2015 accessions

were mental disorders, pneumonia and influenza, and infections of the skin and subcutaneous

tissue. In the second year of service, the frequency of hospitalizations for childbirth increased

dramatically when compared to the first year of service, with childbirth the most common

reason for hospital admission in the second year. For first-time active duty enlistees who

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accessed in 2010-2015, Army and Marine Corps enlistees had the highest risk of

hospitalization. Navy enlistees had the lowest risk of hospitalization. Women, whites, those

over 25 years of age at the time of enlistment, those with lower military aptitude score on the

Armed Forces Qualification Test (AFQT), and those with a permanent or temporary medical

disqualification were at higher risk for hospitalization.

All-cause attrition of first-time active duty recruits following 90, 180, 365, and 730 days of

service is also described. At two years, the Army had the highest rate of attrition for all

services (approximately 17%), while the Marine Corps had the lowest (about 11%). Female

sex, white race, older age at the time of enlistment, lower educational attainment, lower

percentile score on the AFQT, and having a permanent or temporary medical disqualification

were all characteristics associated with higher attrition.

Discharges of recent enlistees for medical conditions that existed prior to service are a costly

problem for all branches of the military, and are considerably more common than data

indicate. Documentation of EPTS discharges is requested from each Initial Entry Training

(IET) site by US Military Entrance Processing Command (USMEPCOM) but this reporting is

not required by service regulations. The total numbers of reported discharges have varied over

time and by training base.

Past AMSARA studies have shown that the great majority of EPTS discharges are for medical

conditions that were not discovered or disclosed at the time of application for service, with

concealment by the applicant being the most common scenario. Accordingly, the primary

problem of EPTS discharges appears to be the bypassing of accession medical standards

rather than the implementation of those standards. Psychiatric conditions, orthopedic

conditions, and asthma continue to be the most common causes of EPTS discharges reported

to USMEPCOM. Risk of EPTS discharge varies by service, with those in the Army having the

lowest risk and Navy the highest. Increased risk of EPTS discharge is observed for females,

recruits without a high school education at accession, recruits who scored in the lower AFQT

percentile score groups, and recruits with a medical disqualification.

Disability evaluation is infrequent among new enlistees, with less than one percent of

enlistees being considered for such a discharge within the first year of service. The rate of

disability evaluation has decreased over the period 2010-2015. The most common disability

evaluations during the first year of service for 2010 to 2015 accessions were for diseases of

the spine, skull, limbs, and extremities, in all services. Other common conditions prompting

disability evaluation in the first year of service included prosthetic implants and diseases of

the musculoskeletal system, psychiatric, and neurologic disorders. Risk of evaluation for

disability discharge in the first year of service was highest in the Army and lowest in the

Navy. Characteristics associated with increased risk of disability evaluation include being

female, white, aged over 30 at time of accession, having a lower AFQT score, and medical

disqualification.

AMSARA is committed to further development of evidence-based medical standards to

enable the DoD to enlist the highest quality applicants in a cost-effective manner, thereby

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ensuring a healthy, fit, and effective force. The following programmatic recommendations are

based on nearly 20 years of research:

1. Various databases must be improved. For example, waiver data do not provide

sufficient clinical detail such as severity, duration and prognosis to allow analyses of

waiver decision criteria. Similarly, discharge data do not provide the medical

diagnosis for separations for medical reasons, thereby precluding any direct analysis of

the reasons for medical separations unrelated to disability.

2. EPTS classification and reporting from the IET sites to USMEPCOM, which is still

passive, should be mandated and standardized by DoD/service regulations. Analysis

would be enhanced with conversion from paper to digital records.

3. AMSARA should develop expertise in cost-benefit analyses in order to better advise

DoD medical standards policy makers.

4. AMSARA should continue prospective and retrospective cohort studies similar to the

Assessment of Recruit Motivation and Strength (a study evaluating those who exceed

Army body fat standards using a physical fitness test on accession) that challenge

current accession standards. MEPS-based studies, including assessments of the Omaha

5 and the Tailored Adaptive Personality Assessment System (TAPAS), that are

outcome oriented (morbidity, occupational qualification and performance,

deployability, and attrition) in the area of physical and mental fitness, including

motivation to serve, should be prioritized.

5. Rather than study accession medical standards in isolation, medical standards across

the continuum of a service member’s life-cycle should be analyzed using evidence-

based principles. This would include medical standards for deployment and retention,

in addition to accession medical standards. In FY 2009 at the direction of Assistant

Secretary of Defense, Health Affairs, Clinical Program and Policy AMSARA began to

systematically evaluate each service’s Disability Evaluation System. The first annual

Disability Evaluation Systems Analysis and Research report was published for FY

2010, with subsequent reports since that time.

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Introduction to the Accession Medical Standards Analysis &

Research Activity

The Medical-Personnel Executive Steering Committee (formerly the Accession Medical

Standards Steering Committee) was established by the Under Secretary of Defense (Personnel

and Readiness) to integrate the medical and personnel communities so they could provide

policy guidance and establish standards for accession requirements. These standards would

stem from evidence-based information provided by analysis and research. The committee is co-

chaired by the Deputy Assistant Secretary of Defense (Military Personnel Policy) and the

Principal Deputy Assistant Secretary of Defense (Health Affairs) and comprises representatives

from the Office of the Assistant Secretary of Defense (Force Health Protection and Readiness),

Office of the Assistant Secretary of Defense (Clinical and Program Policy), Office of the

Assistant Secretary of Defense (Reserve and Manpower Personnel), Office of the Assistant

Secretary of Defense (Civilian Personnel Policy), Offices of the Service Surgeons General,

Offices of the Service Deputy Chiefs of Staff for Personnel, and Health and Safety Directorate

(Department of Homeland Security, U.S. Coast Guard).

The Accession Medical Standards Working Group is a subordinate working group that reviews

accession medical policy issues contained in DoD Instruction 6130.03, entitled “Medical

Standards for Appointment, Enlistment, or Induction in the Armed Forces.” This group is

composed of representatives from each of the offices listed above.

AMSARA was established in 1996 within the Division of Preventive Medicine at Walter Reed

Army Institute of Research. AMSARA support the efforts of the Medical-Personnel Executive

Steering Committee and the Accession Medical Standards Working Group. The mission of

AMSARA is to support the development of evidence-based medical standards by guiding the

improvement of medical and administrative databases, conducting epidemiologic analyses, and

integrating relevant operational, clinical, and economic considerations into policy

recommendations. AMSARA has the following seven key objectives:

1. Validate current and proposed standards utilizing existing databases (e.g., should asthma

as a child be disqualifying?);

2. Incorporate prospective research studies to challenge selected standards (e.g., are body

weight standards adequate measures of fitness?);

3. Validate assessment techniques (e.g., improve current screening tools);

4. Perform quality assurance (e.g., monitor geographic variation);

5. Optimize assessment techniques (e.g., develop attrition and morbidity prediction models);

6. Track impact of policies, procedures, and waivers;

7. Recommend changes to enhance readiness, protect health, and save money.

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AMSARA Annual Report 2016

Military staffing to support this effort includes MAJ Michael Boivin, Chief, Department of

Epidemiology, Preventive Medicine Branch.

AMSARA is augmented with contract support through ManTech Health. Staff in 2015 included

Dr. David N. Cowan, Program Manager; Elizabeth Packnett, Principal Public Health Analyst;

Nadia Garvin, Christine Toolin, Michelle Yancey, and Yuwei Zhang, Public Health Analysts;

Xiaoshu Feng, Statistician; and Janice Gary, Senior Task Supervisor (Admin).

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Publications

Relationship between Medical, Demographic, and Military

Characteristics at Accession and Attrition: a Comparison of Two

Different Analytic Approaches

David N. Cowan, PhD, MPH; Ricardford R. Connor, MPH; Yuwei Zhang, PhD, MPH;

Michael R. Boivin, MD, MPH

Military Medicine, Under Review

Objective: To identify pre-enlistment risk factors (RF) for attrition using two comparative

analytic approaches at two different follow-up periods (0-180 days and 181 days to 3 years).

Methods: The study included 265,331 non-prior service Army active duty men entering between

1 October 2002 and 30 September 2008, followed for up to three years for attrition. Proportional

hazards (PH) and Poisson regression (PR) models were generated to calculate attrition hazard

ratios (HR) and incidence rate ratios (IRR).

Results: By the end of follow-up, 20% attrited, 60% deployed, 5% separated for non-attrition

causes, and 15% remained in service without deployment. RF varied in direction and magnitude

between follow-up periods, and included age, race, body mass index (BMI), education, AFQT,

and medical qualification status. For most RF and both follow-up periods, HR and IRR were

very similar.

Conclusions: Because RF varied between periods, caution must be used in interpreting the

impact of RF on attrition. PH and PR models resulted in estimates of HR and IRR that were very

similar. Because PR requires fewer assumptions and can be interpreted as the incidence rate

(events/person time), it should be considered when analyzing epidemiologic data that utilizes

time at risk.

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Fitness, Obesity, and Risk of Asthma among Army Trainees

Nadia Urban, MHS; Michael R. Boivin, MD, MPH; David N. Cowan, PhD, MPH

Occupational Medicine (London), In press

Objective: To evaluate new-onset asthma diagnoses during the first two years of Army service

and associations with fitness and excess body fat at military entrance.

Methods: Between 2005 and 2006, Army recruits at six different military entrance stations were

required to take a pre-accession fitness test including a 5-minute step test. Demographics and

new asthma diagnoses were analyzed. Poisson regression models were used to determine factors

associated with two-year asthma diagnosis.

Results: Among the 9,979 weight-qualified (WQ) and 1,117 excess body fat (EBF) study

subjects with no prior history of asthma, there were 256 new cases of asthma diagnosed within

two years of military entry. Low level of fitness (as defined by the step test) and excess body fat

were associated with a significant increase in asthma diagnosis (adjusted IRR, 1.47; 95% CI,

1.11-1.96 and adjusted IRR, 1.53; 95% CI, 1.06-2.20, respectively).

Conclusion: Individuals with low fitness levels and/or excess body fat are at significantly higher

risk of acquiring asthma in the first two years of military service.

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Excess Stress Fractures, Musculoskeletal Injuries and Healthcare

Utilization among Unfit and Overweight Female Army Trainees

Margot R. Krauss, MD, MPH; Nadia U. Garvin, MHS; Michael R. Boivin, MD, MPH;


American Journal of Sports Medicine, In press

Objective: To determine the incidence of and excess healthcare utilization for stress fractures

(STFX) and non-STFX (NSTFX) and overuse musculoskeletal injuries (MSI), during the first six

months of service by sex, fitness, and body fat.

Methods: All applicants to the Army were required to take a pre-accession fitness test during the

study period (February 2005 through September 2006). The test included a five-minute step test

scored as pass or fail. Body mass index (BMI) was recorded at application. Incidence of and

excess healthcare utilization for MSI including STFXs and physical therapy visits during the first

183 days of military service were compared between fit and unfit female recruits and between

excess body fat (EBF) and weight qualified (WQ).

Results: NSTFX incidence and excess healthcare utilization rate ratios among unfit versus fit

recruits were 1.32 (95% confidence interval (CI): 1.14, 1.53) and 1.18 (1.10, 1.27), respectively,

and among EBF recruits compared to WQ were 1.27 (1.07, 1.50) and 1.20 (1.11, 1.31),

respectively. Incidence of STFX and excess health care utilization rate ratios comparing unfit

and fit recruits were 1.62 (1.19, 2.21) and 1.22 (1.10, 1.36), respectively, and comparing EBF to

WQ were 0.79 (0.49, 1.28) and 1.44 (1.20, 1.72), respectively.

Conclusion: The results indicate a significantly increased risk of MSI, including STFXs among

unfit recruits and increased risk of non-STFX MSI among EBF recruits. Once injured, female

recruits who were WQ but unfit, and those who were fit but EBF had increased health care

utilization. These findings may have implications for military accession and training policy as

downsizing of military services will make it more important than ever to optimize the health and

performance of individual service members.

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Non-Cognitive Personality Assessment Dimensions and Risk of

Stress Fracture and other Musculoskeletal Injuries among U.S.

Army Trainees

Alexis A. Oetting, MPH; Nadia U. Garvin, MHS; Michael R. Boivin, MD, MPH;


American Journal of Preventive Medicine, In press

Objective: To determine the associations between Tailored Adaptive Personality Assessment

System (TAPAS) dimension scores and risk of musculoskeletal injuries (MSI).

Methods: Fifteen TAPAS dimension scores for 15,082 U.S. Army entering military service in

2010 were provided by the U.S. Army Research Institute for Social and Behavioral Sciences.

During 2013-2015, the associations between TAPAS dimension scores (as a continuous variable)

and injuries in the first 6 months of service were evaluated using logistic regression, with the

measure of association the odds ratio (OR).

Results: The TAPAS Physical Conditioning dimension was associated with MSI and stress

fractures among both men (MSI: OR=0.83 (95% CI=0.79, 0.86); stress fracture: OR=0.68 (95%

CI=0.57, 0.80)) and women (MSI: OR=0.77 (95% CI=0.70, 0.85); stress fracture: OR=0.60

(95% CI=0.43, 082)). No other dimensions were both significantly and consistently associated

with either injury.

Conclusion: The TAPAS Physical Conditioning dimension is a strong predictor of MSI and

stress fracture among male and female U.S. Army trainees, and may serve as a pre-accession

screen for self-reported physical activity.

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Descriptive Statistics for Enlisted Service Applicants and

Accessions

The characteristics of the source populations applying for enlisted service in the active, reserve,

and National Guard components of the military are described from fiscal year 2010 to fiscal

year 2015. The characteristics of the accessed populations are compared; subsequent attritions

are also shown. Individuals identified as having prior service in any U.S. military component

are excluded. An applicant is the individual who presents to a Military Entrance Processing

Station (MEPS) for evaluation for acceptance into military service. An enlistee accession is the

individual who has signed his or her oath of enlistment.

Except where otherwise noted, the following conventions apply:

All references to year refer to fiscal year (FY).

The “Accessions” shown in the following tables are from among the “Applicants” shown in

the relevant preceding column. For example, columns showing fiscal year 2015 accessions

are summarizing accessions only among individuals who applied for service in fiscal year

2015. Notation is made when complete follow-up is not available.

Only data through fiscal year 2015 are included. Therefore, numbers and percentages gained

(i.e. accessions) among applicants in 2015 refer only to those gained through September 30,

2015.

To derive percentages and rates, data sets were merged at the individual level by Social

Security Number (SSN). For example, in determining the percentage of individuals gained

in 2015 who received a discharge, only discharges with a SSN matching a 2015 accession

record SSN were included.

Under the subsections titled “Active Component Applicants and Accessions,” “Reserve

Component Applicants and Accessions,” “National Guard Component Applicants and

Accessions,” and “Medical Waivers,” education level and age were obtained at the time of

MEPS application because MEPS data are the only source of these variables for applicants.

For subsections titled “Hospitalizations,” “Attrition,” “EPTS Discharges,” and “Disability

Discharges with an Accession Record,” age, education level, and Armed Forces

Qualification Test (AFQT) score at time of accession are used. Under the Delayed Entry

Program, the application process can occur up to 2 years before the actual accession takes

place.

Temporary medical disqualifications are for conditions that can be corrected, such as being

overweight or recently using marijuana; these individuals may enter the military without a

waiver after the condition is corrected. Permanent medical disqualifications are for all other

disqualifying conditions described in DoD Instruction 6130.03.

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Beginning in the FY 2008 Annual report, the way International Classification of Diseases,

9th

revision (ICD-9) codes are summarized was revised in order to establish more uniform

granularity over the range of ICD-9 codes reported for MEPS disqualification and waivers.

This was done by selecting a subset of codes based on expert opinion that were

exceptionally broad and reporting them to four digits rather than three (summarized in Table

1). For example, code 493 is specific to asthma whereas 733 denotes a diverse array of bone

and cartilage disorders, which include osteoporosis, pathologic fractures, bone cysts, and

aseptic necrosis. Please note, when a majority of codes examined out to the fourth digit do

not have a fourth digit (either due to insufficient information at time of coding or to errors),

it is possible to have a three-digit code appear in the leading 20 medical conditions tables,

even though the raw codes were examined out to the fourth digit. Such codes are treated as a

distinct category and are in no case to be considered a parent term if a more specific code is

present. For example, the ICD-9 groups specified by 785 and 785.0 are mutually exclusive

categories and the latter is not a subset of the former.

TABLE 1: LIST OF ICD-9 CODING GROUPS SUMMARIZED TO THE FOURTH DIGIT

ICD-9† Condition

305 Nondependent abuse of drugs

306 Physiological malfunction arising from mental factors

307 Special symptoms or syndromes, not elsewhere classified

718 Other derangement of joint

719 Other and unspecified disorders of joint

724 Other and unspecified disorders of back

726 Peripheral enthesopathies and allied syndromes

733 Other disorders of bone and cartilage

746 Other congenital anomalies of heart

754 Certain congenital musculoskeletal deformities

756 Other congenital musculoskeletal anomalies

780 General symptoms

783 Symptoms concerning nutrition, metabolism, and development

784 Symptoms involving head and neck

785 Symptoms involving cardiovascular system

795 Other and nonspecific abnormal cytological, histological, immunological and DNA

test findings

796 Other nonspecific abnormal findings †Differences in the level of coding specificity (3-digit vs. 4-digit) over time can lead to misleadingly large disparities in the

incidence estimates for particular disease or condition categories when comparing current year data to the previous 5-year period.

13

Summary Statistics for Applicants and Accessions for

Enlisted Service

Tables 2 -4 show the rates of medical disqualification, waiver application, waiver approval, and

accession of the enlisted applicant population between 2010 and 2015 by fiscal year of physical

exam. Applicants are restricted to Army, Navy, Marine Corps, and Air Force applicants and rates

are stratified by component. Applicants may appear in more than one table if they applied to

more than one component. However, for each component, each applicant is only counted once.

Applicants were considered disqualified if they had an International Classification of Diseases,

9th

revision (ICD-9) or other medical failure (OMF) code listed in their US Military Entrance

Processing Command Integrated Resource System (USMIRS) application record. Waiver

applicants and approvals were included if an individual applied for or was approved for a waiver

in the 730 days following their physical exam. Only waiver applications and approvals from the

service applied to were included. Similarly, applicants were counted as accessions if they

accessed into the same service they applied and the accession date followed the physical exam

date.

Medical disqualification (DQ), waiver, and accession rates are shown in Table 2 for enlisted

active component applicants by year for all services. Overall, about 19% of applicants received

either a temporary or permanent medical disqualification. The proportion of active component

applicants with a medical disqualification has remained relatively consistent in the period from

2010 to 2015 with between 19% and 21% receiving a medical disqualification. In the period

from 2010 to 2015, approximately 7% of active component applicants apply for a medical

wavier and roughly 5% of active component applicants are approved for a medical wavier.

Though Marine Corps waiver data was reported to AMSARA for 2010, 2011, and 2014 these

data were incomplete and were unavailable for 2015. Additionally, Navy medical waiver data for

2014 and 2015 were not available at the time of publication. Therefore, estimates of waiver

application and approval rates among active component applicants should be considered

underestimates. The accession rate of active component applicants has remained relatively

consistent throughout the time period from 2010 to 2014 with between 74% and 77% of

applicants accessing. Accession rates of 2015 applicants are not reported due to insufficient

follow-up time.

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TABLE 2: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED ACTIVE COMPONENT

APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: ALL SERVICES

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010† 215,319 41,392 19.2 16,264 7.6 11,169 5.2 158,239 73.5

2011† 200,730 38,216 19.0 15,857 7.9 10,857 5.4 150,197 74.8

2012 199,244 37,942 19.0 17,713 8.9 12,663 6.4 152,482 76.5

2013 205,299 42,226 20.6 18,615 9.1 13,844 6.7 156,651 76.3

2014† 177,753 36,050 20.3 11,421 6.4 8,203 4.6 131,941 74.2

2015†§

188,904 34,992 18.5 7,852† 4.2 5,562

† 2.9 - -

Total 1,187,249 230,818 19.4 87,722 7.4 62,298 5.2 749,510 75.1

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow-up time. † Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not received for 2015. Waiver data were unavailable for the

Navy in 2014 and 2015. Therefore, 2010, 2011, 2014 and 2015 waiver counts and percentages should be considered underestimates.

Table 3 shows medical disqualification, waiver, and accession rates for enlisted reserve

component applicants by year of physical exam for all services. Overall, about 20% of applicants

received either a temporary or permanent medical disqualification. The proportion of reserve

component applicants with a medical disqualification has remained relatively stable during this

time period from 2010 to 2015 with disqualification rates remaining between 19% and 21%.

About 7% of reserved applicants apply for a medical wavier and roughly 5% of reserved

applicants are approved for a medical wavier. The rate of waiver applications and approvals in

2010-2011 are lower than 2012-2013, but are slightly higher than 2014. The large apparent

difference in waivers is associated with missing waiver records from the Marine Corps in 2010

and 2011. Additionally, Navy and Marine Corps medical waiver data for 2014 and 2015 were

not available at the time of publication. Therefore, estimates of waiver application and approval

rates among active component applicants should be considered underestimates. The accession

rates of reserve component applicants were highest during 2011 (70%) and 2014 (71%) and

lowest for 2012-2013 (63-64%).

TABLE 3: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED RESERVE COMPONENT

APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: ALL SERVICES

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010† 35,546 7,149 20.1 2,274 6.4 1,653 4.7 24,127 67.9

2011† 37,869 7,563 20.0 2,546 6.7 1,794 4.7 26,653 70.4

2012 34,146 6,937 20.3 2,647 7.8 1,936 5.7 21,500 63.0

2013 34,956 7,487 21.4 2,803 8.0 2,164 6.2 22,349 63.9

2014† 33,601 6,916 20.6 2,051 6.1 1,508 4.5 23,796 70.8

2015†§

31,771 5,868 18.5 1,325† 4.2 1,003

† 3.2 - -

Total 207,889 41,920 20.2 13,646 6.6 10,058 4.8 118,425 67.2

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow-up time. † Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not received for 2015. Waiver data were unavailable for the Navy in 2014 and 2015. Therefore, 2010, 2011, 2014 and 2015 waiver counts and percentages should be considered underestimates.

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Table 4 shows medical disqualification and accession rates for enlisted National Guard

applicants by year of physical exam for all services. Overall, about 23% of applicants received

either a temporary or permanent medical disqualification. The proportion of National Guard

applicants with a medical disqualification has decreased during this time period from 27% in

2010 to 21% in 2015. The accession rate of Nation Guard component applicants has remained

relatively consistent throughout the time period from 2010 to 2012 with between 74% and 78%

of applicants accessing. In 2013, the accession rate among National Guard applicants was much

lower (55%) than observed in the period from 2010 to 2012 (74-78%), but increased again in

2014 (80%). Accession rates of 2015 applicants are not reported due to insufficient follow-up

time. Medical waiver data are not available for National Guard applicants.

TABLE 4: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED NATIONAL GUARD

APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: ARMY AND AIR FORCE

Applicant

(n)

DQ

(n)

DQ

(%)

Access

(n)

Access

(%)

2010 55,108 13,741 24.9 42,095 76.4

2011 46,685 10,766 23.1 36,234 77.6

2012 52,150 11,689 22.4 38,817 74.4

2013 54,409 13,160 24.2 30,158 55.4

2014 52,209 11,951 22.9 41,710 79.9

2015§ 45,773 9,534 20.8 - -

Total 306,334 70,841 23.1 189,014 72.5

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow-up time.

Tables 5-7 show the rates of medical disqualification, waiver approval, existed prior to service

(EPTS) discharge, hospitalization, disability discharge, and attrition of the enlisted accessed

population between 2010 and 2015 by fiscal year of accession. Accessions are restricted to

Army, Navy, Marine Corps, and Air Force applicants and rates are stratified by component.

Accessions were considered disqualified if they had an ICD-9 or OMF code listed in their MIRS

application record. Waiver records were available from 2010-2015 for the Army and Air Force.

Marine Corps waiver data were incomplete in 2010 and 2011. Additionally, Navy and Marine

Corps had not provided waiver records for 2014 and 2015 at time of publication. Therefore,

waiver application and approval rates for 2010, 2011, 2014 and 2015 should be considered

underestimates. Waiver approvals were included if an individual was approved for a waiver in

the 730 days following their physical exam. Only waivers from the service accessed to were

included. Similarly, EPTS discharges were restricted to discharges that occurred in the first 180

days of service from the service and component of accession. Hospitalization, disability, and

attrition were restricted to events that occurred in the first 365 days of service where the service

and component at time of event (i.e. hospitalization, disability, or attrition) matched the service

and component at accession.

Medical disqualification, waiver, EPTS discharge, hospitalization, disability discharge, and

attrition rates are shown in Table 5 for enlisted active component accessions by year for all

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services. Overall, about 13% of accessions received either a temporary or permanent medical

disqualification. The proportion of accessions with a history of either a permanent or temporary

medical disqualification has remained relatively stable from 2010 to 2015. Waiver approval rates

were about 6% overall in the active component accessed population. EPTS discharges occurred

in about 2% of active component accessions and have varied from 1-3% from 2010 to 2014.

Overall, about 2% of active component accessions are hospitalized in the first year of service; the

proportion of active component accession hospitalized in the first year of service has decreased

between 2010 and 2015. Disability discharges in the first year of service occurred in 0.25% of

active component accessions and the rate of disability discharge decreased from 0.36% in 2010

to 0.26% in 2014. Attrition in the first year of service has remained relatively stable in the period

from 2010 to 2014, occurring in about 11-12% of accessions.

Table 6 shows medical disqualification, waiver, EPTS discharge, hospitalization, disability

discharge, and attrition rates for enlisted reserve component accessions by year of accession.

However, attrition rates presented for enlisted reserve accessions are likely underestimated as the

majority of discharges from enlisted reserve service are accompanied by an interservice

separation code (ISC) that indicates the reason for separation was unknown and thus not

considered attrition by AMSARA (see Table 46). Overall, about 13% of accessions received

either a temporary or permanent medical disqualification. About 5% of reserve component

accessions access with a medical waiver. The rate of waivers in the accessed reserve population

was relatively consistent before increasing slightly in 2013 and 2014. Overall, EPTS rates in

reserve component accessions were about 1%. Hospitalization in the first year of service

occurred in about 1% of reserve component accessions and has varied between 0.8% and 1.6%

of total reserve accessions. Hospitalization rates in the first year of reserve service are likely

underestimated relative to the active component because hospitalizations outside of Military

Treatment Facilities are not included in this report. Overall, 0.5% of reserve accessions are

disability discharged in the first year of service and the rate of disability discharge in the first

year appear to be decreasing in the period from 2010 to 2015. The attrition rate in the first year

of service in the reserve component was consistently between 4% and 5% during this time

period.

Table 7 shows medical disqualification, EPTS discharge, hospitalization, disability discharge,

and attrition rates for enlisted National Guard component accessions by year of accession.

However, attrition rates presented for enlisted National Guard accessions are likely

underestimated as the majority of discharges from enlisted National Guard service are

accompanied by an ISC that indicates the reason for separation was unknown and thus not

considered attrition by AMSARA (see Table 46). Medical waiver data are not available for

National Guard accessions. Overall, about 15% of applicants received either a temporary or

permanent medical disqualification. The proportion of National Guard applicants with a medical

disqualification has remained relatively consistent during this time period from 16% in 2010 to

14% in 2015. Overall, EPTS rates in National Guard accessions were about 1%. Hospitalization

in the first year of service occurred in 1% of National Guard accessions and has varied between

0.8% and 1.2% of total National Guard accessions. Hospitalization in the first year of service

occurred in 1% of National Guard accessions and has varied between 0.5% and 1.3% of total

National Guard accessions. Hospitalization rate in the first year of National Guard service are

likely underestimated relative to the active component because hospitalizations outside of

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Military Treatment Facilities are not included in this report. Overall, disability discharge in the

first year of service occurred among 0.10% of National Guard accessions and has decreased from

0.19% in 2010 to 0.08% in 2014. The rate of attrition in the first year of service in the National

Guard component remained between 0.20% and 0.32% during the period between 2010 and

2014.

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TABLE 5: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED ACTIVE COMPONENT

ACCESSIONS BY YEAR: ALL SERVICES

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

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Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 159,768 21,642 13.5 9,293 5.8 3,792 2.4 4,287 2.7 575 0.36 17,749 11.1

2011 152,683 18,974 12.4 8,805 5.8 4,141 2.7 4,098 2.7 456 0.30 16,766 11.0

2012 155,694 19,022 12.2 9,627 6.2 3,348 2.2 3,791 2.4 384 0.25 18,122 11.6

2013 165,967 22,349 13.5 13,030 7.9 1,852 1.1 3,842 2.3 479 0.29 19,047 11.5

2014 140,016 20,232 14.4 9,754 7.0 1,207 0.9 3,380 2.4 363 0.26 16,360 11.7

2015§ 146,557 19,945 13.6 7,000 4.8 - - 1,833 1.3 - - - -

Total 920,685 122,164 13.3 57,509 6.2 14,340 1.9 21,231 2.3 2,257 0.29 88,044 11.4 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

TABLE 6: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED RESERVE COMPONENT

ACCESSIONS BY YEAR: ALL SERVICES

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

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Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 28,347 3,740 13.2 1,227 4.3 404 1.4 240 0.9 52 0.18 1,322 4.7

2011 30,488 3,841 12.6 1,407 4.6 450 1.5 495 1.6 43 0.14 1,255 4.1

2012 24,323 3,201 13.2 1,183 4.9 162 0.7 361 1.5 20 0.08 1,034 4.3

2013 21,292 2,877 13.5 1,283 6.0 149 0.7 266 1.3 30 0.14 1,073 5.0

2014 24,677 3,526 14.3 1,448 5.9 120 0.5 324 1.3 29 0.12 1,284 5.2

2015§ 24,824 3,087 12.4 912 3.7 - - 212 0.9 - - - -

Total 153,951 20,272 13.2 7,460 4.8 1,285 1.0 1,898 1.2 174 0.13 5,968 4.6 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

19

TABLE 7: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED NATIONAL GUARD

ACCESSIONS BY YEAR: ARMY AND AIR FORCE

Accession

(n)

DQ

(n)

DQ

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n)┼

Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 46,183 7,194 15.6 744 1.6 371 0.8 88 0.19 112 0.24

2011 40,258 5,748 14.3 669 1.7 477 1.2 49 0.12 117 0.29

2012 42,134 5,759 13.7 290 0.7 455 1.1 24 0.06 93 0.22

2013 28,695 4,515 15.7 100 0.3 322 1.1 36 0.13 92 0.32

2014 43,384 6,835 15.8 45 0.1 503 1.2 34 0.08 87 0.20

2015§ 37,886 5,349 14.1 - - 173 0.5 - - - -

Total 238,540 35,400 14.8 1,848 0.9 2,301 1.0 231 0.12 511 0.25 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

20

Applicants and Accessions

Active Component Applicants and Accessions

Tables 8 and 9 describe the population of applicants who received a medical examination and

subsequent accessions for active component enlisted service in the Army, Navy, Marine Corps

and Air Force. Individuals were counted once, either in the component and service in which they

access, or for applicants who did not access, in the service and component applied to on their

most recent date of application. Applicants for enlisted service who subsequently accessed as

officers (as indicated by a pay grade of O01-06), were included as applicants, but excluded from

accessions.

Table 8 shows the number of applicants for enlisted service, the accession counts and rates

within one year and within two years of application, and the overall accession rate, by year for

2010-2015. Regulations state that accessions must occur within one year of application, although

it is fairly common for applicants to request and to be granted a one-year extension. Due to the

lack of full two-year follow-up data for 2014 applicants and one-year and two-year follow-up for

2015 applicants, the corresponding accession rates and overall rates were underestimated. The

total number of applicants and accessions were highest in 2010 and lowest in 2014. Accession

rates within one and two years of application were lowest for 2010 and highest during 2012 and

2013.

TABLE 8: ACCESSION RATE FOR ENLISTED ACTIVE COMPONENT APPLICANTS AT MEPS WHO RECEIVED A

MEDICAL EXAMINATION IN 2010-2015: ALL SERVICES

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 215,319 142,419 66.1 157,242 73.0 158,239 73.5

2011 200,730 136,590 68.0 149,290 74.4 150,197 74.8

2012 199,244 140,781 70.7 152,217 76.4 152,482 76.5

2013 205,299 144,331 70.3 156,564 76.3 156,651 76.3

2014 177,753 123,490 69.5 131,941 74.2† 131,941 74.2†

2015 188,904 79,851 42.3† 79,851 42.3† 79,851 42.3†

Total

Applicants 1,187,249 767,462

827,105

829,361

†The proportion of applicants who accessed was underestimated due to lack of sufficient follow-up data since only accessions through 2015 are

reported in the above table.

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Table 9 shows demographic characteristics (at time of application) and accession rates for the

applicant pools in 2010-2014 and 2015. Most applicants in 2015 were male (80%), aged 17-20

years (70%), and white (71%). In 2015, most applicants had a high school diploma or higher

(80%). However, nearly one-fifth of applicants in 2015 had not completed high school at the

time of application (19%) compared to 12% the previous five years; most were in the Delayed

Entry Program (DEP) and completed high school prior to accession. Graduation from high

school prior to accession among applicants who were high school seniors at the time of

application accounts for much of the difference in education noted when comparing 2015

applicants and accessions. In 2015, over two-third of applicants scored in the 50th percentile or

higher for Armed Forces Qualification Test (AFQT) score (70%). The percentage of fully

qualified applicants in 2015 was similar to that observed in 2010-2014 (82% and 80%,

respectively). The percentage of temporary disqualified applicants in 2015 was slightly lower

than observed in 2010-2014 (4% versus 5%, respectively). The percentage of female applicants

and accessions in 2015 was slightly higher than observed in the previous five-year period (20%

versus 19% in 2010-2014 and 19% versus 17% in 2010-2014, respectively). The percentage of

applicants between the ages of 17 and 20 was marginally larger in 2015 than in 2010-2014 (70%

and 68%, respectively). In 2015, the percentage of white applicants and accessions was slightly

less than in previous years (71% versus 73% in 2010-2014 and 72% versus 74% in 2010-2014,

respectively). In 2015, the distribution of AFQT scores differed slightly from the distribution of

AFQT scores in the previous five years. In 2015, a lower percentage of applicants scored in the

50th

percentile of higher (70%) relative to the previous five years (73%). The observed decrease

in applicants corresponded to a drop in accessions scoring in the 50th

percentile or higher (71%

versus 76% in 2015 and 2010-2014, respectively). The percentage of fully qualified accessions

observed in 2015 was slightly higher than that observed in 2010-2014 (89% and 87%,

respectively).

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TABLE 9: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED ACTIVE COMPONENT APPLICANTS WHO

RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: ALL SERVICES

2010 – 2014 2015

Applicants Accessions Applicants Accessions

n % n % n % n %

Sex§

Male 813,211 81.5 621,868 83.0 151,506 80.3 64,742 81.1

Female 184,844 18.5 127,642 17.0 37,188 19.7 15,109 18.9

Age Group at

MEPS§

17 – 20 676,479 67.8 525,275 70.1 131,811 69.8 56,486 70.7

21 – 25 248,739 24.9 179,642 24.0 44,820 23.7 19,050 23.9

> 25 73,102 7.3 44,584 5.9 12,269 6.5 4,315 5.4

Race§

White 727,223 72.8 551,089 73.5 134,155 71.0 57,710 72.3

Black 171,592 17.2 131,455 17.5 34,711 18.4 16,064 20.1

Other 99,530 10.0 66,966 8.9 20,038 10.6 6,077 7.6

Education§

Below HS Senior† 3,891 0.4 2,234 0.3 1,282 0.7 32 <0.1

HS Senior 118,501 11.9 71,743 9.6 35,767 18.9 6,069 7.6

HS Diploma 731,813 73.3 579,742 77.3 128,236 67.9 65,346 81.8

Some College 65,640 6.6 50,585 6.7 8,892 4.7 4,101 5.1

Bachelor's and

above 78,500 7.9 45,206 6.0 14,727 7.8 4,303 5.4

AFQT Score§

93 – 99 68,278 6.8 53,485 7.1 11,157 5.9 4,606 5.8

65 – 92 388,096 38.9 303,653 40.5 69,058 36.6 29,857 37.4

50 – 64 273,348 27.4 212,304 28.3 51,179 27.1 22,385 28.0

30 – 49 226,471 22.7 168,246 22.4 47,805 25.3 21,998 27.5

11 – 29 8,419 0.8 1,399 0.2 2,367 1.3 245 0.3

< 11‡ 146 <0.1 14 <0.1 36 <0.1 0 0.0

Missing 33,587 3.4 10,409 1.4 7,302 3.9 760 1.0

Medical Status

Fully Qualified 802,519 80.4 650,014 86.7 153,912 81.5 71,056 89.0

Permanent DQ 149,367 15.0 74,409 9.9 27,467 14.5 6,794 8.5

Temporary DQ 46,459 4.7 25,087 3.3 7,525 4.0 2,001 2.5

Total 998,345 100.0 749,510 100.0 188,904 100.0 79,851 100.0

MEPS: Military Entrance Processing Station; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.

† Encompasses the following: 1) those pursuing completion of the GED or other test-based high school equivalency diploma, vocational school,

or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential

holder; 3) one who is attending high school and is not yet a senior. ‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data

capture errors.

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Reserve Component Applicants and Accessions

Tables 10 and 11 describe the characteristics of applicants for the enlisted reserve component of

the Army, Navy, Marine Corps, and Air Force. These results include only civilians with no prior

service applying for the reserve component and do not include direct accessions from active

component military. Individuals were counted only once, either in the component and service in

which they access, or for applicants who did not access, in the component and service applied to

on their most recent day of application. Reserve applicants who subsequently accessed as

officers (as indicated by a pay grade at gain of O01-06), were included as applicants, but

excluded from accessions.

Table 10 shows the number of applicants for the reserve component, the accession counts and

rates within one year and two years of application, and overall accession counts and rates, by

year for 2010-2015. Regulations state that accessions must occur within one year of application,

although it is fairly common for applicants to request and to be granted a one-year extension.

Due to the lack of full two-year follow-up data for 2014 applicants and one-year and two-year

follow-up for 2015 applicants, the corresponding accession rates were underestimated.

Applicant numbers increased slightly from 2010 to 2011 and remained consistent from 2012 to

2014. The accession rates of reserve applicants within one and two years of application were

lowest during 2012 (60% and 63%, respectively) and highest in 2014 (69% and 70%,

respectively).

TABLE 10: ACCESSION RATE FOR ENLISTED RESERVE COMPONENT APPLICANTS AT MEPS WHO

RECEIVED A MEDICAL EXAMINATION IN 2010-2015: ALL SERVICES

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 35,546 23,103 65.0 24,123 67.9 24,127 67.9

2011 37,869 25,902 68.4 26,634 70.3 26,653 70.4

2012 34,146 20,428 59.8 21,485 62.9 21,500 63.0

2013 34,956 21,437 61.3 22,342 63.9 22,349 63.9

2014 33,601 23,232 69.1 23,796 70.8† 23,796 70.8†

2015 31,771 18,188 57.2† 18,188 57.2† 18,188 57.2†

Total

Applicants 207,889 132,290

136,568

136,613

†The proportion of applicants who accessed was underestimated due to lack of sufficient follow-up data since only accessions through 2015 are reported in the above table.

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Table 11 describes the demographic characteristics (at time of application) and accession rates

for reserve component applicants in 2010-2014 and 2015. The demographic profile of reserve

component applicants in 2015 was largely consistent with the demographic profile of accessions

over the same time periods. Three quarter of applicants in 2015 were male (75%), approximately

two-third between the ages of 17 and 20 (67%), and white (65%, excluding applicants who

declined to provide their racial status and those with missing records). In 2015, 59% of

applicants had a high school diploma and over two-thirds scored in the 50th to 99nd percentile

for AFQT score (68%). The proportion of applicants in 2015 who were classified as high school

senior was higher than the previous five years (22% versus 16% in 2010-2014). The distribution

of AFQT score among applicants and accessions in 2015 was similar to that observed in 2010-

2014. This increase in the percent of high school senior applicants corresponded to a decrease in

the percentage of applicants with a high school diploma and some college in 2015 (59% and 6%,

respectively) relative to the previous five years (65% and 9%, respectively). The percentage of

fully qualified applicants in 2015 is similar to the percentages observed from 2010 to 2014 (82%

and 80% respectively). In 2015 (14%) of applicants were considered permanently medically

disqualified compared to (15%) from the previous five years; this slight decrease was consistent

with a decrease in the percent of accessions who were permanently disqualified over the same

time periods (8%) relative to the previous five years (9%). The percentage of fully qualified

accessions in 2015 was slightly higher to that observed in 2010-2014 (90% and 87%

respectively).

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TABLE 11: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED RESERVE COMPONENT APPLICANTS WHO

RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: ALL SERVICES

2010 – 2014 2015


n % n % n % n %

Sex§

Male 135,596 77.0 92,171 77.8 23,814 75.0 13,497 74.2

Female 40,483 23.0 26,253 22.2 7,935 25.0 4,691 25.8

Age Group at

MEPS§

17 – 20 116,042 65.9 80,662 68.1 21,191 66.7 12,581 69.2

21 – 25 40,189 22.8 26,019 22.0 6,811 21.4 3,716 20.4

> 25 19,882 11.3 11,741 9.9 3,769 11.9 1,891 10.4

Race§

White 122,343 69.5 83,907 70.9 20,529 64.6 11,889 65.4

Black 38,591 21.9 25,350 21.4 7,498 23.6 4,347 23.9

Other 15,184 8.6 9,168 7.7 3,744 11.8 1,952 10.7

Education§

Below HS Senior† 5,955 3.4 5,029 4.2 1,234 3.9 1,012 5.6

HS Senior 27,794 15.8 20,278 17.1 6,978 22.0 4,136 22.7

HS Diploma 113,746 64.6 75,202 63.5 18,854 59.3 10,501 57.7

Some College 15,917 9.0 10,647 9.0 1,897 6.0 1,075 5.9

Bachelor's and

above 12,706 7.2 7,269 6.1 2,808 8.8 1,464 8.0

AFQT Score§

93 – 99 11,074 6.3 7,427 6.3 1,913 6.0 1,059 5.8

65 – 92 66,048 37.5 46,130 39.0 11,715 36.9 6,938 38.1

50 – 64 45,611 25.9 31,131 26.3 8,083 25.4 4,669 25.7

30 – 49 49,128 27.9 32,916 27.8 9,334 29.4 5,490 30.2

11 – 29 2,938 1.7 596 0.5 477 1.5 21 0.1

< 11‡ 119 0.1 51 <0.1 9 <0.1 0 0.0

Missing 1,200 0.7 174 0.1 240 0.8 11 0.1

Medical Status

Fully Qualified 140,066 79.5 102,739 86.8 25,903 81.5 16,292 89.6

Permanent DQ 26,943 15.3 11,140 9.4 4,503 14.2 1,376 7.6

Temporary DQ 9,109 5.2 4,546 3.8 1,365 4.3 520 2.9

Total 176,118 100.0 118,425 100.0 31,771 100.0 18,188 100.0



or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior.

‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data capture errors.

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Army and Air National Guard Applicants and Accessions

Tables 12 and 13 describe the characteristics of applicants in the enlisted National Guard of the

Army and Air Force. The Navy and Marine Corps do not have a National Guard component.

These results include only civilians with no prior service applying for the National Guard and do

not include direct accessions from active component military. Individuals were counted only

once, either in the component and service in which they access, or for applicants, in the service

and component applied to on their most recent day of application. National Guard applicants

who subsequently accessed as officers (as indicated by a pay grade at gain of O01-06), were

included as applicants, but excluded from accessions.

Table 12 shows the number of applicants for the National Guard, the accession counts and rates

within one year and two years of application, and overall accession counts and rates, by year for

2010-2015. Regulations state that accessions must occur within one year of application, although

it is fairly common for applicants to request and to be granted a one-year extension. Due to the

lack of full two-year follow-up data for 2014 applicants and one-year and two-year follow-up for

2015 applicants, the corresponding accession rates and overall rates were underestimated (see

note below Table 12). In 2011 the number of National Guard applicants dropped before

increasing in 2012 to counts previously observed and the trend continued in 2013 and 2014

National Guard applicants. The accession rate of National Guard applicants within one year of

application dropped in 2013 to 54% from 73% in 2012. The reason for the significant drop in the

accession rate in 2013 remains unclear. The accession rate within one year of application was

highest the following year in 2014 (79%). Accession rates of applicants at the one and two year

mark were similar to overall accession rates.

TABLE 12: ACCESSION RATE FOR ENLISTED NATIONAL GUARD COMPONENT APPLICANTS AT MEPS WHO

RECEIVED A MEDICAL EXAMINATION IN 2010-2015: ARMY AND AIR FORCE

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

% Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 55,108 41,243 74.8 42,089 76.4 42,095 76.4

2011 46,685 35,627 76.3 36,220 77.6 36,234 77.6

2012 52,150 38,113 73.1 38,806 74.4 38,817 74.4

2013 54,409 29,252 53.8 30,118 55.4 30,158 55.4

2014 52,209 41,272 79.1 41,710 79.9† 41,710 79.9†

2015 45,773 33,779 73.8† 33,779 73.8† 33,779 73.8†

Total

Applicants 306,334 219,286

222,722

222,793

† The proportion of applicants who accessed was underestimated due to a lack of sufficient follow-up data since only accessions through 2015

are reported in the above table.

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Table 13 describes the demographics characteristics (at the time of application) and accession

rates for National Guard applicants in 2010-2014 and 2015. In 2015, three-quarters of applicants

were male (75%) and over two-thirds were aged 17-20 (69%). Most National Guard applicants

in 2015 were white (73%), whose highest attained education (at application) was a high school

diploma (57%). The percentage of male applicants in 2015 was 75%, slightly lower than 77%

observed in 2010-2014. In 2015, the percentage of applicants between the ages of 17 and 20 was

larger than in 2010-2014 (69% and 66%, respectively). In 2015, a slightly smaller percentage of

whites applied for service than in previous years (73% versus 76% in 2010-2014) which

corresponded to a small increase in black applicants (21% versus 19% in 2010-2014). In 2015, a

slightly lower percentage of applicants to National Guard had a high school diploma to the

previous five year period (57% versus 60% in 2010-2014). This decrease corresponded to an

increase in the percent of applicants who were high school seniors in 2015 (23% versus 18% in

2010-2014). The percentage of applicants with some college decreased from 7% in 2010-2014

to 5% in 2015. The distribution of sex, race and education among applicants was similar to that

observed in accessions. In 2015, the distribution of AFQT scores was similar to what was

observed in the previous five years. Most applicants in 2015 were classified as medically

qualified (79%); the percentage increased slightly from (77%) for the previous five years. In

2015 (7%) of applicants were considered temporary medically qualified compared to (8%) from

the previous five years; this slight decrease was consistent with a decrease in the percent of

accessions who were temporarily disqualified over the same time periods (5%) relative to the

previous five years (6%). The percentage of fully qualified accessions in 2015 was higher to that

observed in 2010-2014 (88% and 85%, respectively).

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TABLE 13: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED NATIONAL GUARD APPLICANTS WHO

RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: ARMY AND AIR FORCE

2010 – 2014 2015


n % n % n % n %

Sex§

Male 201,615 77.4 147,715 78.2 34,223 74.8 25,743 76.2

Female 58,893 22.6 41,299 21.8 11,538 25.2 8,036 23.8

Age Group at

MEPS§

17 – 20 172,680 66.3 129,323 68.4 31,642 69.1 24,254 71.8

21 – 25 59,100 22.7 41,016 21.7 9,456 20.7 6,590 19.5

> 25 28,775 11.0 18,669 9.9 4,675 10.2 2,935 8.7

Race§

White 198,271 76.1 147,872 78.2 33,447 73.1 25,204 74.6

Black 48,247 18.5 33,421 17.7 9,787 21.4 7,011 20.8

Other 14,043 5.4 7,721 4.1 2,539 5.5 1,564 4.6

Education§

Below HS Senior† 22,152 8.5 17,463 9.2 4,068 8.9 3,342 9.9

HS Senior 47,458 18.2 37,825 20.0 10,302 22.5 8,179 24.2

HS Diploma 157,187 60.3 110,279 58.3 26,223 57.3 18,738 55.5

Some College 18,040 6.9 13,036 6.9 2,284 5.0 1,595 4.7

Bachelor's and

above 15,724 6.0 10,411 5.5 2,896 6.3 1,925 5.7

AFQT Score§

93 – 99 15,398 5.9 11,651 6.2 2,636 5.8 1,996 5.9

65 – 92 87,617 33.6 67,293 35.6 14,682 32.1 11,479 34.0

50 – 64 62,785 24.1 47,024 24.9 10,133 22.1 7,857 23.3

30 – 49 83,091 31.9 59,574 31.5 15,002 32.8 11,482 34.0

11 – 29 10,396 4.0 3,252 1.7 3,083 6.7 925 2.7

< 11‡ 131 0.1 1 <0.1 45 0.1 0 0.0

Missing 1,143 0.4 219 0.1 192 0.4 40 0.1

Medical Status

Fully Qualified 199,254 76.5 160,342 84.8 36,239 79.2 29,736 88.0

Permanent DQ 39,937 15.3 17,157 9.1 6,247 13.6 2,457 7.3

Temporary DQ 21,370 8.2 11,515 6.1 3,287 7.2 1,586 4.7

Total 260,561 100.0 189,014 100.0 45,773 100.0 33,779 100.0





capture errors.

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Disqualifications

Table 14 shows the most common medical disqualifications (according to the ICD-9 code

assigned to each disqualifying condition) among enlisted active component service applicants for

2010 to 2014 in aggregate, and separately for 2015. Within this table, the number of

disqualifications for a given condition is provided, along with the proportion of disqualified

applicants with the condition and the prevalence of the disqualification among all applicants.

These conditions are ranked according to the number of disqualifications in 2015. Some

disqualified individuals have more than one disqualifying medical condition, however, applicants

are counted only once per condition.

The most frequent disqualifying condition in 2015 was disorders of refraction and

accommodation, a permanent disqualification that requires an accession medical waiver.

Disorders of refraction and accommodation accounted for a notably larger proportion of

disqualifications in 2015 applicants (16%) as compared to applicants in the previous five years

(12%). The prevalence rates of disqualifications for disorders of refraction and accommodation

was also higher in 2015 (3,056 per 100,000 applicants) compared to applicants in the previous

five years (2,347 per 100,000 applicants). The next most common condition was obesity and

other hyperalimentation, a temporary condition, which has remained relatively consistent to the

previous five years (11%). The third most common reason for medical disqualification was

abnormal loss of weight and underweight status, a temporary condition, which increased slightly

in 2015 (7%) compared to the previous five year period (6%). Disqualifications for Cannabis

abuse in 2015 (5%) was slightly higher relative to the previous five year period (4%).

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TABLE 14: MEDICAL DISQUALIFICATION OF FIRST-TIME ACTIVE COMPONENT ENLISTED APPLICANTS BY

ALL ICD-9 CODES IN 2010-2014 VS. 2015: ALL SERVICES

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§

Disorders of refraction and accommodation 23,427 12.0 2,347 5,295 16.1 3,056

Obesity and other hyperalimentation 21,016 10.7 2,105 3,628 11.1 2,094

Abnormal loss of weight and underweight 10,936 5.6 1,095 2,369 7.2 1,367

Certain adverse effects, not elsewhere

classified 12,120 6.2 1,214 1,894 5.8 1,093

Hyperkinetic syndrome of childhood 7,332 3.7 734 1,714 5.2 989

Cannabis abuse 7,902 4.0 792 1,640 5.0 946

Neurotic disorders 6,158 3.1 617 1,472 4.5 849

Hearing loss 7,046 3.6 706 1,169 3.6 675

Other joint derangement, not elsewhere

classified 4,670 2.4 468 1,070 3.3 617

Asthma 6,044 3.1 605 1,037 3.2 598

Total applicants at MEPS 998,345 188,904

Total disqualified applicants 195,826 34,992 † Condition categories are not mutually exclusive. ‡ Indicates the percentage of medically disqualified MEPS applicants with the specified condition. § Indicates the number of individuals with the specified condition for every 100,000 applicants screened at MEPS.


assigned to each disqualifying condition) among enlisted reserve component service applicants

for 2010 to 2014 in aggregate, and separately for 2015. The most frequent disqualifying

condition in 2015 was disorders of refraction and accommodation. Disorders of refraction and

accommodation accounted for a notably larger proportion of disqualifications in 2015 applicants

(16%) compared to applicants in the previous five year period (13%). The prevalence of

disqualifications for disorders of refraction and accommodation was also higher in 2015 (2,889

per 100,000 applicants) compared to applicants in the previous five year period (2,681 per

100,000 applicants). The next most common condition was obesity and other hyperalimentation

(13%), which slightly decreased relative to the previous five year period (14%). The third most

common reason for medical disqualification was abnormal loss of weight and underweight status

(7% in 2015), which decreased slightly from the previous five year period (6%).

Disqualifications for Cannabis abuse in 2015 (3%) was similar relative to the previous five

years.

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TABLE 15: MEDICAL DISQUALIFICATION OF FIRST-TIME RESERVE COMPONENT ENLISTED APPLICANTS BY

ALL ICD-9 CODES IN 2010-2014 VS. 2015: ALL SERVICES

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§

Disorders of refraction and

accommodation 4,721 13.1 2,681 918 15.6 2,889

Obesity and other hyperalimentation 5,029 13.9 2,855 740 12.6 2,329

Abnormal loss of weight and

underweight 2,171 6.0 1,233 380 6.5 1,196


classified 2,371 6.6 1,346 372 6.3 1,171

Neurotic disorders 1,055 2.9 599 224 3.8 705

Hearing loss 1,288 3.6 731 198 3.4 623

Cannabis abuse 1,021 2.8 580 178 3.0 560

Hyperkinetic syndrome of childhood 853 2.4 484 177 3.0 557

Asthma 1,004 2.8 570 170 2.9 535


classified 730 2.0 414 147 2.5 463




assigned to each disqualifying condition) among enlisted National Guard component service

applicants for 2010 to 2014 in aggregate, and separately for 2015. Unlike the active and reserve

components, obesity and other hyperalimentation remained the leading condition for

disqualification among National Guard applicants in 2015 (24%, as compared to 22% in 2010-

2014). However, though the proportion of disqualifications from obesity and other

hyperalimentation had increased in 2015, it is noted that the actual prevalence rate of disqualified

applicants in 2015 (4,894 per 100,000 applicants) was lower than the previous five year period

(5,078 per 100,000 applicants). Disorders of refraction and accommodation was the second most

common cause for disqualification in National Guard applicants, increasing notably in the 2015

applicants (14%) when compared to the previous five year period (10%). The next most common

condition was certain adverse effects not elsewhere classified, including allergies and

anaphylaxis, remaining steady relative to the previous five year period (6%). Cannabis abuse

decreased in disqualification proportion in 2015 (3%) when compared to previous years (4%), as

well as decreased in prevalence rate by about a third in 2015, relative to the previous five year

period.

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TABLE 16: MEDICAL DISQUALIFICATION OF FIRST-TIME NATIONAL GUARD ENLISTED APPLICANTS BY

ALL ICD-9 CODES IN 2010-2014 VS. 2015: ARMY AND AIR FORCE

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§



accommodation 5,995 9.8 2,301 1,298 13.6 2,836


classified 3,575 5.8 1,372 529 5.5 1,156


Abnormal loss of weight and

underweight 1,834 3.0 704 342 3.6 747

Hearing loss 2,642 4.3 1,014 338 3.5 738

Cannabis abuse 2,431 4.0 933 283 3.0 618

Other derangement of joint, not

elsewhere classified 1,201 2.0 461 243 2.5 531

Hyperkinetic syndrome of childhood 1,410 2.3 541 237 2.5 518

Asthma 1,419 2.3 545 199 2.1 435


Total disqualified applicants 61,307 9,534 † Condition categories are not mutually exclusive. ‡ Indicates the percentage of medically disqualified MEPS applicants for the specified condition. § Indicates the number of individuals with the specified condition for every 100,000 applicants screened at MEPS.

Tables 17-19 show the medical disqualifications among applicants for enlisted active, reserve,

and National Guard component services during the period between 2010 and 2014 in aggregate,

and separately for 2015. Other Medical Failure (OMF) codes, as opposed to ICD-9 codes used in

previous tables, were provided by the US Military Entrance Processing Command

(USMEPCOM) stations and used here to determine the disqualifying condition. These conditions

are ranked according to the number of disqualifications in 2015. As some disqualified

individuals have more than one disqualifying medical condition, the number of disqualifications

is greater than the number of individuals disqualified.

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Table 17 shows the most common disqualifying conditions (according to OMF codes) for

medical disqualifications among enlisted active component applicants during the period between

2010 and 2014 in aggregate, and separately for 2015. Weight and body build was the leading

category for disqualification in 2015, accounting for 19% of disqualified individuals. This

proportion was higher from the previous five year period of 17%. Weight and body build is

considered a temporary disqualifying condition that can be remediated by the applicant without

need for an accession medical waiver. The second most common medical disqualification

observed was refraction, with 15% of individuals disqualified in 2015. This proportion was

notably higher than the previous five year period of 11%. Psychiatric was the third most common

disqualification category in 2015, accounting for 14% of disqualifications and up slightly from

the previous five year period (12%). Cannabis abuse also increased slightly in disqualification

proportion in 2015 (5%) when compared to previous years (4%), as well as increased in

prevalence (881 per 100,000 applicants in 2015), relative to the previous five year period (735

per 100,000 applicants during 2010-2014).


ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: ALL SERVICES

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§

Weight, body build 32,913 16.8 3,297 6,153 18.8 3,551

Refraction 21,658 11.1 2,169 4,900 14.9 2,828

Psychiatric 24,358 12.4 2,440 4,432 13.5 2,558

Skin, lymphatics, allergies 18,342 9.4 1,837 3,053 9.3 1,762

Lower extremities (except feet) 14,745 7.5 1,477 2,873 8.8 1,658

Upper extremities 12,163 6.2 1,218 2,222 6.8 1,282

Lungs and chest (includes breast) 12,669 6.5 1,269 1,915 5.8 1,105

Cannabis test positive 7,342 3.7 735 1,527 4.7 881

Genitourinary 7,478 3.8 749 1,518 4.6 876

Audiometer 6,842 3.5 685 1,147 3.5 662



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medical disqualifications among enlisted reserve component applicants during the period

between 2010 and 2014, and separately for 2015. Weight and body build was the leading


proportion was slightly decreased from the previous five year period (21%), though the

prevalence rate for 2015 (3,686 per 100,000 applicants) was notably less than the previous five

year period (4,239 per 100,000 applicants). Weight and body build is generally considered a

temporary disqualifying condition that can be remediated by the applicant without need for an

accession medical waiver. Refraction was the second most common medical disqualification

observed in 2015 (15%) and has increased in proportion among disqualified applicants relative to

the previous five years (12%). Psychiatric was the third most common disqualification category

in 2015, accounting for 10% of disqualifications and decreased from the previous five year

period of 11%). Cannabis abuse also increased slightly in disqualification proportion in 2015

(4%) when compared to previous years (3%), as well as increased in prevalence (730 per

100,000 applicants in 2015), relative to the previous five year period (679 per 100,000 applicants

during 2010-2014).

TABLE 18: MEDICAL DISQUALIFICATION OF FIRST-TIME RESERVE COMPONENT ENLISTED APPLICANTS BY

ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: ALL SERVICES

2010-2014 2015

Condition† n

% of

DQ

apps‡

Rate§ n

% of

DQ

apps‡

Rate§


Refraction 4,362 12.1 2,477 849 14.5 2,672

Psychiatric 3,865 10.7 2,195 593 10.1 1,866

Skin, lymphatics, allergies 3,334 9.2 1,893 563 9.6 1,772

Lower extremities (except feet) 2,566 7.1 1,457 420 7.2 1,322

Upper extremities 1,971 5.5 1,119 364 6.2 1,146

Lungs and chest (includes breast) 2,291 6.4 1,301 339 5.8 1,067

Cannabis test positive 1,195 3.3 679 232 4.0 730

Genitourinary 1,329 3.7 755 227 3.9 714

Audiometer 1,259 3.5 715 198 3.4 623



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medical disqualifications among enlisted National Guard applicants during the period between

2010 and 2014 in aggregate, and separately for 2015. Weight and body build was the leading


proportion was similar to the previous five year period of 27%, though the prevalence rate

decreased to 5,980 per 100,000 applicants in 2015, from 6,281 per 100,000 applicants between

2010 and 2014. Weight and body build is considered a temporary disqualifying condition that

can be remediated by the applicant without need for an accession medical waiver. Refraction was

the second most common medical disqualification observed in 2015 (13%), and has increased in

relation to the last five year period (9%). Psychiatric was the third most common disqualification

category in 2015 (10%), after having decreased from the 2010-2014 proportion of 12%.

Cannabis abuse decreased in disqualification proportion in 2015 (5%) when compared to

previous years (6%), as well as decreased in prevalence (1,009 per 100,000 applicants in 2015),

relative to the previous five year period (1,398 per 100,000 applicants during 2010-2014).


ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: ARMY AND AIR FORCE

2010-2014 2015

Condition† n

% of

DQ

apps‡

Rate§ n

% of

DQ

apps‡

Rate§


Refraction 5,653 9.2 2,170 1,191 12.5 2,602

Psychiatric 7,036 11.5 2,700 990 10.4 2,163




Cannabis test positive 3,643 5.9 1,398 462 4.8 1,009

Lungs and chest (includes breast) 3,341 5.4 1,282 407 4.3 889

Genitourinary 1,940 3.2 745 346 3.6 756

Audiometer 2,638 4.3 1,012 343 3.6 749



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Accession Medical Waivers

Applicants who receive a permanent medical disqualification at the Military Entrance Processing

Station (MEPS) may be granted an accession medical waiver for the disqualifying condition(s)

from a service-specific waiver authority. This section summarizes waiver considerations that

occurred between fiscal years 2010 to 2015. Tables 20-29 examine all waiver considerations for

waiver applicants, regardless of whether there is a corresponding Defense Manpower Data

Center (DMDC) accession record. Because waivers are granted prior to accession by each

service, no distinction between active and reserve components is made at the time of waiver

application. Some waiver applicants with prior military service but no prior approved medical

waiver may also be included in these tables. Individuals applying to multiple waiver authorities

may appear more than once. Thus, these tables address the spectrum of waiver applications seen

by the waiver authorities. In addition, the waiver conditions most frequently applied for and the

most frequently waived conditions for each service’s waiver applicants are shown. Tables 30-33

examine only those approved waiver records for which there is an accession record, and the

individual has no prior service as defined elsewhere in this report. Marine Corps waiver data

were incomplete in 2010, 2011, and 2014 and were missing in 2015. Navy waiver data were

unavailable for 2014 and 2015 at the time of publication.

Part I: Medical waivers irrespective of an accession record

Table 20 shows the number of active and reserve component waiver considerations and approval

percentages by branch of service and year of waiver decision, by year for 2010-2015. Multiple

waiver considerations to the same waiver authority most frequently reflect resubmissions for the

same condition, perhaps with additional information. Multiple waiver records are counted in

each year and in each service in which they were considered. Approval percentages represent the

proportion of the total waivers considered by each service that year, listed in the table as

“Consider”, who had a waiver approved, “Approved”, in each service by 2015. Waiver

considerations and approval rates in the Army have declined from 2010 through 2012, but

increased in 2013 and 2014. Waiver considerations in the Army dropped again in 2015 to a six-

year low. The reason for the significant drop remains unclear, but is likely due to normal

fluctuation in the data over time. In the Navy, the number of waiver considerations has steadily

increased from 2010 through 2013. The approval rate for Navy waivers had declined since 2010,

but saw an increase in 2013. The approval rates among Air Force waivers have generally been on

the decline since 2010, apart from a small increase in 2013, and reached a six-year low in 2015.

Marine Corps waiver data were incomplete in 2010 and 2011, and waiver data for Navy and

Marine Corps for 2014 and 2015 were not available at the time of publication.

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TABLE 20: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATIONS BY YEAR AND SERVICE§: 2010-2015

Army Navy† Marine Corps‡ Air Force

Year Consider

(n)

Approved

(n)

Approved

(%)

Consider

(n)

Approved

(n)

Approved

(%)

Consider

(n)

Approved

(n)

Approved

(%)

Consider

(n)

Approved

(n)

Approved

(%)

2010 15,698 9,145 58.3 4,763 2,879 60.4 2,189‡ 1,501 68.6 3,264 2,193 67.2

2011 14,887 8,381 56.3 5,171 3,084 59.6 805‡ 591 73.4 2,892 1,793 62.0

2012 14,255 7,853 55.1 6,101 3,503 57.4 2,365 2,082 88.0 4,060 2,281 56.2

2013 15,620 9,640 61.7 7,681 4,694 61.1 2,424 2,107 86.9 3,630 2,179 60.0

2014 15,336 9,491 61.9 - - - 142 122 85.9 3,758 2,054 54.7

2015 11,718 7,042 60.1 - - - - - - 4,005 1,871 46.7

Total 87,514 51,552 58.9 23,716 14,160 59.7 7,925 6,403 80.8 21,609 12,371 57.2 § Applicants may be counted more than once per year and in multiple services.

† Waiver data were unavailable for the Navy in 2014 and 2015. ‡ Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not received for 2015.

38


Table 21 describes active and reserve component waiver considerations by service, including the

number of considerations per applicant and the frequency with which considerations have

multiple conditions. The Army had the highest number of waiver considerations and applicants

in the period from 2010 to 2015 (87,514 considerations, 80,214 applicants) followed by the

Navy (23,716 considerations, 23,208 applicants). On average, most waiver applicants did not

apply for waivers more than once within a given service. Most considerations (72-87%) had a

single condition, regardless of service. The highest percentage of considerations with more than

one condition (29%) was found in the Air Force.

TABLE 21: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATION COUNTS§: 2010-2015

Army Navy‡

Marine

Corps†

Air

Force

All waiver considerations 87,514 23,716 7,925 21,609

Applicants 80,214 23,208 7,671 21,270

Average number of considerations per applicant 1.09 1.02 1.03 1.02

Considerations with a single condition 69,362

(79.3%)

17,612

(74.3%)

6,540

(82.5%)

15,231

(70.5%)

Considerations with multiple conditions 17,481

(20.0%)

5,019

(21.2%)

1,365

(17.2%)

6,163

(28.5%)

Considerations with missing conditions 671

(0.8%)

1,085

(4.6%)

20

(0.3%)

215

(1.0%)

§ Applicants can be counted in multiple services.

† Value undercounted due to missing Marine waiver records from 2010, 2011, 2014 and 2015. ‡ Value undercounted due to missing Navy waiver records from 2014 and 2015.

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Tables 22-25 show the medical conditions for which waivers were most frequently applied and

the approval rate for individuals with these conditions in 2010-2015, by service. Waiver

considerations from the years 2010 to 2014 are shown in aggregate to facilitate the comparison

of waivers in 2015 to previous years.

Medical accession waiver considerations and approvals for the Army are shown in Table 22.

Disorders of refraction and accommodation remain the most common medical disqualifications

for which waivers were sought from 2010 to 2015. The percentage of applications for waivers

for disorders of refraction and accommodation (18%) increased compared to the previous five

year period (15%). Hyperkinetic syndrome of childhood was the second most common waiver

application in 2015 (7%). The percentage of applications for these waivers increased compared

to the previous five year period (5%). The third leading waiver application type in 2015 was

certain adverse effects not elsewhere classified, an ICD-9 code group that includes allergies and

anaphylaxis. The prevalence of these waivers among the applicant population remained

relatively steady at 7% between 2010 and 2015.

TABLE 22: LEADING CONDITIONS FOR ACTIVE AND RESERVE COMPONENT ACCESSION WAIVERS

CONSIDERED IN 2010-2014 VS. 2015: ARMY

2010-2014 2015

Applied Approved Applied Approved

Condition† n %‡ n %

§ n %

‡ n %

§


accommodation 11,228 14.8 9,527 21.4 2,066 17.6 1,840 26.1

Hyperkinetic syndrome of childhood 3,396 4.5 1,699 3.8 852 7.3 460 6.5


classified‡‡ 5,354 7.1 4,552 10.2 804 6.9 652 9.3

Hearing loss 4,797 6.3 1,543 3.5 677 5.8 121 1.7

Asthma 2,823 3.7 1,076 2.4 554 4.7 196 2.8


classified 2,299 3.0 1,781 4.0 471 4.0 397 5.6

Contact dermatitis and other eczema 1,499 2.0 1,026 2.3 336 2.9 250 3.6

Internal derangement of knee 1,788 2.4 1,095 2.5 295 2.5 204 2.9

Curvature of spine 1,546 2.0 1,201 2.7 281 2.4 218 3.1

Neurotic disorders 3,294 4.3 385 0.9 276 2.4 26 0.4

Dislocation of shoulder 1,026 1.4 781 1.8 229 2.0 185 2.6

Total considerations¥ 75,796 11,718

Total approved considerations¥ 44,510 7,042

† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ This category includes waiver considerations with missing condition values

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Table 23 shows the leading accession medical waiver conditions applied for and approved by the

Navy comparing 2015 to the previous five year period in aggregate; however, Navy medical

waiver data for 2014 and 2015 were not available at the time of publication. The most common

waiver application in the previous three year period was for astigmatism (9.6%). The second

most common waiver application was for myopia (9.3%). The third most common waiver

application was for allergic manifestations (9.1%), including allergies to food, medication, and

latex.

TABLE 23: LEADING CONDITIONS FOR ACTIVE AND RESERVE COMPONENT ENLISTED ACCESSION WAIVERS

CONSIDERED IN 2010-2013 VS. 2014-2015: NAVY

2010-2013 2014-2015‡‡



§ n %

‡ n %

§

Astigmatism 2,281 9.6 1,750 12.4 - - - -

Myopia 2,216 9.3 1,224 8.6 - - - -

Allergic manifestations 2,162 9.1 1,811 12.8 - - - -

Hearing deficiency 1,293 5.5 176 1.2 - - - -

Asthma 918 3.9 448 3.2 - - - -

Attention deficit w/hyperactivity 841 3.5 425 3.0 - - - -

Deviation or curvature of spine 613 2.6 151 1.1 - - - -

Shoulder dislocation, recurrent 544 2.3 472 3.3 - - - -

Self-inflicted injury by unspecified

means 539 2.3 229 1.6 - - - -

Adverse food reactions, not elsewhere

classified 511 2.2 382 2.7 - - - -

Eczema 426 1.8 199 1.4 - - - -

Total considerations¥ 23,716

Total approved considerations¥ 14,160

† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ¥ This category includes waiver applicants with missing condition values. ‡‡ Waiver data were not reported by the Navy for 2014 and 2015.

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Table 24 shows the leading conditions among enlisted Marine Corps applicants for waivers for

2015 as compared to the previous five year period in aggregate. However, Marine Corps waiver

data were incomplete in 2010 and 2011, and waiver data for 2014 and 2015 were not available at

the time of publication. From 2010-2013, the most common medical waiver application was for

disorders of refraction and accommodation (21%). The next most common waiver application

was for other nonspecific abnormal findings (17%). The third most common waiver application

in 2010-2013 was for certain adverse effects not elsewhere classified (11%), including allergies

to food, medication and latex.


CONSIDERED IN 2010-2014 VS 2015: MARINE CORPS

2010-2014 ʅ 2015 ʅ



§ n %

‡ n %

§


accommodation 1,645 20.8 1,442 22.5 - - - -

Other nonspecific abnormal findings 1,372 17.3 1,094 17.1 - - - -


classified‡‡ 839 10.6 799 12.5 - - - -

Asthma 502 6.3 412 6.4 - - - -

Hyperkinetic syndrome of childhood 444 5.6 375 5.9 - - - -

Neurotic disorders 323 4.1 260 4.1 - - - -

Hearing loss 304 3.8 141 2.2 - - - -

Late effects of musculoskeletal and

connective tissue injuries 249 3.1 213 3.3 - - - -

Contact dermatitis and other eczema 195 2.5 172 2.7 - - - -

Other and unspecified disorders of

bone and cartilage 174 2.2 146 2.3 - - - -

Curvature of spine 168 2.1 77 1.2 - - - -

Total considerations¥ 7,925 -

Total approved considerations¥ 6,403 -

† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ This category includes waiver applicants with missing condition values. ʅ Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not reported for 2015.

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Leading conditions for accession medical waiver application are shown in Table 25 for the Air

Force. In 2015, disorders of refraction and accommodation were the most common reasons for

which waivers were sought (14.4%). The prevalence of these waiver applications was similar to

the previous five year period (14.5%). Hyperkinetic syndrome of childhood was the second most

common reason for waiver applications in 2015 (11%), an increase from 7.6% of waivers during

the previous five year period. The third most common waiver requested in 2015 in the Air Force

was waivers for asthma. The prevalence of these waivers among the applicant population in 2015

(8%) increased compared to the previous five years (6%).


CONSIDERED IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015



§ n %

‡ n %

§


accommodation 2,556 14.5 1,723 16.4 577 14.4 378 20.2

Hyperkinetic syndrome of childhood 1,337 7.6 790 7.5 447 11.2 212 11.3

Asthma 1,016 5.8 457 4.4 326 8.1 85 4.5


classified‡‡ 1,470 8.4 1,109 10.6 319 8 156 8.3

Neurotic disorders 765 4.3 450 4.3 281 7 82 4.4

Affective psychoses 640 3.6 301 2.9 142 3.5 32 1.7

Contact dermatitis and other eczema 517 2.9 166 1.6 142 3.5 22 1.2


classified 530 3 417 4 125 3.1 91 4.9

Hearing loss 552 3.1 68 0.6 108 2.7 7 0.4

Curvature of spine 296 1.7 69 0.7 84 2.1 20 1.1

Recurrent dislocation of joint 309 1.8 249 2.4 71 1.8 54 2.9



† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ This category includes waiver applicants with missing condition values.

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Tables 26-29 show the 10 most frequently approved waiver conditions ranked by waiver

consideration approval percentage for 2015. The same population of considerations was used as

in Tables 22-25. Note that all conditions are not mutually exclusive and an individual may

appear in the table in multiple condition rows.

In Table 26, among active and reserve Army applicants, waivers for disorders of refraction and

accommodation (89%) had the highest proportion of approved applicants in 2015. The next most

highly approved condition was other joint derangement, not elsewhere classified (84%) which

increased in the proportion of approved waiver applications in 2015 compared to the previous

five year period (79%). Certain adverse effects not elsewhere classified (81%), which includes

allergies and anaphylaxis, was the third most commonly waived condition.

TABLE 26: CONDITION-SPECIFIC CATEGORIES FOR THOSE ACCESSION MEDICAL WAIVERS WITH THE

HIGHEST PROPORTION OF APPROVED CONSIDERATIONS AMONG ACTIVE AND RESERVE COMPONENT ARMY

ENLISTEES: 2010-2014 VS. 2015

Total 2010-2014 2015

Condition† n %§ n %

§ n %

§

Disorders of refraction and accommodation 13,294 85.5 11,228 84.9 2,066 89.1


classified 2,770 78.6 2,299 77.5 471 84.3


classified‡‡ 6,158 84.5 5,354 85.0 804 81.1

Dislocation of shoulder 1,255 77.0 1,026 76.1 229 80.8

Curvature of spine 1,827 77.7 1,546 77.7 281 77.6

Contact dermatitis and other eczema 1,835 69.5 1,499 68.4 336 74.4

Internal derangement of knee 2,083 62.4 1,788 61.2 295 69.2

Congenital anomalies of genital organs 1,213 68.1 1,042 69.1 171 62.0

Hyperkinetic syndrome of childhood 4,248 50.8 3,396 50.0 852 54.0

Other nonspecific abnormal findings 992 49.7 813 48.8 179 53.6

§ Indicates the percent of waivers approved among all waivers applied.

† Condition categories are not mutually exclusive. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock.

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Navy waiver applications for 2014 and 2015 were unavailable at the time of publication and are

missing in Table 27. From 2010 to 2013, shoulder instability (89%) had the highest approval

rate, followed by recurrent shoulder dislocations (87%) and allergic manifestations (84%).


HIGHEST PROPORTION OF APPROVED CONSIDERATIONS AMONG ACTIVE AND RESERVE COMPONENT NAVY

ENLISTEES: 2010-2013 VS. 2014-2015

Total 2010-2013‡ 2014-2015‡


§ n %

§

Shoulder instability 417 88.5 417 88.5 - -

Shoulder dislocation, recurrent 544 86.8 544 86.8 - -

Allergic Manifestations 2,162 83.8 2,162 83.8 - -

Keratorefractive surgery 416 79.3 416 79.3 - -

Astigmatism 2,281 76.7 2,281 76.7 - -

Adverse food reactions, not elsewhere classified 511 74.8 511 74.8 - -

Blood pressure, elevated without diagnosis of

hypertension 410 55.4 410 55.4 - -

Myopia 2,216 55.2 2,216 55.2 - -

Attention deficit w/ hyperactivity 841 50.5 841 50.5 - -

Asthma 918 48.8 918 48.8 - -


† Condition categories are not mutually exclusive. ‡ Waiver data were not reported by the Navy for 2014 and 2015.

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Table 28 shows the conditions with the highest proportion of approved applicants for the Marine

Corps in 2015 compared to the previous five year period in aggregate. However, Marine Corps

waiver data were incomplete in 2010 and 2011, and waiver data for 2014 and 2015 were not

available at the time of publication. From 2010 to 2013, the three most highly approved

conditions were certain adverse effects not elsewhere classified, including allergic reactions and

history of anaphylaxis (95%), contact dermatitis and other eczema (88%) and disorders of

refraction and accommodation (88%).


HIGHEST PROPORTION OF APPROVED CONSIDERATIONS AMONG ACTIVE AND RESERVE COMPONENT

MARINE CORPS ENLISTEES: 2010-2014 VS. 2015

Total 2010-2014¥ 2015¥


§ n %

§

Certain adverse effects, not elsewhere classified‡‡ 839 95.2 839 95.2 - -

Contact dermatitis and other eczema 195 88.2 195 88.2 - -

Disorders of refraction and accommodation 1,645 87.7 1,645 87.7 - -

Late effects of musculoskeletal and connective tissue

injuries 249 85.5 249 85.5 - -

Hyperkinetic syndrome of childhood 444 84.5 444 84.5 - -

Other and unspecified disorders of bone and

cartilage 174 83.9 174 83.9 - -

Asthma 502 82.1 502 82.1 - -

Neurotic disorders 323 80.5 323 80.5 - -

Other nonspecific abnormal findings 1,372 79.7 1,372 79.7 - -

Hearing loss 304 46.4 304 46.4 - -


† Condition categories are not mutually exclusive. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not reported for 2015.

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Table 29 shows that among Air Force applicants, the conditions with the highest proportion of

approved applications generally had a low number of applicants. Waiver approvals were most

common among applications for recurrent dislocation of joint (76%). Other joint derangement,

not elsewhere classified, was the second most commonly approved waiver (73%), and strabismus

and other disorders of binocular eye movements were the third most commonly approved

waivers (71%).


HIGHEST PROPORTION OF APPROVED CONSIDERATIONS AMONG ACTIVE AND RESERVE COMPONENT AIR

FORCE ENLISTEES: 2010-2014 VS. 2015

Total 2010-2014 2015

Condition† n %* n %* n %*

Recurrent dislocation of joint 380 79.7 309 80.6 71 76.1

Other joint derangement, not elsewhere classified 655 77.6 530 78.7 125 72.8

Strabismus and other disorders of binocular eye

movements 259 67.2 203 66 56 71.4

Disorders of refraction and accommodation 3,133 67.1 2,556 67.4 577 65.5

Internal derangement of knee 287 59.2 217 62.2 70 50

Certain adverse effects, not elsewhere classified‡‡ 1,789 70.7 1,470 75.4 319 48.9


Osteochondropathies 225 42.2 173 41.6 52 44.2

Adjustment reaction 256 44.5 198 48.5 58 31

Neurotic disorders 1,046 50.9 765 58.8 281 29.2

* Indicates the percent of waivers approved among all waivers applied. † Condition categories are not mutually exclusive. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock

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Part II: Medical waivers with an accession record

Table 30 and 31 show the number of enlisted applicants who were granted accession medical

waivers and had a MEPS physical examination record indicating no prior service, by component.

Applicants are counted once in each component to which they applied, in the most recent year of

waiver consideration. Results are shown for each year from 2010 to 2015 for all services

combined. However, Marine Corps waiver data were incomplete in 2010 and 2011, and Navy

and Marine Corps medical waiver data for 2014 and 2015 were unavailable at the time of

publication. Therefore, the waiver application numbers are underestimated for 2010, 2011, 2014

and 2015. Individuals are counted as accessions only in the component to which they accessed.

For example, an enlistee who applied for both active and reserve component but enlisted into the

active component is only considered an accession when examining active component waiver

applicants. Among reserve component waiver considerations this individual is only considered

an applicant.

In Table 30, the rate of active component applicants granted waivers who subsequently accessed

has varied between 78% and 84% during the period between 2010 and 2015. The number of

waiver applicants were lower in 2010-2011 than 2012-2013, likely due to missing records from

the Marine Corps. As well, number of waiver applications in 2014 and 2015 should be

considered underestimates due to missing Navy and Marine Corps waiver data. Table 31 shows

the accession rate for reserve component enlistees with waivers has varied between 48% and

70% during the period from 2010 to 2015. The accession rate for reserve applicants was

consistently lower compared to active component applicants from 2010 to 2014, but higher in

2015. Again, comparisons across years are difficult due to missing waiver records from the Navy

and Marine Corps.

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TABLE 30: ACTIVE COMPONENT ACCESSIONS FOR ENLISTED APPLICANTS WHO RECEIVED A WAIVER IN

2010-2015† BY YEAR: ALL SERVICES

Year of waiver consideration Applicants with waivers

granted Total Applicants who accessed

n %

2010§ 11,895 9,220 77.5

2011§ 10,549 8,486 80.4

2012

12,282 10,323 84.0

2013 14,833 12,526 84.4

2014§‡ 9,127 7,478 81.9

2015§‡ 7,091 4,345 61.3

† Considers accessions among only those applicants with both a MEPS physical examination for Active component service rand an approved waiver.

§ Value undercounted due to missing Marine Corps waiver records. ‡ Value undercounted due to missing Navy waiver records.

TABLE 31: RESERVE COMPONENT ACCESSIONS FOR ENLISTED APPLICANTS WHO RECEIVED A WAIVER IN

2010-2015† BY YEAR: ALL SERVICES



n %

2010§ 2,330 1,118 48.0

2011§ 2,069 1,215 58.7

2012 2,130 1,198 56.2

2013 2,345 1,373 58.6

2014§‡ 1,752 1,220 69.6

2015§‡ 1,267 826 65.2

† Considers accessions among only those applicants with both a MEPS physical examination for Active component service rand an approved

waiver. § Value undercounted due to missing Marine Corps waiver records. ‡ Value undercounted due to missing Navy waiver records.

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Table 32 shows the demographic characteristics of active component waiver applicants and

accessions with an approved medical waiver. Most waiver applicants in 2015 were male (84%),

aged 17-20 years (62%), and white (74%). Individuals who accessed with waivers in 2015 were

similar to the waiver applicant population with respect to sex, age, and race. Armed Forces

Qualification Test (AFQT) scores in 2015 appear to be lower among waiver applicants compared

to the previous five years. In 2015, over 72% of waiver applicants scored in the 50th percentile

or higher for AFQT score compared to 78.4% in the previous five year period. A similar

distribution was seen among waiver applicants that subsequently accessed. Over 99% of all

applicants and accessions approved for a waiver had a permanently disqualified medical status

with relatively few fully qualified and temporary disqualified individuals.

TABLE 32: DEMOGRAPHIC CHARACTERISTICS OF ACTIVE COMPONENT ENLISTED APPLICANTS WHO

RECEIVED AN ACCESSION MEDICAL WAIVER COMPARED TO ACTIVE COMPONENT ACCESSIONS 2010-2014

VS. 2015: ALL SERVICES 2010-2014 2015

All waivers Accessed only All waivers Accessed only

n % n % n % n %

Sex§

Male 48,289 82.3 40,085 83.5 5,933 83.7 3,689 84.9

Female 10,394 17.7 7,948 16.5 1,157 16.3 656 15.1

Age at Waiver§

17 – 20 35,863 61.1 30,242 63.0 4,416 62.3 2,819 64.9

21 – 25 16,920 28.8 13,687 28.5 2,067 29.1 1,232 28.4

> 25 5,902 10.1 4,103 8.5 608 8.6 294 6.8

Race§

White 44,725 76.2 36,866 76.8 5,246 74.0 3,293 75.8

Black 8,530 14.5 6,984 14.5 1,238 17.5 760 17.5

Other 5,431 9.3 4,183 8.7 607 8.6 292 6.7

Education Level§

Below HS senior† 179 0.3 118 0.2 43 0.6 8 0.2

HS senior 4,312 7.3 2,931 6.1 608 8.6 184 4.2

HS diploma 44,328 75.5 37,312 77.7 5,316 75.0 3,521 81.0

Some college 5,101 8.7 4,111 8.6 496 7.0 301 6.9

Bachelor's and higher 4,766 8.1 3,561 7.4 628 8.9 331 7.6

AFQT Score§

93-99 5,560 9.5 4,522 9.4 568 8.0 323 7.4

65-92 24,711 42.1 20,485 42.6 2,712 38.2 1,606 37.0

50-64 15,727 26.8 13,088 27.2 1,835 25.9 1,153 26.5

30-49 12,291 20.9 9,862 20.5 1,939 27.3 1,257 28.9

11-29 184 0.3 70 0.1 32 0.5 6 0.1

<11 4 <0.1 3 <0.1 0 0.0 0 0.0

Medical Status

Fully Qualified 232 0.4 122 0.3 17 0.2 1 <0.1

Permanent DQ 58,257 99.3 47,752 99.4 7,070 99.7 4,342 99.9

Temporary DQ 197 0.3 159 0.3 4 0.1 2 <0.1

Total 58,686 48,033 7,091 4,345

HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.



holder; 3) one who is attending high school and is not yet a senior.

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Table 33 shows the demographic characteristics for reserve component waiver applicants and

accessions with an approved medical waiver. The distribution of the demographic characteristics

sex, age, and race were very different in individuals who accessed with waivers in 2015

compared to the previous five years; however, this difference is most likely due to missing Navy

and Marine Corps waiver records from 2014 and 2015. Most reserve component applicants in

2015 were male (74%), aged 17-20 years (62%), and white (63%). Applicants and accessions in

2015 were younger compared to the previous five year period, with a smaller proportion over the

age of 25. In 2015, a greater proportion of applicants and accessions had less than a high school

diploma. Over 99% of reserve applicants and accessions had a permanently disqualified medical

status.

TABLE 33: DEMOGRAPHIC CHARACTERISTICS OF RESERVE COMPONENT ENLISTED APPLICANTS WHO

RECEIVED AN ACCESSION MEDICAL WAIVER COMPARED TO RESERVE COMPONENT ACCESSIONS 2010-

2014 VS. 2015: ALL SERVICES 2010-2014 2015


n % n % n % n %

Sex§

Male 8,269 77.8 4,695 76.7 934 73.7 611 74.0

Female 2,357 22.2 1,429 23.3 333 26.3 215 26.0

Age at Waiver§

17 – 20 5,635 53.0 3,795 62.0 786 62.0 549 66.5

21 – 25 2,321 21.8 1,413 23.1 286 22.6 174 21.1

> 25 2,670 25.1 916 15.0 195 15.4 103 12.5

Race§

White 7,897 74.3 4,594 75.0 802 63.3 523 63.3

Black 1,831 17.2 1,055 17.2 302 23.8 193 23.4

Other 898 8.5 475 7.8 163 12.9 110 13.3

Education Level§

Below HS senior† 310 2.9 258 4.2 61 4.8 45 5.4

HS senior 1,267 11.9 926 15.1 247 19.5 186 22.5

HS diploma 6,765 63.7 3,792 61.9 721 56.9 459 55.6

Some college 1,044 9.8 568 9.3 86 6.8 55 6.7

Bachelor's and higher 1,240 11.7 580 9.5 152 12.0 81 9.8

AFQT Score§

93-99 815 7.7 478 7.8 79 6.2 58 7.0

65-92 3,911 36.8 2,469 40.3 445 35.1 284 34.4

50-64 2,473 23.3 1,498 24.5 312 24.6 202 24.5

30-49 2,625 24.7 1,639 26.8 415 32.8 282 34.1

11-29 77 0.7 18 0.3 8 0.6 0 0.0

<11 6 0.1 2 <0.1 0 0.0 0 0.0

Medical Status

Fully Qualified 25 0.2 1 <0.1 1 <0.1 0 0.0

Permanent DQ 10,548 99.3 6,115 99.9 1,261 99.5 826 100.0

Temporary DQ 53 0.5 8 0.1 5 0.4 0 0.0

Total 10,626 6,124 1,267 826

HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.




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Hospitalizations

This section summarizes hospitalization records of service members admitted to any military

treatment facility. Hospitalization records are summarized for all services by component for

enlistees who began service during 2010-2015 and for whom AMSARA has a corresponding

accession record. This section accordingly examines hospitalizations among active, reserve and

National Guard component enlistees early in service. Relative risks are used to compare the risk

of hospitalization across demographic groups. The comparison group chosen depends on the

factor being considered. For factors with some inherent order (e.g. age group, which ranges from

younger to older) it is the first or last group in that order, as appropriate. Otherwise, the

comparison group is generally the largest group.

Tables 34-36 show the hospitalizations and individuals hospitalized among those who accessed

each year from 2010-2015, by component. Hospitalizations are separated into two groups: one

that includes hospitalizations occurring within the first year of service and one that includes

hospitalizations occurring within the second year of service. Due to the lack of full two year

follow-up time for 2014 enlistees and one-year and two-year follow-up for 2015 enlistees, the

corresponding counts for hospitalizations and individuals hospitalized were underestimated.

Because multiple hospitalizations can occur per person, results are shown both in terms of

hospitalizations (“Admissions”) and individuals hospitalized (“Individuals”). The proportion of

individual’s hospitalized (% of individuals) is relatively stable for active, reserve, and National

Guard component enlistees between 2010 and 2015.

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TABLE 34: ACTIVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: ALL SERVICES

≤1 year of service >1-2 years of service

Year Total

accessed Admissions Individuals

% of

Individuals Admissions Individuals

% of

Individuals

2010 159,768 4,847 4,287 2.7 5,644 4,357 2.7

2011 152,683 4,619 4,098 2.7 4,748 3,796 2.5

2012 155,694 4,307 3,791 2.4 4,427 3,544 2.3

2013 165,967 4,321 3,842 2.3 5,197 4,186 2.5

2014 140,016 3,827 3,380 2.4 2,042 1,683 1.2§

2015 146,557 2,036 1,833 1.3§ - - -

Total 920,685 23.957 21,231 2.3 22,058 17,566 1.9 §Underestimated due to lack of follow-up time.

TABLE 35: RESERVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: ALL SERVICES


Year Total


% of


% of

Individuals

2010 28,347 258 241 0.9 109 83 0.3

2011 30,488 539 495 1.6 99 76 0.2

2012 24,323 393 361 1.5 58 47 0.2

2013 21,292 288 268 1.3 48 38 0.2

2014 24,677 353 323 1.3 40 32 0.1§

2015 24,824 240 212 0.9§ - - -

Total 153,951 2,071 1,900 1.2 354 276 0.2 §Underestimated due to lack of follow-up time.

TABLE 36: NATIONAL GUARD HOSPITALIZATIONS IN 2010- 2015 BY YEAR: ARMY AND AIR FORCE


Year Total


% of


% of

Individuals

2010 46,183 412 371 0.8 129 102 0.2

2011 40,258 511 477 1.2 89 75 0.2

2012 42,134 502 455 1.1 91 77 0.2

2013 28,695 351 322 1.1 77 63 0.2

2014 43,384 545 503 1.2 69 58 0.1§

2015 37,886 190 173 0.5§ - - -

Total 238,540 2,591 2,301 1.0 433 375 0.1 § Underestimated due to lack of follow-up time.

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Table 37 shows that the risk of hospitalization within one year of accession for active component

enlisted personnel varies by service. Marine Corps enlistees had the highest risk of

hospitalization in the first year of service, while Navy enlistees had the lowest risk of

hospitalization. The demographic characteristics of active component enlistees show that the risk

of hospitalization was greatest for women, white enlistees, and those who had some college. The

risk of hospitalization is significantly higher among enlistees that were disqualified for

accession, both temporarily and permanently, compared to the fully qualified group. Enlistees

with an AFQT score in the highest percentile group had the lowest risk of hospitalization in the

first year of service.

TABLE 37: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR ACTIVE COMPONENT ENLISTED

PERSONNEL ACCESSED IN 2010-2015: ALL SERVICES

Individuals hospitalized

Accessed

(n)

Admissions

(n)

n % Crude

RR

95% CI

Service§

Army (REF) 366,565 11,777 10,450 2.9 1.00 -

Navy 215,022 2,569 2,256 1.0 0.37 (0.35, 0.39)

Marine Corps 178,845 6,168 5,523 3.1 1.09 (1.05, 1.12)

Air Force 160,253 3,443 3,002 1.9 0.65 (0.62, 0.68)

Sex§

Male (REF) 764,598 18,982 16,912 2.2 1.00 -

Female┼ 156,087 4,975 4,319 2.8 1.26 (1.22, 1.30)

Age at Accession§

17 – 20 (REF) 602,781 15,981 14,812 2.5 1.00 -

21 – 25 254,040 6,138 5,444 2.1 0.87 (0.84, 0.90)

> 25 63,851 1,839 1,605 2.5 1.02 (0.97, 1.08)

Race§

White (REF) 674,750 18,228 16,136 2.4 1.00 -

Black 162,459 4,120 3,673 2.3 0.94 (0.91, 0.98)

Other 83,476 1,609 1,422 1.7 0.71 (0.67, 0.75)

Education Level§

Below HS graduate† 299 6 5 1.7 0.72 (0.30, 1.72)

HS diploma (REF) 797,612 20,889 18,522 2.3 1.00 -

Some college 69,305 2,016 1,759 2.5 1.09 (1.04, 1.15)

Bachelor's or higher 53,338 1,038 938 1.8 0.76 (0.71, 0.81)

AFQT Score§

93 – 99 (REF) 65,456 1,424 1,252 1.9 1.00 -

65 – 92 371,538 9,310 8,226 2.2 1.16 (1.09, 1.23)

50 – 64 259,696 6,843 6,043 2.3 1.22 (1.15, 1.30)

30 – 49 214,479 6,306 5,647 2.6 1.34 (1.25, 1.43)

11 – 29 1,865 52 42 2.3 1.18 (0.84, 1.61)

Medical Status

Fully Qualified (REF) 798,521 20,383 18,077 2.3 1.00 -

Temporary DQ 32,729 1,024 912 2.8 1.24 (1.16, 1.32)

Permanent DQ 89,435 2,550 2,242 2.5 1.11 (1.06, 1.16)

Total 920,685 23,957 21,231 2.3 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total.

† Encompasses the following: 1) those pursuing completion of the GED or other test-based high school equivalency diploma, vocational school, or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential

holder; 3) one who is attending high school and is not yet a senior. ┼ Hospitalizations for pregnancy/childbirth are included.

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Table 38 shows the risk of hospitalization within one year of accession for reserve component

enlisted personnel. Marine Corps enlistees had the highest risk of hospitalization in the first year

of service, while Navy enlistees had the lowest risk of hospitalization. The risk of hospitalization

within one year of accession was lowest for reserve component enlistees over the age of 25,

enlistees with education below high school, enlistees with other race, and those who were fully

qualified. There was no difference in risk by sex or AFQT score.

TABLE 38: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR RESERVE COMPONENT

ENLISTED PERSONNEL ACCESSED IN 2010-2015: ALL SERVICES


Accessed

(n)

Admissions

(n)

n % Crude

RR

95% CI

Service§

Army (REF) 83,275 990 907 1.1 1.00 -

Navy 20,852 106 93 0.4 0.41 (0.33, 0.50)

Marine Corps 32,466 757 706 2.2 2.02 (1.83, 2.23)

Air Force 17,358 218 194 1.1 1.03 (0.88, 1.20)

Sex§

Male (REF) 119,469 1,616 1,482 1.2 1.00 -

Female┼ 34,481 455 418 1.2 0.98 (0.88, 1.09)

Age at Accession§

17 – 20 (REF) 97,164 1,385 1,268 1.3 1.00 -

21 – 25 36,328 478 447 1.2 0.94 (0.85, 1.05)

> 25 20,398 208 185 0.9 0.69 (0.59,0.81)

Race§

-

White (REF) 108,032 1,494 1,369 1.3 1.00 -

Black 32,848 430 394 1.2 0.95 (0.85, 1.06)

Other 13,071 147 137 1.0 0.83 (0.69, 0.98)

Education Level§

Below HS graduate

† 5,833 41 38 0.7 0.50 (0.36, 0.69)

HS diploma (REF) 121,914 1,720 1,570 1.3 1.00 -

Some college 15,439 196 188 1.2 0.95 (0.81, 1.10)

Bachelor's or higher 10,726 114 104 1.0 0.75 (0.61, 0.92)

AFQT Score§

93 – 99 (REF) 9,595 130 113 1.2 1.00 -

65 – 92 58,884 818 743 1.3 1.07 (0.88, 1.31)

50 – 64 39,946 547 505 1.3 1.07 (0.88, 1.32)

30 – 49 42,649 569 532 1.2 1.06 (0.86, 1.30)

11 – 29 803 6 6 0.7 0.63 (0.28, 1.44)

Medical Status


Temporary DQ 6,064 102 90 1.5 1.23 (1.00, 1.53)

Permanent DQ 14,208 218 198 1.4 1.16 (1.00, 1.34)

Total 153,951 2,071 1,900 1.2

RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent

Group § Individuals with missing values for demographic variables are included in the total.




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Table 39 shows the risk of hospitalization within one year of accession for National Guard

enlisted personnel. The risk of hospitalization in the first year of service was highest for Army

National Guard enlistees, women, and those between ages 21 and 25. National Guard enlistees

who had less than a high school diploma had lower risk of hospitalization than enlistees with

other education credentials. Those with AFQT scores in the 30th

to 49th

percentile had

significantly higher risk of hospitalization as compared to other AFQT score groups. There was

no difference in risk by race or medical status.

TABLE 39: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR NATIONAL GUARD

COMPONENT ENLISTED PERSONNEL ACCESSED IN 2010-2015: ALL SERVICES


Accessed

(n)

Admissions

(n)

n % Crude

RR

95% CI

Service§

Army (REF) 210,090 2,312 2,121 1.0 1.00 -

Air Force 28,450 199 180 0.6 0.62 (0.54, 0.73)

Sex§

Male (REF) 186,455 1,885 1,727 0.9 1.00 -

Female┼ 52,085 626 574 1.1 1.19 (1.08, 1.31)

Age at Accession§

17 – 20 (REF) 158,646 1,582 1,461 0.9 1.00 -

21 – 25 52,678 644 585 1.1 1.21 (1.10, 1.33)

> 25 27,189 285 255 0.9 1.02 (0.89, 1.16)

Race§

White (REF) 185,700 1,934 1,772 1.0 1.00 -

Black 42,435 469 427 1.0 1.06 (0.95, 1.17)

Other 10,405 108 102 1.0 1.03 (0.84, 1.26)

Education Level§

Below HS graduate

† 19,986 172 160 0.8 0.81 (0.69, 0.96)

HS diploma (REF) 170,455 1,834 1,678 1.0 1.00

Some college 33,398 361 331 1.0 1.00 (0.89, 1.13)


AFQT Score§

93 – 99 (REF) 14,911 140 127 0.9 1.00 -

65 – 92 84,500 844 775 0.9 1.08 (0.89, 1.30)

50 – 64 58,517 645 587 1.0 1.18 (0.97, 1.43)

30 – 49 75,131 843 776 1.0 1.21 (1.01, 1.47)

11 – 29 4,371 38 35 0.8 0.94 (0.65, 1.37)

Medical Status


Temporary DQ 14,230 149 136 1.0 0.92 (0.77, 1.09)

Permanent DQ 21,170 218 199 0.9 0.91 (0.78, 1.04)

Total 247,399 2,511 2,301 0.9






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Hospitalizations for enlisted service members by condition category and service are shown in

Tables 40-45 for the years 2010 to 2014 in aggregate and separately for 2015. The most common

condition categories in the first and second year of service for each component are shown.

Table 40 shows the 10 most common condition categories during the first year of service for

active component enlistees, by service. For each service, mental disorders were the most

common conditions for which hospitalizations occurred in the first year of service in 2010-2014

and 2015. The percentage of hospitalizations in 2015 attributable to this category was lower in

the Army (27%) and Marine Corps (29%) than in the Navy (33%) and the Air Force (34%).

Compared to the previous five year period, the percentage of mental disorders in 2015 has

increased for each service. Among Army enlistees, the next most common condition categories

in 2015 were pneumonia and influenza (5%) and infections of skin and subcutaneous tissue

(4%). The percentage of hospitalizations for pneumonia and influenza has decreased compared

to 2010-2014. Among Navy enlistees in 2015, the next most common reasons for hospitalization

were psychoses (7%), alcohol and drug dependence (6%) and appendicitis (5%). Among Marine

Corps, pneumonia and influenza (13%), infections of the skin and subcutaneous tissue (11%),

and nonspecific symptoms (4%) were the next most common hospitalizations in 2015.

Appendicitis (8%), psychoses (7%), and nonspecific symptoms (6%) were the next most

common hospitalizations among Air Force enlistees.

TABLE 40: DISTRIBUTION OF PRIMARY CAUSE CATEGORIES FOR HOSPITALIZATIONS DURING FIRST YEAR

OF SERVICE AMONG ACTIVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015 BY SERVICE

Army Navy Marine Corps Air Force

Category 2010-2014§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§

Mental disorders (not

including psychoses) 19.9 27.3 28.1 32.7 21.4 28.8 34.6 34.3

Pneumonia and

influenza 9.1 5.0 3.3 0.2 13.0 12.5 5.0 3.2

Infections of skin and

subcutaneous tissue 6.2 4.2 5.1 4.7 11.9 11.1 4.8 4.5

Nonspecific

symptoms 5.6 7.0 5.6 3.4 4.2 4.2 6.1 5.7

Fracture 5.5 4.0 3.3 3.6 4.1 4.0 2.4 2.2

Psychoses 5.3 5.7 7.3 6.8 3.2 2.4 5.1 7.2

Injuries 3.8 2.6 2.4 2.5 2.6 3.3 1.7 2.2

Appendicitis 3.5 2.7 5.9 5.3 3.3 2.7 4.8 8.0

Other and

unspecified effects of

external causes

2.6 4.3 0.4 0.4 2.3 2.5 1.2 0.7

Alcohol and drug

dependence 2.4 3.2 4.8 6.4 0.9 1.4 0.9 1.0

Rheumatism,

excluding the back 2.3 2.4 1.8 1.9 3.8 3.7 2.2 4.7

§Percent of total hospitalizations

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As shown in Table 41, during the second year of service for active component enlistees

hospitalizations for complications of pregnancy, childbirth, and the puerperium are the most

common across the services, except for in the Marine Corps in which mental disorders remain

the most common cause of hospitalizations. The percentage of hospitalizations in 2015 in this

category was higher among Navy (35%), Air Force (32%), and Army (29%) enlistees than

among the Marine Corps enlistees (19%). Hospitalization rates for childbirth were similar

compared to the previous five years. Mental disorders were the next most common cause of

hospitalization in the Army (22%), Navy (21%), and Air Force (9%) and the leading cause of

hospitalizations among the Marine Corps (27%). In all services but the Army and Marine Corps,

there was an increase in hospitalizations for mental disorders compared to the previous five year

period. In the Navy, hospitalizations for mental disorders in 2015 were similar to the previous

five year period, and in the Air Force, hospitalization for mental disorders decreased in 2015.

TABLE 41: DISTRIBUTION OF PRIMARY CAUSE CATEGORIES FOR HOSPITALIZATIONS DURING SECOND

YEAR OF SERVICE AMONG ACTIVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015 BY SERVICE


Category 2010-2014§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§

Complications

of pregnancy,

childbirth, and

the

puerperium

31.0 29.4 37.2 34.6 20.3 18.5 34.0 31.8

Mental

disorders 14.2 21.5 19.4 20.6 21.2 26.7 9.2 8.9

Fracture 7.0 3.7 3.2 2.5 8.1 4.8 3.1 3.9

Injuries 5.4 3.1 1.5 1.4 5.5 5.2 2.1 2.4

Psychoses 4.2 5.3 7.6 8.3 5.8 5.4 5.8 7.4

Alcohol and

drug

dependence

3.2 3.2 3.6 7.2 3.0 3.6 1.9 3.0

Appendicitis 3.0 3.2 2.7 3.2 4.2 4.6 5.4 7.1

Nonspecific

symptoms 3.0 2.2 2.9 2.4 3.1 3.5 4.1 3.3

Complications

of surgical

and medical

care, not

elsewhere

classified

2.1 1.4 0.9 0.8 2.3 2.0 2.3 1.5

Poisoning and

toxic effects 1.9 2.3 2.0 1.5 2.3 2.8 1.4 2.4

Infections of

skin and

subcutaneous

tissue

1.8 2.0 1.5 1.5 3.1 3.8 2.5 0.9


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Tables 42 and 43 show the most common condition categories during the first and second year

of service among reserve component enlistees by service. In Table 42, mental disorders in the

first year of service was the most common condition category for hospitalization in 2015 in the

Army (28%), Navy (37%), and Air Force (53%), and the second most common condition

category in the Marine Corps (26%). In all services, the prevalence of mental disorders in 2015

increased relative to the previous five year period. Pneumonia and influenza was the most

common condition for which hospitalizations occurred in the Marine Corps (27%) and the

second most common condition in the Army (11%). Infections of skin and subcutaneous tissue

(13%) as the second most common cause and of hospitalization in the Air Force and nonspecific

symptoms was the second most common hospitalization condition in the Navy.


OF SERVICE AMONG RESERVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015 BY SERVICE


Category 2010-2014§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§

Mental

disorders (not

including

psychoses)

15.2 20.3 14.9 22.6 13.0 21.0 29.6 32.0

Pneumonia and

influenza 12.1 7.9 1.5 0.0 20.2 21.8 3.2 4.0

Nonspecific

symptoms 6.8 5.1 3.0 12.9 3.0 4.0 12.7 4.0

Diseases of the

oral cavity,

salivary glands,

and jaws

6.8 4.5 0.0 0.0 2.8 2.4 5.3 0.0

Rheumatism,

excluding the

back

4.8 1.1 1.5 0.0 7.3 4.0 1.6 4.0

Psychoses 4.5 6.2 9.0 9.7 1.5 4.0 7.9 0.0

Appendicitis 4.1 1.7 14.9 0.0 3.3 2.4 0.5 0.0

Infections of

skin and

subcutaneous

tissue

4.0 6.8 3.0 0.0 14.8 15.3 6.3 8.0

Fracture 3.7 4.5 9.0 6.5 2.5 1.6 3.7 0.0

Osteopathies,

chondropathies,

and acquired

musculoskeletal

deformities

3.2 5.1 1.5 0.0 1.2 0.0 0.0 0.0

Other and

unspecified

effects of

external causes

2.8 3.4 0.0 0.0 3.7 1.6 2.1 4.0


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Table 43 shows the most common conditions requiring hospitalization during the second year of

reserve component service. Among Army reserve enlistees in 2015, mental disorders (15%),

complications of pregnancy, childbirth, and the puerperium (7%), and infections of skin and

subcutaneous tissue (7%) were the three most common causes of hospitalization in the second

year of service. In the Navy in 2015, complications of pregnancy, childbirth, and the puerperium

(41%) and mental disorder (24%) were the top two condition categories for hospitalization. The

leading conditions in Marine Corps reserve enlistees for 2010-2014 were mental disorders

(25%), infections of skin and subcutaneous tissue (18%), and psychoses (8%). In the period

from 2010-2014 complications of pregnancy, childbirth, and the puerperium (20%) was the most

common cause of hospitalizations in the Air Force reserve enlistees.


YEAR OF SERVICE AMONG RESERVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015 BY SERVICE


Category 2010-2014§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§ 2010-2014

§ 2015

§

Mental

disorders (not

including

psychoses)

24.0 14.8 16.0 23.5 25.0 40.0 2.4 50.0

Nonspecific

symptoms 7.3 0.0 4.0 0.0 5.0 0.0 7.3 0.0

Complications

of pregnancy,

childbirth, and

the

puerperium

5.3 7.4 34.0 41.2 0.0 0.0 19.5 0.0

Infections of

skin and

subcutaneous

tissue

5.3 7.4 4.0 5.9 17.5 0.0 4.9 0.0

Appendicitis 4.7 3.7 6.0 0.0 5.0 0.0 2.4 0.0

Diseases of

the oral

cavity,

salivary

glands, and

jaws

4.0 0.0 0.0 0.0 0.0 0.0 4.9 0.0

Other

bacterial

diseases

2.7 0.0 0.0 5.9 0.0 0.0 0.0 0.0

Other diseases

due to viruses

and

chlamydiae

2.7 0.0 0.0 0.0 2.5 0.0 0.0 0.0

Psychoses 2.7 11.1 10.0 0.0 7.5 20.0 4.9 0.0

Acute

respiratory

infections

2.7 0.0 0.0 0.0 0.0 0.0 0.0 0.0

Noninfectious

enteritis and

colitis

2.7 0.0 0.0 0.0 5.0 0.0 4.9 0.0


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Tables 44 and 45 show the primary cause categories for hospitalization during the first and

second year of service, respectively, among National Guard enlistees by service. As shown in

Table 44, in 2015, mental disorders were the most common cause of hospitalization among both

Army (20%) and Air (46%) National Guard enlistees. The percentage of hospitalizations due to

mental disorders increased for both Army and Air National Guard compared to the previous five

year period. Pneumonia and influenza (13%), nonspecific symptoms (11%), and infections of

skin and subcutaneous tissue (9%) and were the next most common causes of hospitalization in

the Army National Guard in the first year of service. Among Air National Guard enlistees,

fracture (13%), infections of skin and subcutaneous tissue (8%) were the next most common

causes of hospitalization.


OF SERVICE AMONG NATIONAL GUARD ENLISTEES IN 2010-2014 VS. 2015 BY SERVICE

Army Air Force

Category 2010-2014§ 2015

§ 2010-2014

§ 2015

§

Mental disorders (not including

psychoses) 16.9 19.6 36.4 45.8

Pneumonia and influenza 16.1 12.7 4.3 0.0

Infections of skin and subcutaneous tissue 9.1 8.6 6.4 8.3

Nonspecific symptoms 7.1 10.5 10.7 4.2

Fracture 5.1 2.8 3.6 12.5

Psychoses 4.9 6.4 5.7 0.0

Other and unspecified effects of external

causes 4.4 6.4 1.4 0.0

Diseases of the oral cavity, salivary

glands, and jaws 4.2 6.1 2.9 0.0

Rheumatism, excluding the back 3.9 1.7 4.3 4.2

Injuries 3.9 3.0 1.4 0.0 §Percent of total hospitalizations

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Table 45 shows the causes for hospitalization in the second year of service for the National

Guard. Mental disorders (25%), psychoses (12%), and other and infections of skin and

subcutaneous tissue (7%) were the most common causes of hospitalization among Army

National Guard enlistees in the second year of service in 2015. The number of hospitalizations in

the second year of service for the Air Guard was too small for comparisons in 2015. During the

previous five year period, nonspecific symptoms (13%), mental disorders (8%), pneumonia and

influenza (8%), and infections of the skin and subcutaneous tissue were the top causes of

hospitalizations.


YEAR OF SERVICE AMONG NATIONAL GUARD ENLISTEES IN 2010-2014 VS. 2015 BY SERVICE

Army Air Force

Category 2010-2014§ 2015

§ 2010-2014

§ 2015

§

Mental disorders (not including psychoses) 18.2 24.7 8.3 20.0

Fracture 7.1 3.5 4.2 20.0

Nonspecific symptoms 6.2 4.7 12.5 6.7

Psychoses 5.8 11.8 4.2 0.0

Pneumonia and influenza 5.5 2.4 8.3 6.7

Infections of skin and subcutaneous tissue 5.5 7.1 8.3 0.0

Injuries 5.5 0.0 0.0 0.0

Diseases of the oral cavity, salivary glands,

and jaws 4.5 1.2 0.0 0.0

Other and unspecified effects of external

causes 4.5 5.9 4.2 0.0

Complications of surgical and medical

care, not elsewhere classified 2.6 1.2 0.0 0.0


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Attrition

Attrition is one of the key outcomes of interest to AMSARA. This section provides a description

of attrition among first-time active duty, reserves, and National Guard enlisted accessions into

the Army, Navy, Marines, and Air Force from 2010 to 2015. Tables 47-49 display the period-

specific and cumulative probability of service member attrition at 90, 180, 365, and 730 days

following accession by service, year of accession, sex, race, age at accession, education, AFQT

percentile score at accession, and medical disqualification status. Censoring may result from a

lack of full follow-up or from certain DMDC transactions that result in the generation of a loss

date but are not considered attrition. The most common cause of non-attrition loss was expiration

of term of service (1001), followed by disability with severance pay (1011) and other early

releases (1008). Loss records generated for these events, noted in Table 46, were not counted

among the attritions reported in Tables 47-49.

TABLE 46: INTERSERVICE SEPARATION CODE LOSS CATEGORIES EXCLUDED FROM ATTRITION

ISC

Code Description

ISC

Code Description

1000 Unknown or Invalid 1031 Death, Non-Battle - Disease

1001 Expiration of Term of Service 1032 Death, Non-Battle - Other

1003 Early Release - To Attend School 1033 Death, Not Specified

1004 Early Release – Police Duty 1040 Officer Commissioning Program

1005 Early Release - In the National Interest 1041 Warrant Officer Program

1006 Early Release – Seasonal Employment 1042 Military Service Academy

1007 Early Release – To Teach 1050 Retirement, 20-30 yrs of Service

1008 Early Release - Other (incl RIF/VSI/SSB) 1051 Retirement, Over 30 yrs of Service

1011 Disability - Severance Pay 1052 Retirement, Other Categories

1012 Permanent Disability - Retired 1100 Immediate Reenlistment

1013 Temporary Disability - Retired 1103 Record Correction

1014 Disability - Non EPTS - No Severance Pay 1104 Dropped from Strength as MIA/POW

1015 Disability - Title 10 Retirement 1105 Dropped from Strength, Other

1030 Death, Battle Casualty

ISC: Interservice Separation Code; RIF: Reduction in force; VSI: voluntary separation initiative; SSB: special separation benefit; EPTS: Existed Prior to Service; MIA: missing in action; POW: prisoner of war

AT

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63


Table 47 shows the period specific attrition percent as well as the cumulative attrition percent at

90, 180, 365, and 730 days following accession onto enlisted active component service from

2010-2015. Overall attrition in enlisted active component accessions in the first two years of

service was about 14%. About half of the attrition that occurs during the first two years of

service occurs in the first 90 days of service (7%).

Overall, the Marine Corps had the lowest percent attrition (11%) at two years of service while

the Army had the highest (17%). Attrition in the first 90 days of service was highest in the Navy

(8%) and lowest in the Air Force (5%). The patterns of cumulative attrition percent after one

year of service was similar to the pattern observed at two years.

When examined by year of accession, attrition in the first 90 days of service was highest in those

who accessed in 2012. Cumulative attrition in the first and second years of service was similar

across accession years. Two years of complete follow-up time were not available for all 2014

and 2015 accessions. Therefore, attrition rates are not provided for 2014 accessions after 365

days and are not provided for 2015 accessions after 180 days and all estimates of attrition rates

among 2015 accessions should be considered underestimates

The proportion of accessions lost is consistently higher at all points of follow-up for females

relative to males. Attrition was highest at all time points among those who were 17-20 years-old.

Whites had the highest proportion of losses among accessions at all points of follow-up, from 90

days (7%) through 2 years (14%). When attrition was examined by education level it was found

that enlistees with higher levels of education had lower rates of attrition. Those with a bachelor’s

degree and above consistently had the lowest proportion of losses among accessions at all points

of follow-up. Those without a high school diploma had the highest rates of attrition at all points

of follow-up. Attrition rates by AFQT percentile scores generally followed a pattern similar to

education. The proportion lost at all points of follow-up was lowest for the highest percentile

score group (93-99) and highest in the second lowest percentile group (30-49).

At all points of follow-up by medical status, the attrition rates were lowest among fully qualified

accessions.

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TABLE 47: ATTRITION AMONG FIRST TIME ACTIVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: ALL SERVICES Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

Service Army 366,565 24,743 6.7 6.7 12,115 3.3 10.1 8,374 2.3 12.3 15,140 4.1 16.5

Navy 215,022 17,934 8.3 8.3 2,949 1.4 9.7 3,402 1.6 11.3 5,261 2.4 13.7

Marine Corps 178,845 10,525 5.9 5.9 2,271 1.3 7.2 2,625 1.5 8.6 3,547 2.0 10.6 Air Force 160,253 7,962 5.0 5.0 3,631 2.3 7.2 3,439 2.1 9.4 4,021 2.5 11.9

FY of Accession

2010 159,768 10,175 6.4 6.4 3,830 2.4 8.8 3,744 2.3 11.1 6,408 4.0 15.1 2011 152,683 9,709 6.4 6.4 3,583 2.3 8.7 3,474 2.3 11.0 6,367 4.2 15.2

2012 155,694 11,267 7.2 7.2 3,323 2.1 9.4 3,532 2.3 11.6 5,924 3.8 15.4 2013 165,967 11,247 6.8 6.8 4,199 2.5 9.3 3,601 2.2 11.5 6,649 4.0 15.5

2014¥ 140,016 9,902 7.1 7.1 3,600 2.6 9.6 2,858 2.0 11.7 2,621 - -

2015¥ 146,557 8,864 6.0 6.0 2,431 1.7 7.7 631 - - - - -

Sex*

Male 764,598 45,905 6.0 6.0 15,670 2.0 8.1 14,024 1.8 9.9 22,768 3.0 12.9

Female 156,087 15,259 9.8 9.8 5,296 3.4 13.2 3,816 2.4 16.1 5,201 3.3 19.4

Age at Accession§

17 – 20 602,781 41,435 6.9 6.9 14,616 2.4 9.3 13,078 2.2 11.5 20,291 3.4 14.8

21 – 25 254,040 15,905 6.3 6.3 5,079 2.0 8.3 3,907 1.5 9.8 6,421 2.5 12.3 > 25 63,851 3,821 6.0 6.0 1,271 2.0 8.0 855 1.3 9.3 1,257 2.0 11.3

Race§

White 674,750 46,212 6.8 6.8 15,635 2.3 9.2 13,499 2.0 11.2 19,822 2.9 14.1 Black 162,459 9,804 6.0 6.0 3,759 2.3 8.3 3,009 1.9 10.2 6,132 3.8 14.0

Other 83,476 5,148 6.2 6.2 1,572 1.9 8.1 1,332 1.6 9.6 2,015 2.4 12.1

Education Level§

Below HS graduate‡ 299 30 10.0 10.0 10 3.3 13.4 7 2.3 15.7 13 4.3 20.1

HS diploma 797,612 54,474 6.8 6.8 18,603 2.3 9.2 16,007 2.0 11.2 25,183 3.2 14.3

Some college 69,305 4,494 6.5 6.5 1,659 2.4 8.9 1,243 1.8 10.7 2,086 3.0 13.7 Bachelor's or higher 53,338 2,144 4.0 4.0 685 1.3 5.3 572 1.1 6.4 687 1.3 7.7

AFQT Score§

93 – 99 65,456 3,155 4.8 4.8 1,042 1.6 6.4 935 1.4 7.8 1,299 2.0 9.8 65 – 92 371,538 22,678 6.1 6.1 6,995 1.9 8.0 7,051 1.9 9.9 9,668 2.6 12.5

50 – 64 259,696 18,503 7.1 7.1 6,151 2.4 9.5 5,416 2.1 11.6 8,319 3.2 14.8

30 – 49 214,479 16,210 7.6 7.6 6,639 3.1 10.7 4,296 2.0 12.7 8,573 4.0 16.7 11 – 29 1,865 97 5.2 5.2 91 4.9 10.1 47 2.5 12.6 47 2.5 15.1

Medical Status Fully Qualified 798,521 50,591 6.3 6.3 17,445 2.2 8.5 15,385 1.9 10.4 24,353 3.0 13.5

Temporary DQ 32,729 2,710 8.3 8.3 1,050 3.2 11.5 767 2.3 13.8 1,258 3.8 17.7

Permanent DQ 89,435 7,863 8.8 8.8 2,471 2.8 11.6 1,688 1.9 13.4 2,358 2.6 16.1

Total§ 920,685 61,164 6.6 6.6 20,966 2.3 8.9 17,840 1.9 10.9 27,969 3.0 13.9

FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative §Individuals with missing values for demographic variables are included in the total.

‡ Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma, vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high

school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior. ¥Attrition is not calculated after 365 days among 2014 accessions or after 180 days in 2015 accessions and is underestimated in all 2015 accessions due to lack of sufficient follow-up time.

65


Table 48 shows the period-specific attrition percent as well as the cumulative attrition percent at

90, 180, 365, and 730 days following accession onto enlisted reserve service from 2010-2015.

Overall, attrition in enlisted reserve accessions in the first two years of service was about 5%.

About half of the attrition that occurs during the first two years of service occurs in the first 180

days of service (3%).

Overall, the Marine Corps and Air Force had the highest percent attrition (11%) at two years of

service while the Navy has the lowest attrition (0.6%). Attrition in the first 90 days of service

was highest in the Marine Corps (6%) and lowest in the Army and Navy (0.1-0.3%). At 365

days, the percent of attrition was similar in the Marine Corps and Air Force (8%), with lower

rates observed in the Army (3%) and Navy (0.2%). The pattern of cumulative attrition percent

after one year of service was similar to the pattern observed at two years.

When examined by year of accession, cumulative attrition did not vary substantially by of the

time period of attrition. Two years of complete follow-up time were not available for all 2014

and 2015 accessions. Therefore, attrition rates are not provided for 2014 accessions after 365

days and are not provided for 2015 accessions after 180 days.

The proportion of accessions lost is lower in females than males in the first 90 days. After the

first 180 days of service females have higher rates of attrition relative to males. Attrition rates

were similar for reserve enlistees in the 17-20 and 21-25 age groups. The attrition rate at each

time period of attrition was lowest among reserve enlistees over the age of 25.

Attrition was comparable among White and Black enlisted reserves. Individuals within other

race categories had lower attrition than both White and Black reservists regardless of the time of

attrition. The proportion of accessions lost is consistently higher at all points of follow-up for

those with a high school diploma. Those without a high school diploma had the lowest rates of

attrition at all points of follow-up. The proportion lost at all points of follow-up was lowest for

the highest percentile score group (93-99) and highest in the second lowest percentile group (30-

49).

At all points of follow-up, the attrition rates were lowest among fully qualified accessions. At 90

days, attrition was highest among those with a permanent medical disqualification. After 90 days

the rate of attrition among those with temporary and permanent disqualifications was similar and

higher than the attrition rate among fully qualified accessions.

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TABLE 48: ATTRITION AMONG FIRST TIME RESERVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: ALL SERVICES Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

Service Army 83,275 261 0.3 0.3 965 1.2 1.5 1,036 1.2 2.7 236 0.3 3.0

Navy 17,358 11 0.1 0.1 3 <0.1 0.1 19 0.1 0.2 67 0.4 0.6

Marine Corps 32,466 1,946 6.0 6.0 380 1.2 7.2 256 0.8 8.0 822 2.5 10.5 Air Force 20,852 197 0.9 0.9 564 2.7 3.6 940 4.5 8.2 560 2.7 10.8

FY of Accession

2010 28,347 468 1.7 1.7 342 1.2 2.9 512 1.8 4.7 466 1.6 6.3 2011 30,488 403 1.3 1.3 374 1.2 2.5 478 1.6 4.1 353 1.2 5.3

2012 24,323 340 1.4 1.4 284 1.2 2.6 410 1.7 4.3 392 1.6 5.9 2013 21,292 368 1.7 1.7 311 1.5 3.2 394 1.9 5.0 325 1.5 6.6

2014¥ 24,677 489 2.0 2.0 410 1.7 3.6 385 1.6 5.2 149 0.6 5.8

2015¥ 24,824 347 1.4 1.4 191 0.8 2.2 72 0.3 2.5 - - -

Sex*

Male 119,469 2,105 1.8 1.8 1,312 1.1 2.9 1,419 1.2 4.0 1,354 1.1 5.2

Female 34,481 310 0.9 0.9 599 1.7 2.6 832 2.4 5.0 331 1.0 6.0

Age at Accession§

17 – 20 97,164 1,584 1.6 1.6 1,223 1.3 2.9 1,456 1.5 4.4 1,174 1.2 5.6

21 – 25 36,328 634 1.7 1.7 461 1.3 3.0 529 1.5 4.5 388 1.1 5.5 > 25 20,398 197 1.0 1.0 228 1.1 2.1 265 1.3 3.4 123 0.6 4.0

Race§

White 108,032 1,916 1.8 1.8 1,348 1.2 3.0 1,564 1.4 4.5 1,200 1.1 5.6 Black 32,848 384 1.2 1.2 476 1.4 2.6 576 1.8 4.4 373 1.1 5.5

Other 13,071 115 0.9 0.9 88 0.7 1.6 111 0.8 2.4 112 0.9 3.3

Education Level§

Below HS graduate‡ 5,833 7 0.1 0.1 55 0.9 1.1 50 0.9 1.9 32 0.5 2.5

HS diploma 121,914 2,075 1.7 1.7 1,553 1.3 3.0 1,804 1.5 4.5 1,467 1.2 5.7

Some college 15,439 168 1.1 1.1 217 1.4 2.5 278 1.8 4.3 133 0.9 5.2 Bachelor's or higher 10,726 161 1.5 1.5 87 0.8 2.3 115 1.1 3.4 53 0.5 3.9

AFQT Score§

93 – 99 9,595 132 1.4 1.4 75 0.8 2.2 83 0.9 3.0 84 0.9 3.9 65 – 92 58,884 908 1.5 1.5 599 1.0 2.6 755 1.3 3.8 584 1.0 4.8

50 – 64 39,946 609 1.5 1.5 524 1.3 2.8 597 1.5 4.3 521 1.3 5.6

30 – 49 42,649 684 1.6 1.6 697 1.6 3.2 765 1.8 5.0 486 1.1 6.2 11 – 29 803 5 0.6 0.6 12 1.5 2.1 22 2.7 4.9 2 0.2 5.1

Medical Status

Fully Qualified 133,679 1,951 1.5 1.5 1,586 1.2 2.6 1,898 1.4 4.1 1,472 1.1 5.2 Temporary DQ 6,064 111 1.8 1.8 101 1.7 3.5 116 1.9 5.4 72 1.2 6.6

Permanent DQ 14,208 337 2.4 2.4 225 1.6 4.0 237 1.7 5.6 141 1.0 6.6

Total§ 153,951 2,415 1.6 1.6 1,912 1.2 2.8 2,251 1.5 4.3 1,685 1.1 5.4




67


Table 49 shows the period-specific attrition percent as well as the cumulative attrition percent at

90, 180, 365, and 730 days following accession onto enlisted National Guard service from 2010-

2015. A relatively small number of personnel met AMSARA criteria for attrition in the first two

years of service; less than 1% of the total National Guard population regardless of time period.

Therefore, no conclusions can be drawn with respect to attrition among National Guard Service

members.

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TABLE 49: ATTRITION AMONG FIRST TIME NATIONAL GUARD COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: ARMY AND AIR

FORCE

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

Service

Army 210,090 3 <0.1 <0.1 11 <0.1 <0.1 20 <0.1 <0.1 5 <0.1 <0.1

Air Force 28,450 14 <0.1 <0.1 76 0.3 0.3 392 1.6 1.7 804 3.3 5.0

FY of Accession

2010 46,183 5 <0.1 <0.1 19 0.1 0.1 88 0.2 0.3 214 0.5 0.8 2011 40,258 3 <0.1 <0.1 24 <0.1 0.1 90 0.2 0.2 135 0.3 0.5

2012 42,134 3 <0.1 <0.1 16 0.1 0.1 74 0.2 0.2 196 0.5 0.7

2013 28,695 2 <0.1 <0.1 7 <0.1 <0.1 83 0.3 0.3 208 0.7 1.0 2014¥ 43,384 1 <0.1 <0.1 12 <0.1 <0.1 74 0.2 0.2 - - -

2015¥ 37,886 3 - - 9 <0.1 <0.1 3 - - - - -

Sex* Male 186,455 12 <0.1 <0.1 65 <0.1 <0.1 280 0.2 0.2 575 0.3 0.5

Female 52,085 5 <0.1 <0.1 22 <0.1 0.1 132 0.3 0.3 234 0.4 0.7

Age at Accession§ 17 – 20 158,646 5 <0.1 <0.1 52 <0.1 <0.1 231 0.1 0.2 410 0.3 0.4

21 – 25 52,678 8 <0.1 <0.1 22 <0.1 0.1 111 0.2 0.3 253 0.5 0.7

> 25 27,189 4 <0.1 <0.1 13 <0.1 0.1 70 0.3 0.3 146 0.5 0.8

Race§

White 185,700 15 <0.1 <0.1 72 <0.1 <0.1 347 0.2 0.2 659 0.4 0.5 Black 42,435 2 <0.1 <0.1 10 <0.1 <0.1 49 0.1 0.1 122 0.3 0.4

Other 10,405 0 - - 5 0.1 0.1 16 0.2 0.2 28 0.3 0.4

Education Level§ Below HS graduate‡ 19,986 <0.1 <0.1 0 - - 3 <0.1 <0.1 4 <0.1 <0.1

HS diploma 170,455 14 <0.1 <0.1 70 <0.1 0.1 337 0.2 0.2 650 0.4 0.6

Some college 33,398 2 <0.1 <0.1 14 <0.1 <0.1 47 0.1 0.1 98 0.3 0.4 Bachelor's or higher 14,503 1 <0.1 <0.1 3 <0.1 <0.1 24 0.2 0.2 54 0.4 0.5

AFQT Score§

93 – 99 14,911 0 - - 1 <0.1 <0.1 19 0.1 0.1 46 0.3 0.4 65 – 92 84,500 7 <0.1 <0.1 27 <0.1 <0.1 141 0.2 0.2 328 0.4 0.6

50 – 64 58,517 4 <0.1 <0.1 29 0.1 0.1 127 0.2 0.3 188 0.3 0.5

30 – 49 75,131 6 <0.1 <0.1 30 <0.1 <0.1 125 0.2 0.2 239 0.3 0.5 11 – 29 4,371 0 - - 0 - - 0 - - 8 0.2 0.2

Medical Status

Fully Qualified 203,140 14 <0.1 <0.1 74 <0.1 <0.1 340 0.2 0.2 690 0.3 0.5 Temporary DQ 14,230 2 <0.1 <0.1 7 <0.1 <0.1 31 0.2 0.3 40 0.3 0.5

Permanent DQ 21,170 1 <0.1 <0.1 6 <0.1 0.1 41 0.2 0.2 79 0.4 0.6

Total§ 238,540 17 <0.1 <0.1 87 <0.1 <0.1 412 0.2 0.2 809 0.3 0.5

FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative § Individuals with missing values for demographic variables are included in the total.

† Encompasses the following: 1) those pursuing completion of the GED or other test-based high school equivalency diploma, vocational school, or secondary school, etc; 2) those not attending high school and who are neither

a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ¥Attrition is not calculated after 365 days among 2014 accessions or after 180 days in 2015 accessions and is underestimated in all 2015 accessions due to lack of sufficient follow-up time.

69

EPTS Discharges Discharges for medical conditions Existing Prior to Service (EPTS) are of vital interest to

AMSARA. A discharge can be classified as EPTS if the condition was verified to have existed

before the recruit began service and if the complications leading to discharge arose no more than

180 days after the recruit began duty. EPTS data reporting has varied by site and over time – see

“Data Sources” section for details (Table 3.1).

Part I summarizes the EPTS records provided to AMSARA, regardless of whether a

corresponding accession record is available. EPTS records for active, reserve, and National

Guard components are included. Part II only summarizes records for which a corresponding

accession record is available. Due to the significant differences in the population between active,

reserve, and National Guard components, results in Part II are stratified by component.

Part I: EPTS discharges irrespective of accession record

The number of EPTS discharge records by service branch, component, and year of discharge are

shown for the period between 2010 and 2014 in Table 50. Numbers for each service and

component often differ considerably from year to year (see Table 3.1 in “Data Sources”).

Fluctuations in the numbers of reported EPTS discharges are also apparent for active component

in each service branch. Army reported EPTS discharges from active component varied from 280

in 2014 to 1,820 in 2011. Air Force reported EPTS discharges from active component ranged

from 357 in 2012 to 667 in 2014. In the Marine Corps and Navy, EPTS discharge counts vary

from 566 in 2014 to 759 in 2011 and 1 in 2014 to 1,727 in 2012, respectively.

TABLE 50: EPTS DISCHARGES OF ENLISTEES IN 2010-2014 BY SERVICE, COMPONENT, AND YEAR

Service Component 2010 2011 2012 2013 2014 Total

Army Active 1,528 1,820 830 664 280 5,122

National

Guard 666 918 341 245 97 2,267

Reserve 207 276 88 29 43 643

Navy Active 1,447 1,384 1,727 367 1 4,926

Reserve 83 120 136 32 0 371

Marine

Corps Active 667 759 572 630 566 3,194

Reserve 105 102 81 113 76 477

Air Force Active 597 557 357 567 667 2,745

National

Guard 4 2 1 1 5 13

Reserve 79 96 51 34 60 320

Total 5,383 6,034 4,184 2,685 1,799 20,085

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Table 51 shows EPTS discharges between 2010 and 2014 for each branch of service by medical

categories defined by USMEPCOM. The results are sorted according to the numbers of

discharges from the Army, the largest service with the most reported EPTS discharges.

Psychiatric discharges was the most common cause of EPTS discharges in the Army, accounting

for 27% of all EPTS discharges, and in the Marine Corps, accounting for 29% of all EPTS

discharges. Other orthopedic conditions was commonly ranked in the Army (10%), Navy (13%),

and Air Force (8%). As a group, orthopedic conditions, including knee, back, feet, general, and

other, account about 37% of discharges from the Army. All orthopedic conditions were also

leading causes of EPTS discharge in the Navy (46%), Marine Corps (27%), and Air Force

(46%). The observed differences in EPTS discharge category frequencies may be due in part to

differences in how each service categorizes and reports EPTS discharges, particularly discharges

for psychiatric conditions (Army and Air Force). Accordingly, differences across services may

reflect procedural differences more than true EPTS rates, and any comparisons across services

should be made cautiously.

TABLE 51: EPTS DISCHARGES OF ENLISTEES IN 2010-2014 BY CATEGORY AND SERVICE: ALL

COMPONENTS


Condition n % n % n % n %

Psychiatric - other 2,131 26.5 35 0.7 1,080 29.4 18 0.6

Ortho - other 837 10.4 689 13.0 151 4.1 254 8.3

Ortho - back 725 9.0 409 7.7 137 3.7 208 6.8

Asthma 619 7.7 597 11.3 255 6.9 127 4.1

Ortho - knee 589 7.3 465 8.8 126 3.4 337 11.0

Other - general 489 6.1 637 12.0 505 13.7 287 9.3

Ortho - feet 346 4.3 240 4.5 62 1.7 320 10.4

G-U (Incl.

pregnancy)

296 3.7 296 5.6 93 2.5 108 3.5

Eyes - other 273 3.4 298 5.6 76 2.1 70 2.3

Neurology - other 203 2.5 597 10.9 129 3.5 154 5.0

All other categories 986 12.3 1,007 19.0 350 9.5 407 13.2

Other/Missing 538 6.7 27 0.5 714 19.4 788 25.6

Total 8,032 5,297 3,678 3,078

Table 52 shows the 10 most common conditions leading to EPTS discharge for all Army

enlistees in 2014, compared to the prevalence of EPTS discharges due to these conditions in

2010 to 2013. In 2014, unspecified pain in joint (16%), hearing loss (10%), and asthma (6%)

were the leading causes of EPTS discharges. The observed prevalence of EPTS discharges for

the leading conditions in 2014 was generally similar to the prevalence of conditions observed in

the period from 2010 to 2013, with exception to hearing loss and corneal opacity. These two

conditions rose from only 2% each during the 2010-2013 period, to 10% and 5% respectively.

Discharges for depressive disorder decreased the most in prevalence, from 7% in the 2010 to

2014 period to 4% in 2014. Discharges for asthma also decreased notably, from 8% during 2010

to 2013, to 6% in 2014.

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TABLE 52: LEADING PRIMARY EPTS DISCHARGE CONDITIONS FOR ALL ENLISTEES IN 2010-2013 VS.

2014: ARMY

2010-2013 2014

Primary EPTS condition n % n %

Pain in joint, site unspecified 999 13.1 66 15.7

Hearing loss 163 2.1 43 10.2

Asthma 628 8.3 25 6.0

Corneal opacity and other disorders of

cornea 150 2.0 20 4.8

Other and unspecified disorders of back 410 5.4 19 4.5

Depressive disorder, not elsewhere

classified 548 7.2 16 3.8

Adjustment reaction 328 4.3 12 2.9

Neurotic disorders 313 4.1 10 2.4

Other nonspecific abnormal findings 33 0.4 10 2.4

Hyperkinetic syndrome of childhood 231 3.0 9 2.1

All other EPTS discharge conditions 3,809 50.0 190 45.2

Total for EPTS discharge conditions 7,612 420

Table 53 shows the 10 most common conditions leading to EPTS discharge for all Navy

enlistees during the 2010 to 2013 period. For the fiscal year of 2014, only one EPTS discharge

was reported to AMSARA (acquired deformity of toe). The top three conditions for EPTS

discharge during the 2010 to 2013 period were unspecified pain in joint (13%), asthma (11%),

and migraine (6%).


2014: NAVY

2010-2013 2014


Pain in joint, site unspecified 677 12.8 - -

Asthma 598 11.3 - -

Migraine 318 6.0 - -

Symptoms involving head and neck 232 4.4 - -

Symptoms involving respiratory system

and other chest symptoms 218 4.1

- -

Other and unspecified disorders of back 205 3.9 - -

Enthesopathy of knee, unspecified 147 2.8 - -

Curvature of spine 142 2.7 - -

Corneal opacity and other disorders of

cornea 116 2.2

- -

Viral hepatitis 113 2.1 - -

All other EPTS discharge conditions 2,530 47.8 1† 100.0 Total for EPTS discharge conditions 5,296 1 †Only one condition reported in 2014: Acquired deformities of toe

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Table 54 shows the 10 most common conditions leading to EPTS discharge for all Marine Corps

enlistees in 2014, compared to the prevalence of the same conditions in 2010-2013. In 2014,

neurotic disorders (12%), unspecified pain in joint (9%), and adjustment reaction (6%) were the

leading cause of EPTS discharge. Increases in prevalence from 2010-2013 to 2014 included:

unspecified pain in joint (6% to 9%), hyperkinetic syndrome of childhood (4% to 6%), and

dentofacial anomalies (2% to 5%). Decreases in the prevalence from 2010-2013 to 2014

included: asthma (9% to 5%) and depressive disorder (9% to 3%). Table 54 shows the 10 most

common conditions leading to EPTS discharge for all Marine Corps enlistees in 2014, compared

to the prevalence of the same conditions in 2010-2013. In 2014, neurotic disorders (12%),

unspecified pain in joint (9%), and adjustment reaction (6%) were the leading cause of EPTS

discharge. Notable increases in prevalence from 2010-2013 to 2014 included: unspecified pain in

joint (6% to 9%), hyperkinetic syndrome of childhood (4% to 6%), and dentofacial anomalies

(2% to 5%). Decreases in prevalence from 2010-2013 to 2014 included: asthma (9% to 5%) and

depressive disorder (9% to 3%).


2014: MARINE CORPS

2010-2013 2014






Dentofacial anomalies, including

malocclusion 46 1.5 34 5.3

Asthma 267 8.8 33 5.1

Toxic effect of other substances, chiefly

nonmedicinal as to source 100 3.3 20 3.1

Depressive disorder, not elsewhere classified 258 8.5 19 2.9


Hearing loss 55 1.8 15 2.3



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Table 55 shows the 10 most common conditions leading to EPTS discharge for all enlistees in

the Air Force in 2014, compared to prevalence of the same condition during 2010-2013. In 2014,

unspecified pain in joint (17%), asthma (6%), and other and unspecified anemias (6%) were the

leading causes of EPTS discharges. Notable increases in EPTS discharge prevalence from 2010-

2013 to 2014 include: other and unspecified anemias (2% to 6%), disorders of muscle, ligament,

and fascia (2% to 5%) symptoms involving respiratory system and other chest symptoms (3% to

5%), and unspecified disorder of bone and cartilage (0% to 2%). Notable decreases in EPTS

discharge prevalence from 2010-2013 to 2014 include: unspecified pain in joint (19% to 17%),

other and unspecified disorders of back (5% to 3%) and congenital valgus deformities of feet

(7% to 3%).


2014: AIR FORCE

2010-2013 2014



Asthma 140 6.0 46 6.3

Other and unspecified anemias 47 2.0 42 5.7

Disorders of muscle, ligament, and fascia 46 2.0 39 5.3

Symptoms involving respiratory system and

other chest symptoms 69 2.9 37 5.1


Congenital valgus deformities of feet 163 6.9 19 2.6

Symptoms involving head and neck 40 1.7 18 2.5

Disorder of bone and cartilage, unspecified 0 0.0 17 2.3

Syncope and collapse 36 1.5 17 2.3



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Part II: EPTS discharges with an accession record

EPTS discharges among all enlistees who accessed during 2010-2014 are summarized in Tables

56-61. Note that all references to years refer to the year of accession, rather than the year of

discharge. Discharge numbers reflect only discharges occurring among individuals with an

accession record in the specific year. As mentioned, an EPTS condition must be identified within

the first 180 days of service; if the service member is hospitalized at 180 days of service, their

EPTS discharge may not occur until after their hospital discharge.

Relative risks are used to compare the likelihood of EPTS discharge between demographic

groups. The comparison group chosen for each comparison depends on the factor being

considered. For factors with some inherent order (e.g., age group, which ranges from younger to

older) it is the first or last group in that order, as appropriate. Otherwise, the comparison group is

generally the largest group. All comparisons, particularly those by service branch, should be

taken in light of EPTS data reporting fluctuations by service and over time (see “Data Sources”

for details).

Table 56 shows EPTS discharges reported among individuals accessed into enlisted active

component service during each year from 2010 through 2014. EPTS discharge data for 2014

accessions are not complete due to delays in reporting. The number of EPTS discharges and

percent of accessions receiving an EPTS discharge was highest in 2011 accessions and lowest in

2013 accessions.

TABLE 56: EPTS DISCHARGES FROM ACTIVE COMPONENT BY ACCESSION YEAR: ALL SERVICES

Year of accession Accessions

(n)

Discharges

(n)

Discharges

(%)

2010 159,768 3,814 2.4

2011 152,683 4,177 2.7

2012 155,694 3,456 2.2

2013 165,967 1,886 1.1

2014† 140,016 1,230 0.9

Total 774,128 14,563 † Incomplete, due to delays in reporting

Table 57 shows EPTS discharges reported among individuals accessed into enlisted reserve

component service during each year from 2010 through 2014. EPTS discharge data for 2014

accessions are not complete due to delays in reporting; therefore the total discharges are less than

expected. The number of EPTS discharges and the percent of accessions receiving an EPTS

discharge from the reserve component among 2010 and 2011 where relatively consistent, and

decreased by approximately half among 2012 and 2013 accessions

TABLE 57: EPTS DISCHARGES FROM RESERVE COMPONENT BY ACCESSION YEAR: ALL SERVICES


(n)

Discharges

(n)

Discharges

(%)

2010 28,347 407 1.4

2011 30,488 457 1.5

2012 24,323 173 0.7

2013 21,292 154 0.7

2014† 24,677 121 0.5


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Table 58 shows EPTS discharges reported among individuals accessed into enlisted National

Guard component service during each year from 2010 through 2014. EPTS discharge data for

2014 are not complete due to delays in reporting; therefore the total discharges are less than

expected. The number of EPTS discharges and the percent of accessions receiving EPTS

discharges from the guard component among 2010-2011 accessions have remained relatively

consistent, then decreased by approximately half among 2012 accessions and decreased by half

again among 2013 accessions.

TABLE 58: EPTS DISCHARGES FROM NATIONAL GUARD COMPONENT BY ACCESSION YEAR: ARMY AND

AIR FORCE


(n)

Discharges

(n)

Discharges

(%)

2010 46,183 745 1.6

2011 40,258 670 1.7

2012 42,134 290 0.7

2013 28,695 100 0.3

2014† 43,384 45 0.1


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Characteristics of enlisted active component accessions that ended in EPTS discharge are shown

in Table 59. Navy (RR: 1.7; 95% CI: 1.6,1.8), Marine Corps (RR: 1.3; 95% CI: 1.3,1.4), and Air

Force (RR: 1.3; 95% CI: 1.2,1.3) all had notably increased relative risk of EPTS discharge,

compared to the Army. Other increased relative risk categories included: females (RR: 1.9; 95%

CI: 1.8,1.9), below high school graduates (RR: 2.3; 95% CI:1.3,4.1), all AFQT scores lower than

the highest category (with exception of 11-29, but CI is generally weak here) and all medical

statuses that were not fully qualified. Decreased relative risk categories included: all ages above

the 17-20 category, black race, and all education categories above high school diploma

(especially for bachelor’s or higher). All other categories possessed a relative risk with a

confidence interval that spanned the reference (1.00) value, indicating no significant differences

were observed.

TABLE 59: CHARACTERISTICS OF ENLISTED ACTIVE COMPONENT ACCESSIONS IN 2010-2014 ENDING IN

EPTS DISCHARGE: ALL SERVICES

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Service

Army (REF) 309,469 4,605 1.5 1.00 -

Navy 179,291 4,525 2.5 1.70 (1.63, 1.77)

Marine Corps 149,192 2,893 1.9 1.30 (1.24, 1.36)

Air Force 136,176 2,540 1.9 1.25 (1.19, 1.32)

Sex§

Male (REF) 644,453 10,616 1.6 1.00 -

Female 129,675 3,947 3.0 1.85 (1.78, 1.92)

Age at Accession§

17 – 20 (REF) 501,746 9,830 2.0 1.00 -

21 – 25 216,914 3,799 1.8 0.89 (0.86, 0.93)

> 25 55,455 934 1.7 0.86 (0.80, 0.92)

Race§

White (REF) 568,392 10,885 1.9 1.00 -

Black 134,377 2,338 1.7 0.91 (0.87, 0.95)

Other 71,359 1,340 1.9 0.98 (0.93, 1.04)

Education Level§

Below HS graduate† 244 11 4.5 2.31 (1.30, 4.12)

HS diploma (REF) 667,523 13,002 1.9 1.00 - Some college 61,405 1,109 1.8 0.93 (0.87, 0.99)

Bachelor's or higher 44,829 440 1.0 0.50 (0.46, 0.55)

AFQT Score§

93 – 99 (REF) 55,988 798 1.4 1.00 -

65 – 92 314,315 5,704 1.8 1.27 (1.18, 1.37)

50 – 64 217,311 4,484 2.1 1.45 (1.34, 1.56)

30 – 49 178,654 3,563 2.0 1.40 (1.30, 1.51)

11 – 29 1,509 14 0.9 0.65 (0.38, 1.10)

Medical Status

Fully Qualified

(REF) 671,909 11,591 1.7 1.00 -

Temporary DQ 28,359 704 2.5 1.44 (1.33, 1.55)

Permanent DQ 73,860 2,268 3.1 1.78 (1.70, 1.86)

Total 774,128 14,563 1.9 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total.




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Characteristics of enlisted reserve component accessions that ended in EPTS discharge are

shown in Table 60. Navy (RR: 1.8; 95% CI: 1.6,2.2), Marine Corps (RR: 2.0; 95% CI: 1.8,2.3),

and Air Force (RR: 2.2; 95% CI: 1.9,2.5) all had notably increased relative risk of EPTS

discharge, compared to the Army. Other increased relative risk categories included: females (RR:

1.6; 95% CI: 1.4,1.8), AFQT scores of 50-64 (RR: 1.4; 95% CI: 1.1,1.8) and 30-49 (RR: 1.3;

95% CI: 1.0,1.7), and permanent DQ status (RR: 1.4; 95% CI: 1.2,1.7). Decreased relative risk

categories included: other race (RR: 0.7; 95% CI: 0.6,0.9), and bachelor’s or higher degree (RR:

0.6; 95% CI: 0.5,0.8). All other categories possessed a relative risk with a confidence interval

that spanned the reference (1.00) value, indicating no significant differences were observed.

TABLE 60: CHARACTERISTICS OF ENLISTED RESERVE COMPONENT ACCESSIONS IN 2010-2014 ENDING IN

EPTS DISCHARGE: ALL SERVICES

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Service

Army (REF) 69,348 478 0.7 1.00 -

Navy 14,348 182 1.3 1.84 (1.55, 2.18)

Marine Corps 27,239 381 1.4 2.03 (1.77, 2.32)

Air Force 18,192 271 1.5 2.16 (1.86, 2.51)

Sex§

Male (REF) 100,452 898 0.9 1.00 -

Female 28,674 414 1.4 1.62 (1.44, 1.81)

Age at Accession§

17 – 20 (REF) 80,883 811 1.0 1.00 -

21 – 25 30,857 304 1.0 0.98 (0.86, 1.12)

> 25 17,327 193 1.1 1.11 (0.95,1.30)

Race§

White (REF) 91,581 929 1.0 1.00 -

Black 27,154 306 1.1 1.11 (0.97, 1.26)

Other 10,392 77 0.7 0.73 (0.58, 0.92)

Education Level§

Below HS graduate† 4,830 42 0.9 0.84 (0.62, 1.14)

HS diploma (REF) 101920 1,054 1.0 1.00 - Some college 13,734 159 1.2 1.12 (0.95, 1.32)


AFQT Score§

93 – 99 (REF) 8,116 67 0.8 1.00 -

65 – 92 49,301 448 0.9 1.10 (0.85, 1.42)

50 – 64 33,409 386 1.2 1.40 (1.08, 1.81)

30 – 49 35,582 385 1.1 1.31 (1.01, 1.70)

11 – 29 767 3 0.4 0.47 (0.15, 1.50)

Medical Status

Fully Qualified

(REF) 111,942 1,076 1.0 1.00 -

Temporary DQ 5,279 60 1.1 1.18 (0.91, 1.53)

Permanent DQ 11,906 176 1.5 1.54 (1.31, 1.80)




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Characteristics of enlisted National Guard accessions that ended in EPTS discharge are shown in

Table 61. Compared to the Army, the Air Force reported significantly fewer discharges, resulting

in a lower relative risk (RR: 0.03; 95% CI: 0.01, 0.06). Significantly increased relative risk

categories included: females (RR: 1.2; 95% CI: 1.1,1.3), education below high school graduate

(RR: 1.3; 95% CI: 1.1,1.5), all AFQT scores of above the highest category (with exception of the

score of 11-29, which had too wide a confidence interval to assume meaningful results), and all

medical statuses that were not fully qualified (though temporary DQ status also had too wide

confidence intervals to assume meaningful results). Significantly decreased relative risk

categories included: black race (RR: 0.6; 95% CI: 0.5,0.7), other race (RR: 0.4; 95% CI: 0.3,0.6),

some college education (RR: 0.7; 95% CI: 0.6,0.8), and bachelor’s or higher education (RR: 0.5;

95% CI: 0.4,0.6). All other categories possessed a relative risk with a confidence interval that

spanned the reference (1.00) value, indicating no significant difference was observed.

TABLE 61: CHARACTERISTICS OF ENLISTED NATIONAL GUARD COMPONENT ACCESSIONS IN 2010-2014

ENDING IN EPTS DISCHARGE: ARMY AND AIR FORCE

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Service

Army 176,363 1,843 1.0 1.00 -

Air Force 24,291 7 <0.1 0.03 (0.01, 0.06)

Sex§

Male (REF) 157,485 1,401 0.9 1.00 -

Female 43,169 449 1.0 1.17 (1.05, 1.30)

Age at Accession§

17 – 20 (REF) 132,225 1,222 0.9 1.00 -

21 – 25 44,978 442 1.0 1.06 (0.95, 1.18)

> 25 23,425 186 0.8 0.86 (0.74, 1.00)

Race§

White (REF) 157,574 1,599 1.0 1.00 -

Black 34,555 213 0.6 0.61 (0.53, 0.70)

Other 8,525 38 0.4 0.44 (0.32, 0.61)

Education Level§

Below HS graduate† 16,685 214 1.3 1.32 (1.15, 1.52)

HS diploma (REF) 142,662 1,385 1.0 1.00 - Some college 28945 194 0.7 0.69 (0.59, 0.80)


AFQT Score§

93 – 99 (REF) 12,662 59 0.5 1.00 -

65 – 92 71,842 512 0.7 1.53 (1.17, 2.00)

50 – 64 49,787 506 1.0 2.18 (1.67, 2.85)

30 – 49 62,156 753 1.2 2.60 (2.00, 3.39)

11 – 29 3,187 18 0.6 1.21 (0.72, 2.06)

Medical Status

Fully Qualified

(REF) 170,603 1,516 0.9 1.00 -

Temporary DQ 12,260 121 1.0 1.12 (0.92, 1.34)

Permanent DQ 17,791 213 1.2 1.32 (1.17, 1.55)





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Disability Discharges in the First Year of Service

Tables 62-71 describe disability discharges within the first year of military service among

enlisted Army, Navy, Marine Corps, and Air Force personnel who accessed in 2010 to 2015.

Relative risks are used to compare the likelihood of having a disability discharge among

demographic groups. The comparison group chosen for each comparison depends on the factor

being considered. For factors with some inherent order (e.g. age group which ranges from

younger to older) it is first or last group in that order as appropriate. Otherwise, the comparison

group is generally the largest group.

Table 62 presents the number of disability discharges within the first year of service among

individuals that accessed in the Army, Navy, Marine Corps and Air Force active component

enlisted service in 2010 to 2015, by year. Results are shown for each year of accession. The

highest rate of disability discharges (0.36%) occurred in 2010. Rates of disability discharge in

the first year of service have decreased in each subsequent year. The number of disability

discharges in the first year of service for accessions in 2015 is underestimated due lack of

sufficient follow-up time.

TABLE 62: DISABILITY DISCHARGES FROM ACTIVE COMPONENT IN THE FIRST YEAR OF SERVICE

AMONG 2010-2015 ACCESSIONS: ALL SERVICES

Discharged within one year of accession

Year of accession Accessed

(n) n %

2010 159,768 574 0.36

2011 152,683 456 0.30

2012 155,694 382 0.25

2013 165,967 479 0.29

2014 140,016 363 0.26

2015§ 146,557 45 0.03

§The rate of disability evaluation is underestimated due to lack of follow-up data on individuals accessed in 2015.

Table 63 presents the number of disability discharges within the first year of service reported

among individuals that accessed into the Army, Navy, Marine Corps and Air Force reserve

component enlisted service in 2010 to 2015, by year. Results are shown for each year of

accession. The highest rate of disability discharges (0.18%) occurred in 2010. Rates of disability

discharge have decreased in each subsequent year. The number of disability discharges in the

first year of service for accessions in 2015 is underestimated due to lack of sufficient follow-up

time.

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TABLE 63: DISABILITY DISCHARGES FROM RESERVE COMPONENT IN THE FIRST YEAR OF

SERVICE AMONG 2010-2015 ACCESSIONS: ALL SERVICES



(n) n %

2010 28,347 52 0.18

2011 30,488 43 0.14

2012 24,323 20 0.08

2013 21,292 30 0.14

2014 24,677 29 0.12

2015§ 24,824 2 0.01


Table 64 presents the number of disability discharges within the first year of service reported

among individuals that accessed into the Army and Air Force National Guard enlisted service in

2010 to 2015, by year. Results are shown for each year of accession. The highest rate of

disability discharges (0.19%) occurred in 2010. Rates of disability discharge in the first year of

service have decreased in each subsequent year. The number of disability discharges in the first

year of service for accessions in 2015 is underestimated due to lack of sufficient follow-up time.

TABLE 64: DISABILITY DISCHARGES FROM NATIONAL GUARD IN THE FIRST YEAR OF

SERVICE AMONG 2010-2015 ACCESSIONS: ARMY AND AIR FORCE



(n) n %

2010 46,183 88 0.19

2011 40,258 49 0.12

2012 42,134 24 0.06

2013 28,695 36 0.13

2014 43,384 33 0.08

2015§ 37,886 3 0.01


Table 65 shows demographic characteristics, the total number of accessions, and the relative risk

of having a disability discharge among active component enlistees in the Army, Navy, Marine

Corps and the Air Force. Relative to the Army, disability discharge was significantly less likely

among enlistees from all other services. Females were 2.52 times more likely to be disability

discharged compared to males. Risk also increased significantly with increasing age. Being any

race other than white showed decreased risk of being disability discharged.

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In regards to education level, personnel with some college education were 1.46 times more likely

to have a disability discharge compared to individuals with a high school diploma, while

personnel with a bachelor’s or above degree were less likely to have a disability discharge. There

was no significant difference in the risk of disability discharge in any Armed Forces

Qualification Test (AFQT) score group relative to those with the highest AFQT scores, the 93rd

-

99th

percentile group. Those with any type of medical disqualification were at significantly

higher risk of disability discharge in the first year of service relative those who were fully

qualified.

TABLE 65: DISABILITY DISCHARGES FROM ACTIVE COMPONENT IN THE FIRST YEAR OF


Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Service

Army (REF) 366,565 1,311 0.36 1.00 -

Navy 215,022 145 0.07 0.19 (0.16 , 0.22)

Marine Corps 178,845 470 0.26 0.73 (0.66 , 0.82)

Air Force 160,253 373 0.23 0.65 (0.58 , 0.73)

Sex§

Male (REF) 764,598 1,519 0.20 1.00 -

Female 156,087 780 0.50 2.52 (2.31 , 2.74)

Age at Accession§

17 – 20 (REF) 602,781 1,378 0.23 1.00 -

21 – 25 254,040 671 0.26 1.16 (1.05 , 1.27)

> 25 63,851 250 0.39 1.71 (1.50 , 1.96)

Race§

White (REF) 674,750 1,869 0.28 1.00 -

Black 162,459 310 0.19 0.69 (0.61 , 0.78)

Other 83,476 120 0.14 0.60 (0.43 , 0.62)

Education Level§

Below HS graduate† 299 0 0 0 0

HS diploma (REF) 797,612 1,938 0.24 1.00 -

Some college 69,305 246 0.35 1.46 (1.28 , 1.67)

Bachelor's or higher 53,338 115 0.22 0.89 (0.74 , 1.07)

AFQT Score§

93 – 99 (REF) 65,456 152 0.23 1.00 -

65 – 92 371,538 985 0.27 1.14 (0.96 , 1.35)

50 – 64 259,696 630 0.24 1.04 (0.88 , 1.25)

30 – 49 214,479 527 0.25 1.06 (0.88 , 1.27)

11 – 29 1,865 2 0.11 0.46 (0.11 , 1.86)

Medical Status

Fully Qualified (REF) 798,521 1,875 0.23 1.00 -

Temporary DQ 32,729 130 0.40 1.69 (1.42 , 2.02)

Permanent DQ 89,435 294 0.32 1.40 (1.24 , 1.58)




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of having a disability discharge among reserve component enlistees in the Army, Navy, Marine

Corps and the Air Force. Relative to the Army, disability discharge was significantly less likely

among enlistees from the Navy and Air Force. The risk of discharge among Marines was more

than twice that of the risk in the Army. Females were 1.88 times more likely to be disability

discharged compared to males. Risk also increased with increasing age. The rate of disability

discharge did not differ significantly when comparing races.

In regards to education level and AFQT scores, no significant differences in the risk of disability

discharge were observed when comparing reserve component enlistees. No significant

differences in the risk of disability discharge were observed when comparing fully qualified

accessions to those with a history of disqualification.

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TABLE 66: DISABILITY DISCHARGES FROM RESERVE COMPONENT IN THE FIRST YEAR OF


Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Service

Army (REF) 83,275 83 0.10 1.00 -

Navy 17,358 5 0.03 0.29 (0.12 , 0.71)

Marine Corps 32,466 74 0.23 2.29 (1.67 , 3.13)

Air Force 20,852 14 0.07 0.67 (0.38 , 1.19)

Sex§

Male (REF) 119,469 114 0.10 1.00 -

Female 34,481 62 0.18 1.88 (1.38 , 2.57)

Age at Accession§

17 – 20 (REF) 97,164 102 0.10 1.00 -

21 – 25 36,328 44 0.12 1.15 (0.81 , 1.64)

> 25 20,398 30 0.15 1.40 (0.93 , 2.10)

Race§

White (REF) 108,032 132 0.12 1.00 -

Black 32,848 30 0.09 0.75 (0.50 , 1.11)

Other 13,071 14 0.11 0.88 (0.51 , 1.52)

Education Level§

Below HS graduate† 5,833 0 0 0 0

HS diploma (REF) 121,914 144 0.12 1.00 -

Some college 15,439 20 0.13 1.10 (0.69 , 1.75)


AFQT Score§

93 – 99 (REF) 9,595 12 0.13 1.00 -

65 – 92 58,884 71 0.12 0.96 (0.52 - 1.78)

50 – 64 39,946 39 0.10 0.78 (0.41 , 1.49)

30 – 49 42,649 53 0.12 0.99 (0.53 , 1.86)

11 – 29 803 1 0.12 1.00 (0.13 , 7.66)

Medical Status

Fully Qualified (REF) 133,679 152 0.11 1.00 -

Temporary DQ 6,064 4 0.07 0.58 (0.22 , 1.57)

Permanent DQ 14,208 20 0.14 1.24 (0.78 , 1.97)

Total 153,951 176 0.11 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total.




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of having a disability discharge among National Guard enlistees in the Army and Air Force.

Relative to the Army, disability discharge was significantly less likely among enlistees from the

Air Force. Females were 3.26 times more likely to be disability discharged compared to males.

Risk also increased with increasing age and was significant in those older than 25. Risk of

disability discharge was twice as likely among enlistees with an AFQT score in the 50th

-64th

percentile than the 93rd

-99th

percentile. No significant differences in the risk of disability

discharge were observed in National Guard enlistees by race, education, or medical status at

application.

TABLE 67: DISABILITY DISCHARGES FROM NATIONAL GUARD IN THE FIRST YEAR OF

SERVICE AMONG 2010-2015 ACCESSIONS: ARMY AND AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Service

Army (REF) 210,090 226 0.11 1.00 -

Air Force 28,450 7 0.02 0.23 (0.11 , 0.49)

Sex§

Male (REF) 186,455 122 0.07 1.00 -

Female 52,085 111 0.21 3.26 (2.52 , 4.21)

Age at Accession§

17 – 20 (REF) 158,646 114 0.07 1.00 -

21 – 25 52,678 51 0.10 1.35 (0.97 , 1.87)

> 25 27,189 68 0.25 3.48 (2.58 - 4.70)

Race§

White (REF) 185,700 190 0.10 1.00 -

Black 42,435 38 0.09 0.88 (0.62 , 1.24)

Other 10,405 5 0.05 0.47 (0.19 , 1.14)

Education Level§

Below HS graduate† 19,986 13 0.07 0.67 (0.38 , 1.17)

HS diploma (REF) 170,455 166 0.10 1.00 -

Some college 33,398 41 0.12 1.26 (0.90 , 1.77)


AFQT Score§

93 – 99 (REF) 14,911 9 0.06 1.00 -

65 – 92 84,500 72 0.09 1.41 (0.71 , 2.82)

50 – 64 58,517 71 0.12 2.01 (1.00 , 4.02)

30 – 49 75,131 79 0.11 1.74 (0.87 , 3.47)

11 – 29 4,371 1 0.02 0.38 (0.05 , 3.00)

Medical Status


Temporary DQ 14,230 18 0.13 1.35 (0.83 , 2.19)

Permanent DQ 21,170 25 0.12 1.26 (0.83 , 1.92)




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Tables 68-71 show the 10 most common diagnoses for enlisted personnel who accessed from

2010 to 2015 and had a disability discharge within the first year of service. Results are shown by

service, regardless of component.

The majority of Army enlistees disability discharged (Table 68) were diagnosed with conditions

falling within two musculoskeletal categories: impairment, limitation and ankylosis of the joint,

spine, skull limbs and extremities (63%); and prosthetic implants and diseases of the

musculoskeletal system (27%). Only 5% of disability discharges from the Army were for the

third most common condition category: affective and non-psychotic mental disorders.

Among Navy disability discharges (Table 69) the leading disability diagnosis was impairment,

limitation and ankylosis of the joint, spine, skull, limbs and extremities (35%) followed by

affective and non-psychotic mental disorders (16%). About 12% of disability discharges in the

Navy were related to the third leading disability category, prosthetic implants and diseases of the

musculoskeletal system

The largest diagnosis category among Marine Corps enlistees who were disability discharged

(Table 70) was impairment limitation and ankylosis of the joints, spine, skull, limbs and

extremities (58%). Prosthetic implants and diseases of the musculoskeletal system was the

second leading category (13%). Only 7% of disability discharges from the Marine Corps were

for the third most common condition: diseases of the peripheral nerves.

In the Air Force the most common reason for disability discharge (Table 71) was the same as the

other three services: impairment limitation and ankylosis of the joints, spine, skull, limbs and

extremities (34%) followed by prosthetic implants and diseases of the musculoskeletal system

(18%). The third leading cause of disability in the first year of Air Force service was affective

and non-psychotic mental disorders (11%).

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TABLE 68: DIAGNOSIS CATEGORIES FOR DISABILITY DISCHARGES AMONG FIRST-TIME

ENLISTED PERSONNEL IN THE FIRST YEAR OF SERVICE FOR 2010-2015 ACCESSIONS: ARMY

2010-2015

Diagnosis category n %§

Impairment, limitation and ankylosis of joints, spine, skull, limbs and extremities 1,010 62.77

Prosthetic implants and diseases of the musculoskeletal system 441 27.41

Affective and non-psychotic mental disorders 77 4.79

Diseases of the peripheral nerves 69 4.29

Miscellaneous neurological disorders 26 1.62

Diseases of the digestive system 22 1.37

Organic diseases of the central nervous system 22 1.37

Diseases of the endocrine system 21 1.31

Muscle injuries 21 1.31

Diseases of the trachea and bronchi 20 1.24

Total individuals 1,609

§Represents the proportion of individuals evaluated for disability who were evaluated for each disability type.


ENLISTED PERSONNEL IN THE FIRST YEAR OF SERVICE FOR 2010-2015 ACCESSIONS: NAVY

2010-2015


Impairment, limitation and ankylosis of joints, spine, skull, limbs and extremities 52 35.14



Convulsive disorders 15 10.13



Schizophrenia and other psychotic disorders 7 4.73

Organic diseases of central nervous system 6 4.05

Diseases of the heart 4 2.70


Total individuals 148


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ENLISTED PERSONNEL WITHIN THE FIRST YEAR OF SERVICE FOR 2010-2015: MARINE

CORPS

2010-2015








Organic diseases of central nervous system 14 2.59



Diseases of the genitourinary system 13 2.40




ENLISTED PERSONNEL WITHIN THE FIRST YEAR OF SERVICE FOR 2010-2015: AIR FORCE

2010-2015














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Data Sources

The Accession Medical Standards Analysis and Research Activity (AMSARA) requests and

receives data from various sources, most of which are the primary collection agencies for the

data they provide to AMSARA. Because data are seldom collected with the goal of

epidemiologic study, AMSARA coordinates with the appropriate points of contact to ensure

that the following major data sources needed for AMSARA studies are in an appropriate

form for epidemiologic work.

As mentioned under “Charter and Supporting Documents,” AMSARA maintains strict

confidentiality of all data it receives. No external access to the data is allowed, and internal

access is limited to a small number of primary analysts on an as-necessary basis. Research

results are provided only at the aggregate level, with no possibility of individual

identification.

Initial Entry Application and Physical Exam at MEPS

AMSARA receives data on all applicants who undergo an accession medical examination at

any of the 65 Military Entrance Processing Stations (MEPS) sites. These data, provided by

US Military Entrance Processing Command (USMEPCOM), North Chicago, IL, contain

several hundred demographic, medical, and administrative elements on recruit applicants for

each applicable branch (regular enlisted, reserve, National Guard) of each service (Air Force,

Army, Coast Guard, Marines, and Navy). These data also include records on a relatively

small number of officer recruit applicants and other non-applicants receiving periodic

physical examinations.

The MEPS records provide extensive medical examination information, including date of

examination, medical qualification status, medical disqualification codes (where relevant),

medical conditions observed by or reported to physicians, and any waiver requirements.

Medical conditions among applicants fall into two categories, temporary (condition that can

be remediated, e.g., being overweight) or permanent (condition that remains with the

applicant, e.g., history of asthma). For those applicants with a permanent disqualification due

to a permanent condition, an accession medical waiver from a service-specific waiver

authority is required for the applicant to be eligible for accession into the service. Results of

some specific tests are also extracted from the MEPS records including those for

hearing/vision, alcohol/drug use, and measurements of height, weight, and blood pressure.

Gain and Loss Files

The Defense Manpower Data Center (DMDC) provides data on individuals entering military

service (gain or accession) and on individuals exiting military service (loss or discharge).

Gain and loss data, which are AMSARA’s primary sources of information about who is, or

has been, in the military, include when an individual began duty and when or if an individual

exited the military. From this information the length of service can be determined for any

individual entering and leaving during the periods studied.

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Gain data include approximately 50 variables. Of these, AMSARA has identified 25 of primary

interest: personal identifiers (e.g., name and SSN) for linking with other data; demographics such

as age, education, and Armed Forces Qualification Test (AFQT) score at the time of accession;

and service information including date of entry, Unit Identification Code (UIC) of initially

assigned unit, initially assigned Military Occupation Specialty code (MOS), and Initial Entry

Training (IET) site. These data are combined with MEPS data to determine accession

percentages among applicants by demographic and other variables. Also, these linked data are

used in epidemiologic investigations related to the military’s accession medical standards.

Loss data also include approximately 50 variables, many of which are the same as those found in

the gain file, although they reflect the individual’s status at the time of loss rather than at the time

of gain. The variables of primary interest to AMSARA are personal identifiers for linking with

other data, the loss date for computing length of service, the UIC and MOS for grouping service

members by occupation, and the Inter-service Separation Code (ISC) as a secondary source of

the reason for leaving the military. These data serve as the primary source of information on all-

cause attrition from the service and are linked with the MEPS and gain data for studies of

attrition.

Accession Medical Waiver

AMSARA receives records on all active and reserve component recruits who were considered

for an accession medical waiver, i.e., those who received a permanent medical disqualification at

the MEPS and sought a waiver for that disqualification. Each service is responsible for making

waiver decisions about its applicants. Data on these waiver considerations are generated and

provided to AMSARA by each service waiver authority. Although the specifics of these data

vary by service, they generally contain identifiers (e.g., name and SSN) for linking with other

data and information about the waiver consideration including the medical condition(s) for which

an individual was seeking a waiver and the final decision of the waiver authority. Air Force

waiver data are provided by the Air Education and Training Command (Randolph Air Force

Base, TX); Army data are provide by the U.S. Army Recruiting Command (Fort Knox, KY);

Marine Corps data are provided by the U.S. Navy Bureau of Medicine and Surgery (Washington,

DC); and Navy data are provided by Naval Recruiting Command (Millington, TN).

Hospitalization

Data on hospitalizations are obtained from the Military Health Systems Data Repository (MDR)

annually. These data contain information on admissions of active duty officers and enlisted

personnel to any military hospital; this includes individuals in the reserve component and

National Guard who are activated or who have been activated within 6 months prior to

admission. Information on each visit includes SSN for linking with other data, demographic

characteristics (e.g., sex, age, and race), and details about the hospitalization. In particular, the

medical diagnoses associated with the hospitalization is coded according to the ICD-9. Date of

admission, date of disposition, number of sick days, number of bed days, and indicators of the

medical outcome are also included.

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EPTS Discharges

Discharges for medical conditions that existed prior to service (EPTS) are of vital interest to

AMSARA. A discharge for a medical condition can be classified as an EPTS discharge if the

condition was verified to have existed before the recruit began service and if the complications

leading to discharge arose no more than 180 days after the recruit began duty. USMEPCOM

requests a copy of official paperwork on all EPTS discharges and records certain information

about each. This information includes a general medical categorization (20 categories) of the

reason(s) for discharge and a judgment on each discharge regarding why (i.e., concealment,

waiver, or unawareness) the person was not rejected for service on the basis of the preexisting

condition at application. Beginning in August 1996, this paperwork has been forwarded by

USMEPCOM to AMSARA for additional data extraction, including more specific coding of

medical conditions leading to discharge.

The primary limitation of the EPTS discharge data is completeness. Table 3.1 summarizes the

numbers of records provided to AMSARA from 2010-2014. The Marine Corps training site in

San Diego has historically not provided EPTS discharge records since 2006, but has started as of

2014. In the Army, Ft. Jackson, and Ft. Leonard Wood have provided 0 (or close to 0) EPTS

records to AMSARA for 2012-2014. Ft. Knox stopped providing EPTS records in 2012 when the

Army closed IET at Ft. Knox. Overall, the numbers of records have been unstable and

underreported over time for most IET sites. While some variability in numbers of EPTS records

over time is expected, underreporting is clearly a major source of fluctuation.

TABLE 72: EPTS DISCHARGE DATA REPORTED TO USMEPCOM BY TRAINING SITE AND YEAR†

Fiscal Year of EPTS Discharge

Service Training Site 2010 2011 2012 2013 2014 Total

Army Fort Benning 520 866 885 781 227 3,279

Fort Jackson 606 838 1 5 3 1,453

Fort Knox 286 138 0 0 0 424

Fort Leonard Wood 804 873 240 2 0 1,919

Fort Sill 185 299 133 150 182 949

Navy Great Lakes 1,530 1,504 1,863 399 3 5,299

Marine

Corps Parris Island 772 861 653 745 517 3,548

San Diego 0 0 0 0 128 128

Air

Force Lackland AFB 680 655 409 602 738 3,084

Coast

Guard Cape May 165 220 131 88 115 719

Total 5,548 6,254 4,315 2,772 1,913 20,802 † Numbers may not sum to totals shown in Section 2 because information from specific training sites is incomplete and other requirements

for records are different.

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Disability Discharges

Data on disability discharge considerations are compiled separately for each service at its

disability agency. The U.S. Army Physical Disability Agency has provided data on Army

disability evaluations during 1995-2014 and continues to provide these data. The Air Force

Personnel Center has provided data on the first evaluation for all individuals who received a

final disposition of separation or retirement (i.e. fit dispositions, retained on the temporary

disability retirement list not included) for the first time during the period of 1995–2010, but

only provides data on all evaluations from the period of 2007-2014. Data from the Secretary

of the Navy, Council of Review Boards, including all disability discharge considerations for

the Navy and Marine Corps, are available from 2000 to 2014.

All disability agencies provide information on all disability cases considered, including

personal identifiers (e.g., name and SSN), program (e.g., regular enlisted, academy, or

officer), date of consideration, and disposition (e.g., permanent disability, separation with or

without benefits, temporary disability, or return to duty as fit). For individuals receiving a

disability discharge, medical condition codes and degree of disability (rating) are also

included. The medical condition(s) involved in each case are described using the condition

codes of the Veterans Affairs Schedule for Rating Disabilities (VASRD). This set is less

comprehensive than the ICD-9 codes. In some cases the disabling condition has no associated

code, so the code most closely resembling the true condition is used. AMSARA therefore only

uses broad categories of disability condition codes, defined in Table 3.2, rather than

attempting to interpret specific codes.

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TABLE 73: VASRD CODE GROUPINGS

VASRD code Conditions encompassed VASRD code Conditions encompassed

5000 - 5099 Prosthetic Implants and diseases of the

musculoskeletal system 7300 - 7399 Diseases of the digestive system

5100 - 5199 Amputation or anatomical loss of

upper and lower extremities 7500 - 7599 Diseases of the genitourinary system

5200 - 5299

Impairment, limitation, ankylosis of

joints, spine, skull, limbs, and

extremities

7600 - 7699 Gynecological conditions and disorders

of the breast

5300 - 5399 Muscle injuries 7700 - 7799 The hemic and lymphatic systems

6000 - 6099 Diseases of the Eye or loss of vision 7800 - 7899 Diseases of the skin

6200 - 6269 Diseases of the Ear 7900 - 7999 Diseases of the endocrine system

6270 - 6279 Diseases of other sense organs (smell

and taste) 8000 - 8099

Organic Diseases of the Central

Nervous System

6280 - 6299 Other and unspecified disorders of the

sensory organs 8100 - 8199 Miscellaneous neurological disorders

6300 - 6399 Infectious diseases, immune disorders,

and nutritional deficiencies 8200 - 8499 Diseases of the cranial nerves

6500 - 6599 Diseases of the nose and throat 8500 - 8799 Diseases of the peripheral nerves

6600 - 6699 Diseases of the trachea and bronchi 8900 - 8999 Convulsive disorders

6700 - 6799 Tuberculosis 9200 - 9299 Schizophrenia and other psychotic

disorders

6800 - 6899 Diseases of the respiratory system 9300 - 9399 Organic psychotic disorders

7000 - 7099 Diseases of the heart 9400 - 9599 Affective and nonpsychotic mental

disorders

7100 - 7199 Diseases of the arteries and veins 9900 - 9999 Dental and oral conditions

7200 - 7299 Injury to the mouth, lips, tongue, and

esophagus

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Charter and Supporting Documents CH

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Frequently Used Acronyms

AFQT Armed Forces Qualification Test

AMSARA Accession Medical Standards Analysis and Research Activity

AMSWG Accession Medical Standards Working Group

ARI Army Research Institute for the Behavioral and Social Sciences

BUMED Navy Bureau of Medicine and Surgery

DMDC Defense Manpower Data Center

DoD Department of Defense

DQ Disqualified

EPTS Existed Prior to Service

FY Fiscal Year

IET Initial Entry Training

ICD-9 International Classification of Diseases, 9th

Revision

ISC Interservice Separation Code

MEPS Military Entrance Processing Station

MOS Military Occupation Specialty

OMF Other Medical Failure

SSN Social Security Number

USAREC U.S. Army Recruiting Command

USMEDCOM U.S. Medical Command

USMEPCOM U.S. Military Entrance Processing Command

VASRD Veterans Affairs Schedule for Rating Disabilities

WRAIR Walter Reed Army Institute of Research

AC

RO

NY

MS




503 Robert Grant Avenue

Forest Glen Annex





See Attachments For


2016 Annual Report

Supplemental Tables

Army Applicants and Accessions

Air Force Applicants and Accessions

Navy Applicants and Accessions

Marines Applicants and Accessions

Accession Medical Standards Analysis & Research Activity 2016 Annual Report


Supplemental Tables: Air Force Applicants and Accessions



503 Robert Grant Road, Forest Glen Annex



Material has been reviewed by the Walter Reed Army Institute of Research. There is no objection to its

publication. The opinions or assertions contained herein are the private views of the authors, and are not to

be construed as official, or as reflecting true views of the Department of the Army or the Department of

Defense.


i

AMSARA Annual Report 2016: Air Force

Contents

Summary Statistics for Applicants and Accessions for Enlisted Service .............................. 1

Table 1: Disqualification, waiver, and accession rates for enlisted active component applicants at

MEPS who received a medical examination by year: Air Force .......................................................... 1

Table 2: Disqualification, waiver, and accession rates for enlisted reserve component applicants at


Table 3: Disqualification, waiver, and accession rates for enlisted National Guard applicants at



enlisted active component accessions by year: Air Force .................................................................... 2


enlisted reserve component accessions by year: Air Force .................................................................. 2


enlisted National Guard accessions by year: Air Force........................................................................ 2

Applicants and Accessions ........................................................................................................ 3

Table 7: Accession rate for enlisted active component applicants at MEPS who received a medical

examination in 2010-2015: Air Force .................................................................................................. 3


medical examination in 2010-2014 vs. 2015: Air Force ...................................................................... 4

Table 9: Accession rate for enlisted reserve component applicants at MEPS who received a medical

examination in 2010-2015: Air Force .................................................................................................. 5

Table 10: Demographic characteristics of enlisted reserve component applicants who received a


Table 11: Accession rate for enlisted National Guard component applicants at MEPS who received a

medical examination in 2010-2015: Air Force ..................................................................................... 7



Disqualifications ......................................................................................................................... 9

Table 13: Medical disqualification of first-time active component enlisted applicants by all ICD-9

codes in 2010-2014 vs. 2015: Air Force .............................................................................................. 9

Table 14: Medical disqualification of first-time reserve component enlisted applicants by all ICD-9

codes in 2010-2014 vs. 2015: Air Force .............................................................................................. 9

Table 15: Medical disqualification of first-time National Guard enlisted applicants by all ICD-9

codes in 2010-2014 vs. 2015: Air Force ............................................................................................ 10

Table 16: Medical disqualification of first-time active component enlisted applicants by all listed

USMEPCOM failure codes in 2010-2014 vs. 2015: Air Force.......................................................... 11

Table 17: Medical disqualification of first-time reserve component enlisted applicants by all listed


ii


Table 18: Medical disqualification of first-time National Guard enlisted applicants by all listed


Accession Medical Waivers ..................................................................................................... 13

Table 19: Active and reserve component waiver considerations by year§: 2010-2015 ...................... 13

Table 20: Active and reserve component waiver consideration counts: 2010-2015 .......................... 13

Table 21: Leading conditions for active and reserve component accession waivers considered in

2010-2014 vs. 2015: Air Force .......................................................................................................... 14


proportion of approved applications among active and reserve component Air Force enlistees: 2010-

2014 vs. 2015 ..................................................................................................................................... 15

Table 23: Active component accessions for enlisted applicants who received a waiver in 2010-2015†

by year: Air Force .............................................................................................................................. 16

Table 24: Reserve component accessions for enlisted applicants who received a waiver in 2010-

2015† by year: Air Force .................................................................................................................... 16

Table 25: Demographic characteristics of active component enlisted applicants who received an

accession medical waiver compared to active component accessions 2010-2014 vs. 2015: Air Force

............................................................................................................................................................ 17

Table 26: Demographic characteristics of reserve component enlisted applicants who received an

accession medical waiver compared to reserve component accessions 2010-2014 vs. 2015: Air Force

............................................................................................................................................................ 18

Hospitalizations ........................................................................................................................ 19

Table 27: Active component hospitalizations in 2010-2015 by year: Air Force................................ 19

Table 28: Reserve component hospitalizations in 2010-2015 by year: Air Force ............................. 19

Table 29: National Guard hospitalizations in 2010-2015 by year: Air Force .................................... 19

Table 30: Hospital admissions within one year of accession for active component enlisted personnel

accessed in 2010-2015: Air Force ...................................................................................................... 20


personnel accessed in 2010-2015: Air Force ..................................................................................... 21

Table 32: Hospital admissions within one year of accession for National Guard enlisted personnel

accessed in 2010-2015: Air Force ...................................................................................................... 22

Table 33: Distribution of primary cause categories for hospitalizations during first year of service

among active component enlistees in 2010-2014 vs. 2015 ................................................................ 23

Table 34: Distribution of primary cause categories for hospitalizations during second year of service



among reserve component enlistees in 2010-2014 vs. 2015 .............................................................. 24




among National Guard enlistees in 2010-2014 vs. 2015 .................................................................... 25

iii




Attrition .................................................................................................................................... 26

Table 39: Attrition among first time active component enlisted accessions in 2010-2015 by days

since accession: Air Force .................................................................................................................. 26

Table 40: Attrition among first time reserve component enlisted accessions in 2010-2015 by days

since accession: Air Force .................................................................................................................. 27

Table 41: Attrition among first time national guard component enlisted accessions in 2010-2015 by

days since accession: Air Force ......................................................................................................... 28

EPTS Discharges ....................................................................................................................... 29

Table 42: EPTS discharges of enlistees in 2010-2014 by service, component, and year .................. 29

Table 43: EPTS discharges of enlistees in 2010-2014 All Components ............................................ 29

Table 44: Leading primary EPTS discharge conditions for all enlistees in 2010-2013 vs. 2014: Air

Force ................................................................................................................................................... 29

Table 45: EPTS discharges from active component by accession year: Air Force ............................ 30

Table 46: EPTS discharges from reserve component by accession year: Air Force .......................... 30

Table 47: EPTS discharges from National Guard by accession year: Air Force ............................... 30

Table 48: Characteristics of enlisted active component accessions in 2010-2014 ending in EPTS

discharge: Air Force ........................................................................................................................... 31

Table 49: Characteristics of enlisted reserve component accessions in 2010-2014 ending in EPTS

discharge: Air Force .......................................................................................................................... 32

Table 50: Characteristics of enlisted National Guard component accessions in 2010-2014 ending in

EPTS discharge: Air Force ................................................................................................................. 33

Disability Discharges in the First Year of Service ................................................................. 34

Table 51: Disability discharges from active component within in the first year of service among

2010-2015 accessions: Air Force ....................................................................................................... 34

Table 52: Disability discharges from reserve component within in the first year of service among

2010-2015 accessions: Air Force ....................................................................................................... 34

Table 53: Disability discharges from National Guard within in the first year of service among 2010-

2015 accessions: Air Force ................................................................................................................ 34

Table 54: Disability discharges from active component in the first year of service among 2010-2015

accessions: Air Force ......................................................................................................................... 35

Table 55: Disability discharges from reserve component in the first year of service among 2010-

2015 accessions: Air Force ................................................................................................................ 36

Table 56: Disability discharges from National Guard in the first year of service among 2010-2015

accessions: Air Force ......................................................................................................................... 37

Table 57: Diagnosis categories for disability discharges among first-time enlisted personnel in the

first year of service for 2010-2015 accessions: Air Force .................................................................. 38

1

Summary Statistics for Applicants and Accessions for Enlisted Service


APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: AIR FORCE

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010 37,067 5,808 15.7 2,603 7.0 1,908 5.1 27,317 73.7

2011 34,310 5,666 16.5 2,370 6.9 1,653 4.8 27,033 78.8

2012 37,906 6,565 17.3 3,338 8.8 2,227 5.9 29,867 78.8

2013 33,147 6,495 19.6 2,908 8.8 2,043 6.2 25,296 76.3

2014 28,384 5,412 19.1 2,849 10.0 1,859 6.5 21,480 75.7

2015§ 31,095 5,227 16.8 2,333 7.5 1,421 4.6 - -

Total 201,909 35,173 17.4 16,401 8.1 11,111 5.5 130,993 76.7

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow up time.



Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010 6,350 1,501 23.6 20 0.3 15 0.2 3,984 62.7

2011 6,276 1,554 24.8 21 0.3 13 0.2 3,907 62.3

2012 6,161 1,444 23.4 27 0.4 17 0.3 3,347 54.3

2013 5,002 1,335 26.7 18 0.4 9 0.2 2,789 55.8

2014 4,261 1,015 23.8 14 0.3 7 0.2 2,555 60.0

2015§ 4,150 861 20.7 5 0.1 2 <0.1 - -

Total 32,200 7,710 23.9 105 0.3 63 0.2 16,582 59.1


TABLE 3: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED NATIONAL GUARD


Applicant

(n)

DQ

(n)

DQ

(%)

Access

(n)

Access

(%)

2010 5,613 1,373 24.5 3,692 65.8

2011 5,673 1,364 24.0 3,942 69.5

2012 6,285 1,477 23.5 4,059 64.6

2013 6,714 1,696 25.3 4,324 64.4

2014 6,327 1,564 24.7 4,476 70.7

2015§ 5,783 1,320 22.8 - -

Total 36,395 8,794 24.2 20,493 66.9


2

TABLE 4: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED ACTIVE COMPONENT ACCESSIONS BY YEAR: AIR FORCE

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n) ┼

Hosp

(%)

Disability

(n) ┼

Disability

Discharge

(%)

Attrition

(n) ┼

Attrition

(%)

2010 28,391 2,745 9.7 1,632 5.7 568 2.0 714 2.5 89 0.31 2,938 10.3

2011 28,357 2,712 9.6 1,658 5.8 518 1.8 656 2.3 91 0.32 2,499 8.8

2012 28,962 2,994 10.3 1,606 5.5 356 1.2 531 1.8 115 0.40 2,687 9.3

2013 26,187 2,956 11.3 1,813 6.9 513 2.0 457 1.7 45 0.17 2,589 9.9

2014 24,279 3,174 13.1 1,805 7.4 570 2.3 376 1.5 30 0.12 2,590 10.7

2015§ 24,077 2,741 11.4 1,598 6.6 - - 261 1.1 - - - -

Total 160,253 17,322 10.8 10,112 6.3 2,525 1.9 2,995 1.9 370 0.27 13,303 9.8 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow up time. ┼In the first 365 days of service.

TABLE 5: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED RESERVE COMPONENT ACCESSIONS BY YEAR: AIR FORCE

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n) ┼

Hosp

(%)

Disability

(n) ┼

Disability

Discharge

(%)

Attrition

(n) ┼

Attrition

(%)

2010 4,445 580 13.0 7 0.16 97 2.2 36 0.8 3 0.07 486 10.9

2011 4,396 558 12.7 8 0.18 73 1.7 62 1.4 3 0.07 364 8.3

2012 3,953 525 13.3 5 0.13 23 0.6 36 0.9 7 0.18 252 6.4

2013 2,792 430 15.4 5 0.18 38 1.4 19 0.7 1 0.04 245 8.8

2014 2,606 366 14.0 6 0.23 40 1.5 21 0.8 0 0.00 247 9.5

2015§ 2,660 287 10.8 2 0.08 - - 18 0.7 - - 107 -

Total 20,852 2,746 13.2 33 0.16 271 1.5 192 0.9 14 0.08 1,594 8.8 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow up time. ┼In the first 365 days of service.

TABLE 6: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED NATIONAL GUARD ACCESSIONS BY YEAR: AIR FORCE

Accession

(n)

DQ

(n)

DQ

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n) ┼

Hosp

(%)

Disability

(n) ┼

Disability

Discharge

(%)

Attrition

(n) ┼

Attrition

(%)

2010 4,275 693 16.2 1 0.02 23 0.5 2 0.05 94 2.2

2011 4,854 728 15.0 2 0.04 45 0.9 1 0.02 103 2.1

2012 5,251 747 14.2 0 0.00 42 0.8 2 0.04 92 1.8

2013 4,613 722 15.7 4 0.09 29 0.6 0 0.00 92 2.0

2014 5,298 1,004 19.0 0 0.00 29 0.5 2 0.04 87 1.6

2015§ 4,159 536 12.9 - - 11 0.3 - - - -

Total 28,450 4,430 15.6 7 0.03 179 0.6 7 0.03 468 1.6 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow up time. †In the first 365 days of service.

3


TABLE 7: ACCESSION RATE FOR ENLISTED ACTIVE COMPONENT APPLICANTS AT MEPS WHO RECEIVED

A MEDICAL EXAMINATION IN 2010-2015: AIR FORCE

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 37,067 23,595 63.7 26,965 72.7 27,317 73.7

2011 34,310 23,984 69.9 26,649 77.7 27,033 78.8

2012 37,906 26,919 71.0 29,744 78.5 29,867 78.8

2013 33,147 22,518 67.9 25,274 76.2 25,296 76.3

2014 28,384 19,551 68.9 21,480 75.7† 21,480 75.7†

2015 31,095 11,452 36.8† 11,452 36.8† 11,452 36.8†

Total

Applicants 201,909 128,019

141,564

142,445



4



RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: AIR FORCE

2010 – 2014 2015


n % n % n % n %

Sex§

Male 134,058 78.5 105,550 80.6 23,983 77.3 9,166 80.0

Female 36,723 21.5 25,443 19.4 7,058 22.7 2,286 20.0

Age Group at

MEPS§

17 – 20 115,049 67.4 92,629 70.7 20,950 67.4 7,796 68.1

21 – 25 47,199 27.6 33,985 25.9 8,269 26.6 3,084 26.9

> 25 8,558 5.0 4,377 3.3 1,876 6.0 572 5.0

Race§

White 131,655 77.1 101,269 77.3 22,767 73.2 8,634 75.4

Black 26,749 15.7 20,896 16.0 5,227 16.8 1,877 16.4

Other 12,410 7.3 8,828 6.7 3,101 10.0 941 8.2

Education§

Below HS Senior† 2,700 1.6 1,511 1.2 934 3.0 29 0.3

HS Senior 15,102 8.8 9,789 7.5 3,763 12.1 852 7.4

HS Diploma 121,207 71.0 99,550 76.0 20,842 67.0 8,691 75.9

Some College 14,387 8.4 11,689 8.9 2,529 8.1 1,028 9.0

Bachelor's and

above 17,376 10.2 8,439 6.4 3,019 9.7 849 7.4

AFQT Score§

93 – 99 14,367 8.4 11,751 9.0 2,553 8.2 1,049 9.2

65 – 92 86,002 50.3 70,236 53.6 14,935 48.0 5,932 51.8

50 – 64 52,146 30.5 42,004 32.1 8,675 27.9 3,199 27.9

30 – 49 6,543 3.8 3,834 2.9 3,117 10.0 1,010 8.8

11 – 29 154 0.1 0 0.0 68 0.2 0 0.0

< 11‡ 2 <0.1 0 0.0 3 <0.1 0 0.0

Missing 11,600 6.8 3,168 2.4 1,744 5.6 262 2.3

Medical Status

Fully Qualified 140,868 82.5 116,450 88.9 25,868 83.2 10,561 92.2

Permanent DQ 24,983 14.6 12,099 9.2 4,529 14.6 744 6.5

Temporary DQ 4,963 2.9 2,444 1.9 698 2.2 147 1.3

Total 170,814 100.0 130,993 100.0 31,095 100.0 11,452 100.0

MEPS: Military Entrance Processing Station; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total. † Encompasses the following: 1) those pursuing completion of the GED or other test-based high school equivalency diploma, vocational school,


‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data

capture errors.

5


TABLE 9: ACCESSION RATE FOR ENLISTED RESERVE COMPONENT APPLICANTS AT MEPS WHO RECEIVED

A MEDICAL EXAMINATION IN 2010-2015: AIR FORCE

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 6,350 3,823 60.2 3,982 62.7 3,984 62.7

2011 6,276 3,818 60.8 3,904 62.2 3,907 62.3

2012 6,161 3,232 52.5 3,344 54.3 3,347 54.3

2013 5,002 2,708 54.1 2,787 55.7 2,789 55.8

2014 4,261 2,510 58.9 2,555 60.0† 2,555 60.0†

2015 4,150 1,970 47.5† 1,970 47.5† 1,970 47.5†

Total

Applicants 32,200 18,061

18,542

18,552



6




2010 – 2014 2015


n % n % n % n %

Sex§

Male 18,134 64.7 11,178 67.4 2,535 61.3 1,267 64.3

Female 9,901 35.3 5,403 32.6 1,603 38.7 703 35.7

Age Group at

MEPS§

17 – 20 12,691 45.2 8,007 48.3 1,871 45.1 1,027 52.1

21 – 25 9,125 32.5 5,433 32.8 1,311 31.6 595 30.2

> 25 6,233 22.2 3,141 18.9 968 23.3 348 17.7

Race§

White 17,012 60.6 10,526 63.5 2,421 58.3 1,225 62.2

Black 8,893 31.7 4,956 29.9 1,294 31.2 571 29.0

Other 2,145 7.6 1,100 6.6 435 10.5 174 8.8

Education§

Below HS Senior† 208 0.7 149 0.9 30 0.7 17 0.9

HS Senior 2,348 8.4 1,612 9.8 440 10.6 268 13.6

HS Diploma 16,652 59.6 10,085 61.1 2,363 57.1 1,186 60.3

Some College 5,187 18.6 3,152 19.1 614 14.8 294 14.9

Bachelor's and

above 3,532 12.6 1,517 9.2 693 16.7 202 10.3

AFQT Score§

93 – 99 1,808 6.4 1,075 6.5 298 7.2 127 6.4

65 – 92 10,808 38.5 7,115 42.9 1,559 37.6 877 44.5

50 – 64 6,962 24.8 4,539 27.4 980 23.6 540 27.4

30 – 49 6,411 22.9 3,660 22.1 886 21.3 414 21.0

11 – 29 804 2.9 1 <0.1 165 4.0 0 0.0

< 11‡ 31 0.1 0 0.0 6 0.1 0 0.0

Missing 1,226 4.4 192 1.2 256 6.2 12 0.6

Medical Status

Fully Qualified 21,201 75.6 14,375 86.7 3,289 79.3 1,783 90.5

Permanent DQ 4,798 17.1 1,339 8.1 607 14.6 117 5.9

Temporary DQ 2,051 7.3 868 5.2 254 6.1 70 3.6

Total 28,050 100.0 16,582 100.0 4,150 100.0 1,970 100.0

MEPS: Military Entrance Processing Station; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total. † Encompasses the following: 1) those pursuing completion of the GED or other test-based high school equivalency diploma, vocational school,



capture errors.

7


TABLE 11: ACCESSION RATE FOR ENLISTED NATIONAL GUARD COMPONENT APPLICANTS AT MEPS WHO

RECEIVED A MEDICAL EXAMINATION IN 2010-2015: AIR FORCE

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

% Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 5,613 3,513 62.6 3,691 65.8 3,692 65.8

2011 5,673 3,847 67.8 3,941 69.5 3,942 69.5

2012 6,285 3,959 63.0 4,057 64.6 4,059 64.6

2013 6,714 4,219 62.8 4,321 64.4 4,324 64.4

2014 6,327 4,425 69.9 4,476 70.7† 4,476 70.7†

2015 5,783 3,093 53.5† 3,093 53.5† 3,093 53.5†

Total


23,579

23,586

† The proportion of applicants who accessed was underestimated due to a lack of sufficient follow-up data since only accessions through 2014

are reported in the above table.

8


TABLE 12: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED NATIONAL GUARD APPLICANTS WHO


2010 – 2014 2015


n % n % n % n %

Sex§

Male 22,516 73.6 15,410 75.2 4,075 70.6 2,258 73.0

Female 8,069 26.4 5,083 24.8 1,700 29.4 835 27.0

Age Group at

MEPS§

17 – 20 17,395 56.8 12,458 60.8 3,476 60.1 2,019 65.3

21 – 25 7,850 25.6 4,989 24.3 1,327 22.9 674 21.8

> 25 5,367 17.5 3,046 14.9 980 16.9 400 12.9

Race§

White 24,552 80.2 16,928 82.6 4,502 77.8 2,526 81.7

Black 4,102 13.4 2,477 12.1 803 13.9 379 12.3

Other 1,958 6.4 1,088 5.3 478 8.3 188 6.1

Education§

Below HS Senior† 133 0.4 86 0.4 38 0.7 15 0.5

HS Senior 5,805 19.0 4,485 21.9 1,283 22.2 800 25.9

HS Diploma 19,773 64.7 13,032 63.7 3,604 62.4 1,891 61.2

Some College 2,320 7.6 1,512 7.4 334 5.8 172 5.6

Bachelor's and

above 2,542 8.3 1,355 6.6 521 9.0 213 6.9

AFQT Score§

93 – 99 2,521 8.2 1,726 8.4 501 8.7 286 4.8

65 – 92 13,020 42.5 9,512 46.4 2,444 42.3 1,422 29.9

50 – 64 6,858 22.4 4,841 23.6 1,312 22.7 744 24.7

30 – 49 6,669 21.8 4,245 20.7 1,209 20.9 608 39.9

11 – 29 846 2.8 5 <0.1 170 2.9 0 0.6

< 11‡ 36 0.1 0 0.0 2 <0.1 0 0.0

Missing 662 2.2 164 0.8 145 2.5 33 0.1

Medical Status

Fully Qualified 23,138 75.6 17,286 84.4 4,463 77.2 2,779 89.8

Permanent DQ 5,432 17.7 2,275 11.1 954 16.5 218 7.0

Temporary DQ 2,042 6.7 932 4.5 366 6.3 96 3.1

Total 30,612 100.0 20,493 100.0 5,783 100.0 3,093 100.0





capture errors.

9

Disqualifications


ALL ICD-9 CODES IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§

Disorders of refraction and accommodation 3,813 12.7 2,232 755 14.4 2,428

Hyperkinetic syndrome of childhood 1,543 5.2 903 408 7.8 1,312

Certain adverse effects, not elsewhere classified 2,290 7.6 1,341 333 6.4 1,071


Other joint derangement, not elsewhere classified 964 3.2 564 232 4.4 746

Asthma 1,255 4.2 735 216 4.1 695

Obesity and other hyperalimentation 1,231 4.1 721 175 3.3 563

Hearing loss 922 3.1 540 153 2.9 492

Contact dermatitis and other eczema 679 2.3 398 136 2.6 437

Abnormal loss of weight and underweight 999 3.3 585 134 2.6 431


Total of disqualified applicants 29,946 5,227 † Condition categories are not mutually exclusive. ‡ Indicates the percentage of medically disqualified MEPS applicants with the specified condition. § Indicates the number of individuals with the specified condition for every 100,000 applicants screened at MEPS.

TABLE 14: MEDICAL DISQUALIFICATION OF FIRST-TIME RESERVE COMPONENT ENLISTED APPLICANTS

BY ALL ICD-9 CODES IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§


Disorders of refraction and accommodation 726 10.6 2,588 101 11.7 2,434

Certain adverse effects, not elsewhere classified 547 8.0 1,950 65 7.5 1,566

Neurotic disorders 251 3.7 895 32 3.7 771

Hearing loss 188 2.7 670 30 3.5 723

Asthma 213 3.1 759 27 3.1 651

Cannabis abuse 280 4.1 998 24 2.8 578





Total of disqualified applicants 6,849 861 † Condition categories are not mutually exclusive. ‡ Indicates the percentage of medically disqualified MEPS applicants with the specified condition. § Indicates the number of individuals with the specified condition for every 100,000 applicants screened at MEPS.

10



ALL ICD-9 CODES IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§




Neurotic disorders 306 4.1 1,000 65 4.9 1,124

Asthma 274 3.7 895 56 4.2 968


Other derangement of joint, not elsewhere classified 230 3.1 751 44 3.3 761

Cannabis abuse 205 2.7 670 39 3.0 674

Hearing loss 255 3.4 833 33 2.5 571



Total of disqualified applicants 7,474 1,320 † Condition categories are not mutually exclusive. ‡ Indicates the percentage of medically disqualified MEPS applicants for the specified condition. § Indicates the number of individuals with the specified condition for every 100,000 applicants screened at MEPS.

11



ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§

Psychiatric 3,911 13.1 2,290 792 15.2 2,547

Refraction 3,552 11.9 2,079 708 13.5 2,277





Weight, body build 2,341 7.8 1,370 320 6.1 1,029

Genitourinary 1,407 4.7 824 273 5.2 878

Abdomen and viscera 1,330 4.4 779 188 3.6 605

Eyes-General 1,051 3.5 615 184 3.5 592




BY ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§


Refraction 690 10.1 2,460 97 11.3 2,337

Skin, lymphatics, allergies 689 10.1 2,456 89 10.3 2,145

Psychiatric 727 10.6 2,592 86 10.0 2,072

Lower extremities (except feet) 391 5.7 1,394 60 7.0 1,446

Lungs and chest (includes breast) 442 6.5 1,576 53 6.2 1,277

Upper extremities 337 4.9 1,201 47 5.5 1,133

Genitourinary 247 3.6 881 37 4.3 892

Audiometer 179 2.6 638 33 3.8 795

Vascular system (varicosities, etc.) 180 2.6 642 31 3.6 747



12



ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: AIR FORCE

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§


Psychiatric 913 12.2 2,982 173 13.1 2,992

Refraction 559 7.5 1,826 138 10.5 2,386





Genitourinary 289 3.9 944 49 3.7 847

Vascular system (varicosities, etc.) 256 3.4 836 49 3.7 847

Abdomen and viscera 287 3.8 938 42 3.2 726



13

Accession Medical Waivers TABLE 19: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATIONS BY YEAR

§: 2010-2015

Year Consider

(n)

Approved

(n)

Approved

(%)

2010 3,264 2,193 67.2

2011 2,892 1,793 62.0

2012 4,060 2,281 56.2

2013 3,630 2,179 60.0

2014 3,758 2,054 54.7

2015 4,005 1,871 46.7

Total 21,609

§Applicants may be counted more than once per year.

TABLE 20: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATION COUNTS: 2010-2015

All waiver considerations 21,609

Individuals 21,270

Average number of considerations per applicant 1.02

Applicants with a single condition 15,231 (71.6%)

Applicants with multiple conditions 6,163 (29.0%)

Applicants with missing conditions 215 (1.0%)

14


F


CONSIDERED IN 2010-2014 VS. 2015: AIR FORCE 2010-2014 2015



§ n %

‡ n %

§


accommodation 2,556 14.5 1,723 16.4 577 14.4 378 20.2

Hyperkinetic syndrome of childhood 1,337 7.6 790 7.5 447 11.2 212 11.3

Asthma 1,016 5.8 457 4.4 326 8.1 85 4.5


classified‡‡ 1,470 8.4 1,109 10.6 319 8 156 8.3

Neurotic disorders 765 4.3 450 4.3 281 7 82 4.4

Episodic mood disorders 640 3.6 301 2.9 142 3.5 32 1.7

Contact dermatitis and other eczema 517 2.9 166 1.6 142 3.5 22 1.2


classified 530 3 417 4 125 3.1 91 4.9

Hearing loss 552 3.1 68 0.6 108 2.7 7 0.4

Curvature of spine 296 1.7 69 0.7 84 2.1 20 1.1

Recurrent dislocation of joint 309 1.8 249 2.4 71 1.8 54 2.9


Total of approved applicants¥ 10,500 2,054

† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ This category includes waiver applicants with missing condition values.

15


F


HIGHEST PROPORTION OF APPROVED APPLICATIONS AMONG ACTIVE AND RESERVE COMPONENT AIR

FORCE ENLISTEES: 2010-2014 VS. 2015 Total 2010-2014 2015


§ n %

§

Recurrent dislocation of joint 380 79.7 249 80.6 71 76.1

Other joint derangement, not elsewhere classified 655 77.6 417 78.7 125 72.8

Strabismus and other disorders of binocular eye

movements 259 67.2 134 66 56 71.4

Disorders of refraction and accommodation 3,133 67.1 2,556 67.4 577 65.5

Internal derangement of knee 287 59.2 135 62.2 70 50


Hyperkinetic syndrome of childhood 1,784 56.2 790 59.1 447 47.4

Osteochondropathies 225 42.2 72 41.6 52 44.2

Adjustment reaction 256 44.5 96 48.5 58 31

Neurotic disorders 1,046 50.9 450 58.8 281 29.2



16


F


2010-2015† BY YEAR: AIR FORCE



n %

2010 2,069 1,610 77.8

2011

1,657 1,402 84.6

2012

2,135 1,838 86.1

2013 2,047 1,689 82.5

2014 1,973 1,650 83.6

2015

1,810 750 41.4 † Considers accessions among only those applicants with both a MEPS physical examination for Active component service rand an approved

waiver.


2010-2015† BY YEAR: AIR FORCE



n %

2010 23 3 13.0

2011

9 4 44.4

2012

17 5 29.4

2013 15 1 6.7

2014 10 4 40.0

2015

5 0 0 † Considers accessions among only those applicants with both a MEPS physical examination for Active component service rand an approved

waiver.

17


F



VS. 2015: AIR FORCE

2010-2014 2015


n % n % n % n %

Sex§

Male 8,007 81.0 6,765 82.6 1,482 81.9 636 84.8

Female 1,873 19.0 1,424 17.4 328 18.1 114 15.2

Age at Waiver§

17 – 20 6,528 66.1 5,485 67.0 1,172 64.8 494 65.9

21 – 25 3,021 30.6 2,438 29.8 530 29.3 215 28.7

> 25 33 0.3 266 3.2 108 6.0 41 5.5

Race§

White 8,139 82.4 6,770 82.7 1,423 78.6 606 80.8

Black 1,156 11.7 970 11.8 235 13.0 81 10.8

Other 586 5.9 449 5.5 152 8.4 63 8.4

Education Level§

Below HS senior† 120 1.2 79 1.0 36 2.0 8 1.1

HS senior 721 7.3 478 5.8 168 9.3 33 4.4

HS diploma 7,552 76.4 6,408 78.3 1,309 72.3 580 77.3

Some college 969 9.8 809 9.9 169 9.3 77 10.3

Bachelor's and higher 518 5.2 415 5.1 126 7.0 52 6.9

AFQT Score§

93-99 1,063 10.8 874 10.7 214 11.8 94 12.5

65-92 5,543 56.1 4,633 56.6 950 52.5 393 52.4

50-64 2,980 30.2 2,490 30.4 497 27.5 216 28.8

30-49 283 2.9 190 2.3 146 8.1 47 6.3

11-29 0 0.0 0 0.0 0 0.0 0 0.0

<11 0 0.0 0 0.0 0 0.0 0 0.0

Medical Status Fully Qualified 46 0.5 19 0.2 12 0.7 1 0.1

Permanent DQ 9,782 99.0 8,122 99.2 1,795 99.2 747 99.6

Temporary DQ 53 0.5 48 0.6 3 0.2 2 0.3

Total 9,881 8,189 1,810 750 HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total. †Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma,

vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior.

18


F



2014 VS. 2015: AIR FORCE

2010-2014 2015


n % n % n % n %

Sex§

Male 42 56.8 11 64.7 3 60.0 0 0.0

Female 32 43.2 6 35.3 2 40.0 0 0.0

Age at Waiver§

17 – 20 45 60.8 14 82.4 3 60.0 0 0.0

21 – 25 20 27.0 2 11.8 2 40.0 0 0.0

> 25 9 12.2 1 5.9 0 0.0 0 0.0

Race§

White 56 75.7 15 88.2 2 40.0 0 0.0

Black 12 16.2 2 11.8 2 40.0 0 0.0

Other 6 8.1 0 0.0 1 20.0 0 0.0

Education Level§

Below HS senior† 1 1.4 0 0.0 0 0.0 0 0.0

HS senior 4 5.4 2 11.8 0 0.0 0 0.0

HS diploma 46 62.2 14 82.4 4 80.0 0 0.0

Some college 18 24.3 1 5.9 0 0.0 0 0.0


AFQT Score§

93-99 7 9.5 0 0.0 1 20.0 0 0.0

65-92 38 51.4 10 58.8 2 40.0 0 0.0

50-64 23 31.1 6 35.3 1 20.0 0 0.0

30-49 6 8.1 1 5.9 1 20.0 0 0.0

11-29 0 0.0 0 0.0 0 0.0 0 0.0

<11 0 0.0 0 0.0 0 0.0 0 0.0


Permanent DQ 72 97.3 17 100.0 5 100.0 0 0.0

Temporary DQ 0 0.0 0 0.0 0 0.0 0 0.0

Total 74 17 5 0 HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification §Individuals with missing values for demographic variables are included in the total.

† Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma,


19

Hospitalizations

TABLE 27: ACTIVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: AIR FORCE

≤ 1 year of service >1-2 years of service

Year

Total

accessed

(n)

Admissions

(n)

Individuals

(n)

Individuals

(%)

Admissions

(n)

Individuals

(n)

Individuals

(%)

2010 28,391 819 716 2.5 495 397 1.4

2011 28,357 765 660 2.3 456 341 1.2

2012 28,962 600 532 1.8 392 312 1.1

2013 26,187 527 457 1.7 354 287 1.1

2014 24,279 437 376 1.5 184 153 0.6§

2015 24,077 295 261 1.1§ - - -

Total 160,253 3,443 3,002 1.9 1,881 1,490 0.9 § Underestimated due to lack of follow-up time.

TABLE 28: RESERVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: AIR FORCE


Year

Total

accessed

(n)

Admissions

(n)

Individuals

(n)

Individuals

(%)

Admissions

(n)

Individuals

(n)

Individuals

(%)

2010 4,445 42 38 0.9 18 15 0.3

2011 4,396 71 62 1.4 11 10 0.2

2012 3,953 42 36 0.9 10 8 0.2

2013 2,792 19 19 0.7 6 4 0.1

2014 2,606 25 21 0.8 1 1 <0.1§

2015 2,660 19 18 0.7§ - - -

Total 20,852 218 194 0.9 46 38 0.2 § Underestimated due to lack of follow-up time.

TABLE 29: NATIONAL GUARD HOSPITALIZATIONS IN 2010-2015 BY YEAR: AIR FORCE


Year

Total

accessed

(n)

Admissions

(n)

Individuals

(n)

Individuals

(%)

Admissions

(n)

Individuals

(n)

Individuals

(%)

2010 4,275 25 23 0.5 8 7 0.2

2011 4,854 48 45 0.9 8 8 0.2

2012 5,251 51 42 0.8 6 6 0.1

2013 4,613 31 29 0.6 11 10 0.2

2014 5,298 33 30 0.6 9 8 0.2§

2015 4,159 11 11 0.3§ - - -

Total 28,450 199 180 0.6 42 39 0.1 §Underestimated due to lack of follow-up time.

20



PERSONNEL ACCESSED IN 2010-2015: AIR FORCE


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 129,320 2,607 2,291 1.8 1.00 -

Female┼ 30,933 836 711 2.3 1.30 (1.19, 1.41)

Age at Accession§

17 – 20 (REF) 105,099 2,376 2,060 2.0 1.00 -

21 – 25 48,786 952 846 1.7 0.88 (0.82, 0.96)

> 25 6,366 115 96 1.5 0.77 (0.63, 0.94)

Race§

White (REF) 123,375 2,760 2,404 1.9 1.00 -

Black 25,760 499 431 1.7 0.86 (0.78, 0.95)

Other 11,118 184 167 1.5 0.77 (0.66, 0.90)

Education Level§

Below HS

graduate† 117 0 0 0.0 - -

HS diploma

(REF) 137,240 3,052 2,663 1.9 1.00 -

Some college 14,263 286 242 1.7 0.87 (0.77, 1.00)

Bachelor's or

higher 8,575 103 95 1.1 0.57 (0.47, 0.70)

AFQT Score§

93 – 99 (REF) 14,620 339 284 1.9 1.00 -

65 – 92 86,092 1,803 1,592 1.8 0.95 (0.84, 1.08)

50 – 64 50,839 1,131 981 1.9 0.99 (0.87, 1.13)

30 – 49 7,095 168 143 2.0 1.04 (0.85, 1.27)

11 – 29 2,635 0 0 0.0 - -

Medical Status

Fully Qualified

(REF) 142,931 3,030 2,645 1.9 1.00 -

Temporary DQ 3,096 71 62 2.0 1.08 (0.84, 1.39)

Permanent DQ 14,226 342 295 2.1 1.12 (0.99, 1.26)

Total 160,253 3,443 3,443 2.1 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent

Group § Individuals with missing values for demographic variables are included in the total. †Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma,

vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative

high school credential holder; 3) one who is attending high school but is not yet a senior. ┼ Hospitalizations for pregnancy/childbirth are included.

21



ENLISTED PERSONNEL ACCESSED IN 2010-2015: AIR FORCE


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 14,005 129 117 0.8 1.00 -

Female┼ 6,846 89 77 1.1 1.41 (1.08, 1.84)

Age at Accession§

17 – 20 (REF) 9,447 99 88 0.9 1.00 -

21 – 25 6,840 74 66 1.0 1.04 (0.75, 1.42)

> 25 4,564 45 40 0.9 0.94 (0.65, 1.36)

Race§ -

White (REF) 13,294 142 124 0.9 1.00 -

Black 6,064 68 62 1.0 1.10 (0.81, 1.48)

Other 1,494 8 8 0.5 0.57 (0.28, 1.17)

Education Level§

Below HS

graduate†

1 0 0 0.0 - -

HS diploma

(REF) 14,913 165 146 1.0 1.00 -

Some college 3,875 42 40 1.0 1.05 (0.74, 1.50)

Bachelor's or

higher 2,046 11 8 0.4 0.40 (0.20, 0.81)

AFQT Score§

93 – 99 (REF) 1,374 8 8 0.6 1.00 -

65 – 92 8,828 90 76 0.9 1.48 (0.72, 3.06)

50 – 64 5,679 68 60 1.1 1.81 (0.87, 3.79)

30 – 49 4,566 52 50 1.1 1.88 (0.89, 3.96)

11 – 29 3 0 0 0.0

Medical Status

Fully Qualified

(REF) 18,106 176 162 0.9 1.00 -

Temporary DQ 1,071 21 15 1.4 1.57 (0.93, 2.65)

Permanent DQ 1,675 21 17 1.0 1.13 (0.69, 1.86)

Total 20,852 218 194 0.9 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent

Group § Individuals with missing values for demographic variables are included in the total. † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma,



22


TABLE 32: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR NATIONAL GUARD ENLISTED

PERSONNEL ACCESSED IN 2010-2015: AIR FORCE


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 21,238 151 135 0.6 1.00 -

Female┼ 7,212 48 45 0.6 0.98 (0.70, 1.37)

Age at Accession§

17 – 20 (REF) 16,192 106 101 0.6 1.00 -

21 – 25 7,337 64 53 0.7 1.16 (0.83, 1.61)

> 25 4,918 29 26 0.5 0.85 (0.55, 1.30)

Race§

White (REF) 23,294 161 149 0.6 1.00 -

Black 3,616 30 24 0.7 1.04 (0.68, 1.59)

Other 1,540 8 7 0.5 0.71 (0.33, 1.51)

Education Level§

Below HS

graduate† 48 0 0 0.0 - -

HS diploma

(REF) 22,553 168 153 0.7 1.00 -

Some college 3,468 17 14 0.4 0.60 (0.34, 1.02)

Bachelor's or

higher 2,276 14 13 0.6 0.84 (0.48, 1.48)

AFQT Score§

93 – 99 (REF) 2,401 9 7 0.3 1.00 -

65 – 92 13,029 87 79 0.6 2.08 (0.96, 4.52)

50 – 64 6,737 61 55 0.8 2.82 (1.28, 6.14)

30 – 49 5,819 42 39 0.7 2.29 (1.02, 5.10)

11 – 29 11 0 0 0.0 - -

Medical Status

Fully Qualified

(REF) 24,020 163 148 0.6 1.00 -

Temporary DQ 1,268 14 12 0.9 1.79 (1.04, 3.09)

Permanent DQ 3,162 22 20 0.6 1.03 (0.64, 1.64)





23



OF SERVICE AMONG ACTIVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§

Mental disorders (not including psychoses) 34.6 34.3

Nonspecific symptoms 6.1 5.7

Psychoses 5.1 7.2

Pneumonia and influenza 5.0 3.2

Infections of skin and subcutaneous tissue 4.8 4.5

Appendicitis 4.8 8.0

Diseases of the oral cavity, salivary glands, and jaws 2.6 0.7

Fracture 2.4 2.2

Rheumatism, excluding the back 2.2 4.7

Injuries 1.7 2.2 §Percent of total hospitalizations


YEAR OF SERVICE AMONG ACTIVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§

Complications of pregnancy, childbirth, and the

puerperium 34.0 31.8


Psychoses 5.8 7.4



Fracture 3.1 3.9


Complications of surgical and medical care, not

elsewhere classified 2.3 1.5

Injuries 2.1 2.4

Alcohol and drug dependence 1.9 3.0 §Percent of total hospitalizations

24



OF SERVICE AMONG RESERVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§



Psychoses 7.9 0.0



Fracture 3.7 0.0


Other disorders of the central nervous system 3.2 0.0

Other diseases of intestines and peritoneum 2.6 4.0

Other diseases of urinary system 2.6 8.0 §Percent of total hospitalizations


YEAR OF SERVICE AMONG RESERVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§


puerperium 19.5 0.0






Psychoses 4.9 0.0

Noninfectious enteritis and colitis 4.9 0.0

Fracture 4.9 0.0

Other diseases of the upper respiratory tract 4.9 0.0

Mental disorders (not including psychoses) 2.4 50.0 §Percent of total hospitalizations

25



OF SERVICE AMONG NATIONAL GUARD ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§




Psychoses 4.8 0.0




Other diseases of digestive system 3.6 3.3

Fracture 3.0 10.0

Noninfectious enteritis and colitis 3.0 0.0 §Percent of total hospitalizations


YEAR OF SERVICE AMONG NATIONAL GUARD ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§






Other diseases of the upper respiratory tract 8.3 0.0

Fracture 4.2 20.0

Psychoses 4.2 0.0

Other and unspecified effects of external causes 4.2 0.0

Hernia of abdominal cavity 4.2 0.0 §Percent of total hospitalizations

26

Attrition

TABLE 39: ATTRITION AMONG FIRST TIME ACTIVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: AIR FORCE

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 28,391 1,262 4.4 4.4 807 2.8 7.3 869 3.1 10.3 977 3.4 13.8

2011 28,357 1,004 3.5 3.5 794 2.8 6.3 701 2.5 8.8 878 3.1 11.9

2012 28,962 1,491 5.1 5.1 521 1.8 6.9 675 2.3 9.3 995 3.4 12.7

2013 26,187 1,355 5.2 5.2 617 2.4 7.5 617 2.4 9.9 835 3.2 13.1

2014¥ 24,279 1,504 6.2 6.2 608 2.5 8.7 478 2.0 10.7 - - -

2015¥ 24,077 1,346 5.6 5.6 284 1.2 6.8 - - - - - -

Sex§

Male 129,320 5,881 4.5 4.5 2,938 2.3 6.8 2,611 2.0 8.8 3,131 2.4 11.3

Female 30,933 2,081 6.7 6.7 693 2.2 9.0 828 2.7 11.6 890 2.9 14.5

Age at Accession§

17 – 20 105,099 5,657 5.4 5.4 2,615 2.5 7.9 2,661 2.5 10.4 3,133 3.0 13.4

21 – 25 48,786 2,089 4.3 4.3 905 1.9 6.1 706 1.4 7.6 817 1.7 9.3

> 25 6,366 216 3.4 3.4 111 1.7 5.1 72 1.1 6.3 71 1.1 7.4

Race§

White 123,375 6,473 5.2 5.2 2,996 2.4 7.7 2,607 2.1 9.8 2,917 2.4 12.2

Black 25,760 1,117 4.3 4.3 461 1.8 6.1 634 2.5 8.6 894 3.5 12.1

Other 11,118 372 3.3 3.3 174 1.6 4.9 198 1.8 6.7 210 1.9 8.6

Education Level§


HS diploma 137,240 7,150 5.2 5.2 3,231 2.4 7.6 3,118 2.3 9.8 3,721 2.7 12.5

Some college 14,263 619 4.3 4.3 287 2.0 6.4 226 1.6 7.9 234 1.6 9.6

Bachelor's or higher 8,575 177 2.1 2.1 105 1.2 3.3 88 1.0 4.3 66 0.8 5.1

AFQT Score§

93 – 99 14,620 629 4.3 4.3 258 1.8 6.1 203 1.4 7.5 266 1.4 8.8

65 – 92 86,092 4,194 4.9 4.9 1,755 2.0 6.9 1,689 2.0 8.9 2,014 2.0 10.8

50 – 64 50,839 2,766 5.4 5.4 1,363 2.7 8.1 1,351 2.7 10.8 1,533 2.7 13.4

30 – 49 7,095 368 5.2 5.2 252 3.6 8.7 190 2.7 11.4 206 2.7 14.1

11 – 29 0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

Medical Status

Fully Qualified 142,931 6,865 4.8 4.8 3,172 2.2 7.0 3,075 2.2 9.2 3,601 2.5 11.7

Temporary DQ 3,096 193 6.2 6.2 83 2.7 8.9 69 2.2 11.1 99 3.2 14.3

Permanent DQ 14,226 904 6.4 6.4 376 2.6 9.0 295 2.1 11.1 321 2.3 13.3

Total§ 160,253 7,962 5.0 5.0 3,631 2.3 7.2 3,439 2.1 9.4 4,021 2.5 11.9 FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative §Individuals with missing values for demographic variables are included in the total.



27

TABLE 40: ATTRITION AMONG FIRST TIME RESERVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: AIR FORCE

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 4,445 28 0.6 0.6 122 2.7 3.4 336 1.3 4.7 202 4.5 9.2

2011 4,396 29 0.7 0.7 128 2.9 3.6 207 1.8 5.4 125 2.8 8.2

2012 3,953 33 0.8 0.8 71 1.8 2.6 148 1.6 4.2 119 3.0 7.2

2013 2,792 35 1.3 1.3 82 2.9 4.2 128 1.7 5.9 80 2.9 8.8

2014¥ 2,606 48 1.8 1.8 103 4.0 5.8 96 1.8 7.6 - - -

2015¥ 2,660 24 0.9 0.9 58 2.2 3.1 - - - - - -

Sex§

Male 14,005 97 0.7 0.7 311 2.2 2.9 530 1.2 4.1 346 2.5 6.6

Female 6,846 100 1.5 1.5 252 3.7 5.1 410 2.4 7.5 214 3.1 10.7

Age at Accession§

17 – 20 9,447 93 1.0 1.0 273 2.9 3.9 446 1.5 5.4 269 2.8 8.2

21 – 25 6,840 64 0.9 0.9 188 2.7 3.7 309 1.4 5.1 190 2.8 7.9

> 25 4,564 40 0.9 0.9 103 2.3 3.1 184 1.3 4.4 101 2.2 6.6

Race§

White 13,294 116 0.9 0.9 340 2.6 3.4 611 1.4 4.8 344 2.6 7.4

Black 6,064 70 1.2 1.2 191 3.1 4.3 282 1.7 6.0 180 3.0 9.0

Other 1,494 11 0.7 0.7 33 2.2 2.9 47 0.9 3.8 36 2.4 6.3

Education Level§


HS diploma 14,913 149 1.0 1.0 427 2.9 3.9 689 1.5 5.4 427 2.9 8.2

Some college 3,875 30 0.8 0.8 94 2.4 3.2 170 1.8 5.0 91 2.3 7.3


AFQT Score§

93 – 99 1,374 4 0.3 0.3 29 2.1 2.4 44 1 3.4 43 3.1 6.5

65 – 92 8,828 69 0.8 0.8 208 2.4 3.1 360 1.3 4.4 226 2.6 7.0

50 – 64 5,679 68 1.2 1.2 174 3.1 4.3 275 1.5 5.8 164 2.9 8.6

30 – 49 4,566 53 1.2 1.2 150 3.3 4.4 253 1.7 6.1 124 2.7 8.9

11 – 29 3 0 0.0 0.0 0 0.0 0.0 0 1.9 1.9 0 0.0 0.0

Medical Status

Fully Qualified 18,106 162 0.9 0.9 472 2.6 3.5 784 1.4 4.9 478 2.6 7.5

Temporary DQ 1,071 13 1.2 1.2 43 4.0 5.2 62 1.8 7.0 26 2.4 9.5

Permanent DQ 1,675 22 1.3 1.3 49 2.9 4.2 94 1.7 5.9 56 3.3 9.3

Total 20,852 197 0.9 0.9 564 2.7 3.6 940 1.4 5.0 560 2.7 7.7 FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative §Individuals with missing values for demographic variables are included in the total.



28

TABLE 41: ATTRITION AMONG FIRST TIME NATIONAL GUARD COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: AIR FORCE

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 4,275 4 <0.1 <0.1 13 0.3 0.4 77 1.8 2.2 211 4.9 7.1

2011 4,854 2 <0.1 <0.1 20 0.4 0.5 81 1.7 2.1 134 2.8 4.9

2012 5,251 2 <0.1 <0.1 16 0.3 0.3 74 1.4 1.8 196 3.7 5.5

2013 4,613 2 <0.1 <0.1 7 0.2 0.2 83 1.8 2.0 208 4.5 6.5

2014¥ 5,298 1 <0.1 <0.1 12 0.2 0.2 74 1.4 1.6 - - -

2015¥ 4,159 3 <0.1 <0.1 8 0.2 0.3 - - - - - -

Sex§

Male 21,238 9 <0.1 <0.1 56 0.3 0.3 263 1.2 1.5 572 2.7 4.2

Female 7,212 5 <0.1 <0.1 20 0.3 0.3 129 1.8 2.1 232 3.2 5.4

Age at Accession§

17 – 20 16,192 4 <0.1 <0.1 45 0.3 0.3 220 1.4 1.7 406 2.5 4.2

21 – 25 7,337 7 <0.1 <0.1 19 0.3 0.4 103 1.4 1.8 252 3.4 5.2

> 25 4,918 3 <0.1 <0.1 12 0.2 0.3 69 1.4 1.7 146 3.0 4.7

Race§

White 23,294 12 <0.1 <0.1 62 0.3 0.3 330 1.4 1.7 654 2.8 4.5

Black 3,616 2 <0.1 <0.1 10 0.3 0.3 46 1.3 1.6 122 3.4 5.0

Other 1,540 0 0.0 0.0 4 0.3 0.3 16 1.0 1.3 28 1.8 3.1

Education Level§


HS diploma 22,553 11 <0.1 <0.1 61 0.3 0.3 323 1.4 1.8 648 2.9 4.6

Some college 3,468 2 <0.1 <0.1 12 0.3 0.4 44 1.3 1.7 98 2.8 4.5

Bachelor's or higher 2,276 1 <0.1 <0.1 0 0.0 0.0 24 1.1 1.1 54 2.4 3.5

AFQT Score§

93 – 99 2,401 0 - - 1 <0.1 0.0 18 0.7 0.8 46 1.9 2.7

65 – 92 13,029 7 <0.1 <0.1 25 0.2 0.2 138 1.1 1.3 328 2.5 3.8

50 – 64 6,737 4 <0.1 <0.1 22 0.3 0.4 118 1.8 2.1 185 2.7 4.9

30 – 49 5,819 3 <0.1 <0.1 28 0.5 0.5 118 2.0 2.6 237 4.1 6.6

11 – 29 11 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

Medical Status

Fully Qualified 24,020 11 <0.1 <0.1 65 0.3 0.3 322 1.3 1.7 685 2.9 4.5

Temporary DQ 1,268 2 <0.1 <0.1 6 0.5 0.6 29 2.3 2.9 40 3.2 6.1

Permanent DQ 3,162 1 <0.1 <0.1 5 0.2 0.2 41 1.3 1.5 79 2.5 4.0

Total§ 28,450 14 <0.1 <0.1 76 0.3 0.3 392 1.4 1.7 804 2.8 4.5




29

EPTS Discharges


Component 2010 2011 2012 2013 2014 Total

Active 597 557 357 567 667 2,745

National Guard 4 2 1 1 5 13

Reserve 79 96 51 34 60 320

Total 680 655 409 602 732 3,078

TABLE 43: EPTS DISCHARGES OF ENLISTEES IN 2010-2014 ALL COMPONENTS

Condition n %

Ortho - knee 337 10.9

Ortho - feet 320 10.4

Other - general 287 9.3

Ortho - other 254 8.3

Ortho - back 208 6.8

Neurology - other 154 5.0

Asthma 127 4.1

Genitourinary system 108 3.5

Skin & lymphatics 108 3.5

Abdomen and viscera 104 3.4

All other categories 283 9.8

Other/Missing 788 25.6

Total 3,078

TABLE 44: LEADING PRIMARY EPTS DISCHARGE CONDITIONS FOR ALL ENLISTEES IN 2010-

2013 VS. 2014: AIR FORCE

2010-2013 2014

Primary EPTS condition

n % n %


Asthma 140 6.0 46 6.3

Other and unspecified anemias 47 2.0 42 5.7

Disorders of muscle, ligament, and fascia 46 2.0 39 5.3

Symptoms involving respiratory system and other chest

symptoms 69 2.9 37 5.1


Congenital valgus deformities of feet 163 6.9 19 2.6


Disorder of bone and cartilage, unspecified 0 0.0 17 2.3

Syncope and collapse 36 1.5 17 2.3


Total for EPTS discharge conditions 2,346

732

30


TABLE 45: EPTS DISCHARGES FROM ACTIVE COMPONENT BY ACCESSION YEAR: AIR FORCE

Year of

accession

Accessions

(n)

Discharges

(n)

Discharges

(%)

2010 28,391 571 2.0

2011 28,357 521 1.8

2012 28,962 358 1.2

2013 26,187 514 2.0

2014 24,279 576 2.4

Total 136,176 2,540 1.9

TABLE 46: EPTS DISCHARGES FROM RESERVE COMPONENT BY ACCESSION YEAR: AIR FORCE

Year of

accession

Accessions

(n)

Discharges

(n)

Discharges

(%)

2010 4,445 97 2.2

2011 4,396 73 1.7

2012 3,953 23 0.6

2013 2,792 38 1.4

2014 2,606 40 1.5

Total 18,192 271 1.5

TABLE 47: EPTS DISCHARGES FROM NATIONAL GUARD BY ACCESSION YEAR: AIR FORCE

Year of

accession

Accessions

(n)

Discharges

(n)

Discharges

(%)

2010 4,275 1 <0.1

2011 4,854 2 <0.1

2012 5,251 0 0.0

2013 4,613 4 <0.1

2014 5,298 0 0.0

Total 24,291 7 <0.1

31



EPTS DISCHARGE: AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 110,211 1,743 1.6 1.00 -

Female 25,965 797 3.1 1.94 (1.79, 2.11)

Age at

Accession§

17 – 20 (REF) 89,090 1,790 2.0 1.00 -

21 – 25 41,792 674 1.6 0.80 (0.74, 0.88)

> 25 5,292 76 1.4 0.71 (0.57, 0.90)

Race§

White (REF) 105,285 1,995 1.9 1.00 -

Black 21,765 420 1.9 1.02 (0.92, 1.13)

Other 9,126 125 1.4 0.72 (0.60, 0.86)

Education

Level§

Below HS

graduate† 65 1 1.5 0.79 (0.11, 5.53)

HS diploma

(REF) 116,767 2,274 1.9 1.00 -

Some college 12,145 213 1.8 0.90 (0.78, 1.04)

Bachelor's or

higher 7,145 51 0.7 0.37 (0.28, 0.48)

AFQT Score§

93 – 99 (REF) 12,481 197 1.6 1.00 -

65 – 92 73,458 1,360 1.9 1.17 (1.01, 1.36)

50 – 64 43,579 865 2.0 1.26 (1.08, 1.47)

30 – 49 5,276 118 2.2 1.42 (1.13, 1.78)

11 – 29 0 0 - - -

Medical Status

Fully Qualified

(REF) 121,595 2,104 1.7 1.00 -

Temporary DQ 2,672 72 2.7 1.56 (1.24, 1.96)

Permanent DQ 11,909 364 3.1 1.77 (1.58, 1.97)

Total 136,176 2,540 1.9 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,


high school credential holder; 3) one who is attending high school but is not yet a senior.

32


TABLE 49: CHARACTERISTICS OF ENLISTED RESERVE COMPONENT ACCESSIONS IN 2010-2014 ENDING

IN EPTS DISCHARGE: AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 12,286 175 0.0 1.00 -

Female 5,905 219 3.7 2.60 (2.14, 3.17)

Age at

Accession§

17 – 20 (REF) 8,167 171 2.1 1.00 -

21 – 25 6,022 102 1.7 0.81 (0.63, 1.03)

> 25 4,002 82 2.0 0.98 (0.75, 1.27)

Race§

White (REF) 11,657 209 1.8 1.00 -

Black 5,277 132 2.5 1.40 (1.12, 1.73)

Other 1,258 14 1.1 0.62 (0.36, 1.06)

Education

Level§

Below HS

graduate† 1 0 0.0 - -

HS diploma

(REF) 12,941 259 2.0 1.00 -

Some college 3,486 71 2.0 1.02 (0.78, 1.32)

Bachelor's or

higher 1,747 25 1.4 0.72 (0.48, 1.07)

AFQT Score§

93 – 99 (REF) 1,204 14 1.2 1.00 -

65 – 92 7,682 138 1.8 1.54 (0.89, 2.67)

50 – 64 4,969 107 2.2 1.85 (1.06, 3.22)

30 – 49 3,978 96 2.4 2.08 (1.19, 3.62)

11 – 29 3 0 0.0 - -

Medical Status

Fully Qualified

(REF) 15,733 288 1.8 1.00 -

Temporary DQ 957 22 2.3 1.26 (0.82, 1.93)

Permanent DQ 1,502 45 3.0 1.64 (1.20, 2.23)

Total 18,192 394 2.2 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma, vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative


33


TABLE 50: CHARACTERISTICS OF ENLISTED NATIONAL GUARD COMPONENT ACCESSIONS IN 2010-2014

ENDING IN EPTS DISCHARGE: AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 18,233 9 0.0 1.00 -

Female 6,058 9 0.1 3.01 (1.20, 7.58)

Age at

Accession§

17 – 20 (REF) 13,670 11 0.1 1.00 -

21 – 25 6,376 2 0.0 0.39 (0.09, 1.76)

> 25 4,242 2 0.0 0.59 (0.13, 2.64)

Race§

White (REF) 19,968 12 0.1 1.00 -

Black 3,044 2 0.1 1.09 (0.24, 4.88)

Other 1,279 1 0.1 1.30 (0.17, 10.00)

Education

Level§

Below HS

graduate† 37 1 2.7 43.25 (5.77, 324.22)

HS diploma

(REF) 19,204 12 0.1 1.00 -

Some college 3,037 0 0.0 0.00 -

Bachelor's or

higher 1,920 1 0.1 0.83 (0.11, 6.41)

AFQT Score§

93 – 99 (REF) 2,035 0 0.0 1.00 -

65 – 92 11,170 4 0.0 - -

50 – 64 5,735 4 0.1 - -

30 – 49 4,950 7 0.1 - -

11 – 29 9 0 0.0 - -

Medical Status

Fully Qualified

(REF) 20,397 10 0.0 1.00 -

Temporary DQ 1,103 2 0.2 3.70 (0.81, 16.86)

Permanent DQ 2,791 3 0.1 2.19 (0.60, 7.96)

Total 24,291 18 0.1 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



34


TABLE 51: DISABILITY DISCHARGES FROM ACTIVE COMPONENT WITHIN IN THE FIRST

YEAR OF SERVICE AMONG 2010-2015 ACCESSIONS: AIR FORCE



(n) n %

2010 28,391 89 0.31

2011 28,357 91 0.32

2012 28,962 114 0.39

2013 26,187 45 0.17

2014 24,279 30 0.12

2015§ 24,077 4 0.02

§The rate of disability evaluation is underestimated due to lack of follow up data on individuals accessed in 2015.

TABLE 52: DISABILITY DISCHARGES FROM RESERVE COMPONENT WITHIN IN THE FIRST

YEAR OF SERVICE AMONG 2010-2015 ACCESSIONS: AIR FORCE



(n) n %

2010 4,445 3 0.07

2011 4,396 3 0.07

2012 3,953 7 0.18

2013 2,792 1 0.04

2014 2,606 0 -

2015§ 2,660 0 -


TABLE 53: DISABILITY DISCHARGES FROM NATIONAL GUARD WITHIN IN THE FIRST YEAR

OF SERVICE AMONG 2010-2015 ACCESSIONS: AIR FORCE



(n) n %

2010 4,275 2 0.05

2011 4,854 1 0.02

2012 5,251 2 0.04

2013 4,613 0 -

2014 5,298 2 0.04

2015§ 4,159 0 -


35


TABLE 54: DISABILITY DISCHARGES FROM ACTIVE COMPONENT IN THE FIRST YEAR OF SERVICE AMONG

2010-2015 ACCESSIONS: AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 129,320 242 0.19 1.00 -

Female 30,933 131 0.42 2.26 (1.83 , 2.80)

Age at

Accession§

17 – 20 (REF) 105,099 266 0.25 1.00 -

21 – 25 48,786 97 0.20 0.79 (0.62 , 0.99)

> 25 6,366 10 0.16 0.62 (0.33 , 1.17)

Race§

White (REF) 123,375 304 0.25 1.00 -

Black 25,760 58 0.23 0.91 (0.69 , 1.21)

Other 11,118 11 0.10 0.40 (0.22 , 0.73)

Education

Level§

Below HS

graduate† 117 0 - - -

HS diploma

(REF) 137,240 337 0.25 1.00 -

Some college 14,263 27 0.19 0.77 (0.52 , 1.14)

Bachelor's or

higher 8,575 9 0.10 0.43 (0.22 , 0.83)

AFQT Score§

93 – 99 (REF) 14,620 30 0.21 1.00 -

65 – 92 56,092 180 0.32 1.56 (1.06 , 2.30)

50 – 64 50,839 135 0.27 1.29 (0.87 , 1.92)

30 – 49 7,095 27 0.38 1.85 (1.10 , 3.12)

11 – 29 0 0 - - -

Medical Status

Fully Qualified

(REF) 142,931 333 0.23 1.00 -

Temporary DQ 3,096 6 0.19 0.83 (0.37 , 1.86)

Permanent DQ 14,226 34 0.24 1.03 (0.72 , 1.46)

Total 160,253 373 0.23 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group §Individuals with missing values for demographic variables are included in the total.

† Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



36


TABLE 55: DISABILITY DISCHARGES FROM RESERVE COMPONENT IN THE FIRST YEAR OF SERVICE

AMONG 2010-2015 ACCESSIONS: AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 14,005 9 0.06 1.00 -

Female 6,846 5 0.07 1.14 (0.38 , 3.39)

Age at

Accession§

17 – 20 (REF) 9,447 5 0.05 1.00 -

21 – 25 6,840 6 0.09 1.66 (0.51 , 5.43)

> 25 4,564 3 0.07 1.24 (0.30 , 5.20)

Race§

White (REF) 13,294 10 0.08 1.00 -

Black 6,064 4 0.07 0.88 (0.28 , 2.80)

Other 1,494 0 - - -

Education

Level§

Below HS

graduate† 1 0 - - -

HS diploma

(REF) 14,913 12 0.08 1.00 -

Some college 3,875 2 0.05 0.64 (0.14 , 2.87)

Bachelor's or

higher 2,046 0 - - -

AFQT Score§

93 – 99 (REF) 1,374 1 0.07 1.00 -

65 – 92 8,828 6 0.07 0.93 (0.11 , 7.76)

50 – 64 5,679 3 0.05 0.73 (0.08 , 6.98)

30 – 49 4,566 4 0.09 1.20 (0.13 , 10.77)

11 – 29 3 0 - - -

Medical Status

Fully Qualified

(REF) 18,106 13 0.07 1.00 -

Temporary DQ 1,071 0 - - -

Permanent DQ 1,675 1 0.06 0.83 (0.11 , 6.36)

Total 20,852 14 0.07 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total. †Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



37


TABLE 56: DISABILITY DISCHARGES FROM NATIONAL GUARD IN THE FIRST YEAR OF SERVICE AMONG

2010-2015 ACCESSIONS: AIR FORCE

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 21,238 5 0.02 1.00 -

Female 7,212 2 0.03 1.18 (0.23 , 6.07)

Age at

Accession§

17 – 20 (REF) 16,192 3 0.02 1.00 -

21 – 25 7,337 1 0.01 0.74 (0.08 , 7.07)

> 25 4,918 3 0.06 3.29 (0.66 , 16.31)

Race§

White (REF) 23,294 7 0.03 1.00 -

Black 3,616 0 - - -

Other 1,540 0 - - -

Education

Level§

Below HS


HS diploma

(REF) 22,553 6 0.03 1.00 -

Some college 3,468 0 - - -

Bachelor's or

higher 2,276 1 0.04 1.65 (0.20 , 13.72)

AFQT Score§

93 – 99 (REF) 2,401 1 0.04 1.00 -

65 – 92 13,029 2 0.02 0.37 (0.03 , 4.06)

50 – 64 6,737 2 0.03 0.71 (0.06 , 7.86)

30 – 49 5,819 2 0.03 0.83 (0.07 , 9.10)

11 – 29 11 0 - - -

Medical Status

Fully Qualified

(REF) 24,020 6 0.02 1.00 -

Temporary DQ 1,268 1 0.08 3.16 (0.38 , 26.22)

Permanent DQ 3,162 0 - - -

Total 28,450 7 0.02 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group §

Individuals with missing values for demographic variables are included in the total. † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



38


TABLE 57: DIAGNOSIS CATEGORIES FOR DISABILITY DISCHARGES AMONG FIRST-TIME ENLISTED

PERSONNEL IN THE FIRST YEAR OF SERVICE FOR 2010-2015 ACCESSIONS: AIR FORCE

2010-2015

Diagnosis category Count %§














Published & Distributed 1st Quarter Fiscal Year 2017

Supplemental Tables: Army Applicants and Accessions









Defense.


i

Contents



MEPS who received a medical examination by year: Army ................................................................ 1



Table 3: Disqualification, waiver, and accession rates for enlisted National Guard applicants at



enlisted active component accessions by year: Army .......................................................................... 2


enlisted reserve component accessions by year: Army ........................................................................ 2


enlisted National Guard accessions by year: Army .............................................................................. 2



examination in 2010-2015: Army ........................................................................................................ 3


medical examination in 2010-2014 vs. 2015: Army ............................................................................ 4


examination in 2010-2015: Army ........................................................................................................ 5



Table 11: Accession rate for enlisted National Guard component applicants at MEPS who received a

medical examination in 2010-2015: Army ........................................................................................... 7





codes in 2010-2014 vs. 2015: Army .................................................................................................... 9


codes in 2010-2014 vs. 2015: Army .................................................................................................... 9

Table 15: Medical disqualification of first-time National Guard enlisted applicants by all ICD-9

codes in 2010-2014 vs. 2015: Army .................................................................................................. 10


USMEPCOM failure codes in 2010-2014 vs. 2015: Army ................................................................ 11



ii

AMSARA Annual Report 2016: Army

Table 18: Medical disqualification of first-time National Guard enlisted applicants by all listed


Accession Medical Waivers ..................................................................................................... 13

Table 19: Active and reserve component waiver considerations by year§: 2010-2015 ...................... 13

Table 20: Active and reserve component waiver consideration counts: 2010-2015 .......................... 13


2010-2014 vs. 2015: Army ................................................................................................................. 14


proportion of approved applications among active and reserve component Army enlistees: 2010-

2014 vs. 2015 ..................................................................................................................................... 15


by year: Army .................................................................................................................................... 16


2015† by year: Army .......................................................................................................................... 16


accession medical waiver compared to active component accessions 2010-2014 vs. 2015: Army ... 17


accession medical waiver compared to reserve component accessions 2010-2014 vs. 2015: Army . 18


Table 27: Active component hospitalizations in 2010-2015 by year: Army ...................................... 19

Table 28: Reserve component hospitalizations in 2010-2015 by year: Army ................................... 19

Table 29: National Guard hospitalizations in 2010-2015 by year: Army .......................................... 19


accessed in 2010-2015: Army ............................................................................................................ 20


personnel accessed in 2010-2015: Army ............................................................................................ 21

Table 32: Hospital admissions within one year of accession for National Guard enlisted personnel

accessed in 2010-2015: Army ............................................................................................................ 22













iii


Attrition .................................................................................................................................... 26


since accession: Army ........................................................................................................................ 26


since accession: Army ........................................................................................................................ 27

Table 41: Attrition among first time national guard component enlisted accessions in 2010-2015 by

days since accession: Army ................................................................................................................ 28

EPTS Discharges ....................................................................................................................... 29


Table 43: EPTS discharges of enlistees in 2010-2014 All Components ............................................ 29

Table 44: Leading primary EPTS discharge conditions for all enlistees in 2010-2013 vs. 2014: Army

............................................................................................................................................................ 29

Table 45: EPTS discharges from active component by accession year: Army .................................. 30

Table 46: EPTS discharges from reserve component by accession year: Army ................................ 30

Table 47: EPTS discharges from National Guard by accession year: Army...................................... 30


discharge: Army ................................................................................................................................. 31


discharge: Army ................................................................................................................................ 32

Table 50: Characteristics of enlisted National Guard component accessions in 2010-2014 ending in

EPTS discharge: Army ....................................................................................................................... 33



2010-2015 accessions: Army ............................................................................................................. 34


2010-2015 accessions: Army ............................................................................................................. 34

Table 53: Disability discharges from National Guard within in the first year of service among 2010-

2015 accessions: Army ....................................................................................................................... 34


accessions: Army................................................................................................................................ 35


2015 accessions: Army ....................................................................................................................... 36

Table 56: Disability discharges from National Guard in the first year of service among 2010-2015

accessions: Army................................................................................................................................ 37


first year of service for 2010-2015 accessions: Army ........................................................................ 38

1


TABLE 1: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED ACTIVE COMPONENT APPLICANTS AT

MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: ARMY

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010 87,308 19,843 22.7 8,587 9.8 5,440 6.2 65,201 74.7

2011 76,766 16,572 21.6 8,304 10.8 5,233 6.8 57,213 74.5

2012 67,340 14,308 21.2 7,598 11.3 5,152 7.7 50,264 74.6

2013 73,105 16,615 22.7 9,286 12.7 6,767 9.3 56,637 77.5

2014 64,722 14,514 22.4 7,926 12.2 5,633 8.7 48,716 75.3

2015§

65,529 13,240 20.2 5,113 7.8 3,704 5.7 - -

Total 434,770 95,092 21.9 46,814 10.8 31,929 7.3 278,031 75.3


TABLE 2: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED RESERVE COMPONENT APPLICANTS AT


Applica

nt

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010 17,955 3,747 20.9 1,740 9.7 1,211 6.7 11,831 65.9

2011 20,888 3,941 18.9 2,051 9.8 1,406 6.7 15,337 73.4

2012 17,680 3,653 20.7 2,021 11.4 1,397 7.9 11,764 66.5

2013 18,553 3,858 20.8 2,228 12.0 1,674 9.0 11,098 59.8

2014 17,979 3,706 20.6 2,135 11.9 1,557 8.7 13,000 72.3

2015§

18,342 3,290 17.9 1,399 7.6 1,055 5.8 - -

Total 111,397 22,195 19.9 11,574 10.4 8,300 7.5 63,060 67.8


TABLE 3: DISQUALIFICATION, WAIVER, AND ACCESSION RATES FOR ENLISTED NATIONAL GUARD APPLICANTS AT


Applicant

(n)

DQ

(n)

DQ

(%)

Access

(n)

Access

(%)

2010 41,692 9,694 23.3 33,689 80.8

2011 35,181 7,444 21.2 28,833 82.0

2012 39,663 8,251 20.8 31,072 78.3

2013 42,007 9,538 22.7 23,171 55.2

2014 40,710 8,739 21.5 33,816 83.1

2015§

35,890 7,141 19.9 - -

Total 235,143 50,807 21.6 150,581 75.6


2

TABLE 4: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED ACTIVE COMPONENT ACCESSIONS BY YEAR: ARMY

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n)┼

Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 68,116 11,677 17.1 4,769 7.0 1,330 2.0 2,147 3.2 363 0.53 8,344 12.2

2011 60,427 9,291 15.4 4,573 7.6 1,661 2.7 1,883 3.1 251 0.42 7,433 12.3

2012 58,928 7,840 13.3 4,686 8.0 796 1.4 1,795 3.0 144 0.24 8,119 13.8

2013 66,713 10,060 15.1 6,674 10.0 611 0.9 2,013 3.0 311 0.47 9,028 13.5

2014 55,285 8,738 15.8 5,748 10.4 181 0.3 1,723 3.1 218 0.39 7,346 13.3

2015§ 57,096 8,357 14.6 5,348 9.4 - - 886 1.6 - - - -

Total 366,565 55,963 15.3 31,798 8.7 4,579 1.5 10,447 2.8 1,287 0.42 40,270 13.0 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

TABLE 5: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED RESERVE COMPONENT ACCESSIONS BY YEAR: ARMY

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n) ┼

EPTS

(%)

Hosp

(n)

Hosp

(%)

Disability

Discharge

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 14,507 2,125 14.6 875 6.0 165 1.1 121 0.8 24 0.17 283 2.0

2011 16,977 2,236 13.2 1,103 6.5 229 1.3 257 1.5 27 0.16 450 2.7

2012 13,436 1,862 13.9 960 7.1 39 0.3 170 1.3 5 0.04 403 3.0

2013 10,840 1,513 14.0 870 8.0 27 0.2 116 1.1 14 0.13 438 4.0

2014 13,588 2,018 14.9 1,216 8.9 17 0.1 143 1.1 11 0.08 531 3.9

2015§ 13,927 1,651 11.9 902 6.5 - - 94 0.7 - - - -

Total 83,275 11,405 13.7 5,926 7.1 477 0.7 901 1.1 81 0.12 2,105 3.0 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

TABLE 6: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED NATIONAL GUARD ACCESSIONS BY YEAR: ARMY

Accession

(n)

DQ

(n)

DQ

(%)

EPTS

(n) ┼

EPTS

(%)

Hosp

(n)

Hosp

(%)

Disability

Discharge

(n)┼

Disability Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 41,908 6,501 15.5 743 1.8 347 0.8 86 0.21 18 0.04

2011 35,404 5,020 14.2 667 1.9 430 1.2 48 0.14 14 0.04

2012 36,883 5,012 13.6 290 0.8 412 1.1 22 0.06 1 <0.1

2013 24,082 3,793 15.8 96 0.4 293 1.2 36 0.15 0 0.0

2014 38,086 5,831 15.3 45 0.1 471 1.2 32 0.08 0 0.0

2015§ 33,727 4,813 14.3 - - 162 0.5 - - - -

Total 210,090 30,970 14.7 1,841 1.0 2,115 1.0 224 0.13 33 0.02 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

3


TABLE 7: ACCESSION RATE FOR ENLISTED ACTIVE COMPONENT APPLICANTS AT MEPS WHO RECEIVED A MEDICAL

EXAMINATION IN 2010-2015: ARMY

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 87,308 61,116 70.0 65,018 74.5 65,201 74.7

2011 76,766 53,270 69.4 57,038 74.3 57,213 74.5

2012 67,340 47,075 69.9 50,226 74.6 50,264 74.6

2013 73,105 53,193 72.8 56,626 77.5 56,637 77.5

2014 64,722 46,257 71.5 48,716 75.3† 48,716 75.3†

2015 65,529 35,205 53.7† 35,205 53.7† 35,205 53.7†

Total

Applicants 434,770 296,116

312,829

313,236



4


TABLE 8: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED ACTIVE COMPONENT APPLICANTS WHO RECEIVED A

MEDICAL EXAMINATION IN 2010-2014 VS. 2015: ARMY

2010 – 2014 2015


n % n % n % n %

Sex§

Male 307,044 83.2 235,567 84.7 53,721 82.0 29,276 83.2

Female 62,149 16.8 42,464 15.3 11,788 18.0 5,929 16.8

Age Group at

MEPS§

17 – 20 229,626 62.2 178,536 64.2 42,724 65.2 24,109 68.5

21 – 25 101,081 27.4 74,576 26.8 16,990 25.9 8,711 24.7

> 25 38,524 10.4 24,916 9.0 5,815 8.9 2,385 6.8

Race§

White 265,357 71.9 203,716 73.3 44,460 67.8 24,706 70.2

Black 75,499 20.4 58,402 21.0 15,106 23.1 8,406 23.9

Other 28,385 7.7 15,913 5.7 5,963 9.1 2,093 5.9

Education§

Below HS Senior† 1,299 0.4 566 0.2 394 0.6 0 0.0

HS Senior 35,634 9.7 20,975 7.6 8,884 13.5 1,897 5.4

HS Diploma 269,668 73.3 213,092 76.8 47,617 72.6 29,511 83.9

Some College 31,224 8.5 23,842 8.6 3,286 5.0 1,810 5.1

Bachelor's and

above 30,244 8.2 18,831 6.8 5,405 8.2 1,971 5.6

AFQT Score§

93 – 99 21,672 5.9 16,508 5.9 3,164 4.8 1,682 4.8

65 – 92 117,025 31.7 90,794 32.7 19,193 29.3 10,521 29.9

50 – 64 89,429 24.2 68,557 24.7 15,678 23.9 8,699 24.7

30 – 49 129,613 35.1 100,302 36.1 24,964 38.1 14,043 39.9

11 – 29 5,408 1.5 1,123 0.4 1,342 2.0 213 0.6

< 11‡ 90 <0.1 13 <0.1 16 0.0 0 0.0

Missing 6,004 1.6 734 0.3 1,172 1.8 47 0.1

Medical Status

Fully Qualified 287,389 77.8 236,900 85.2 52,289 79.8 31,140 88.5

Permanent DQ 60,481 16.4 29,956 10.8 9,732 14.9 3,007 8.5

Temporary DQ 21,371 5.8 11,175 4.0 3,508 5.4 1,058 3.0

Total 369,241 100.0 278,031 100.0 65,529 100.0 35,205 100.0



or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data

capture errors.

5


TABLE 9: ACCESSION RATE FOR ENLISTED RESERVE COMPONENT APPLICANTS AT MEPS WHO RECEIVED A MEDICAL

EXAMINATION IN 2010-2015: ARMY

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 17,955 11,502 64.1 11,830 65.9 11,831 65.9

2011 20,888 15,136 72.5 15,334 73.4 15,337 73.4

2012 17,680 11,522 65.2 11,762 66.5 11,764 66.5

2013 18,553 10,821 58.3 11,093 59.8 11,098 59.8

2014 17,979 12,842 71.4 13,000 72.3† 13,000 72.3†

2015 18,342 12,438 67.8† 12,438 67.8† 12,438 67.8†

Total


75,457

75,468



6


TABLE 10: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED RESERVE COMPONENT APPLICANTS WHO RECEIVED A


2010 – 2014 2015


n % n % n % n %

Sex§

Male 68,053 73.1 46,066 73.1 13,033 71.1 8,843 71.1

Female 24,989 26.9 16,964 26.9 5,307 28.9 3,595 28.9

Age Group at

MEPS§

17 – 20 62,425 67.1 43,900 69.7 12,430 67.8 8,778 70.6

21 – 25 20,347 21.9 13,020 20.7 3,795 20.7 2,386 19.2

> 25 10,280 11.0 6,108 9.7 2,117 11.5 1,274 10.2

Race§

White 64,139 68.9 44,353 70.4 11,322 61.7 7,847 63.1

Black 21,829 23.5 14,506 23.0 4,778 26.0 3,126 25.1

Other 7,087 7.6 4,171 6.6 2,242 12.2 1,465 11.8

Education§

Below HS Senior† 5,973 6.4 4,879 7.8 1,233 6.7 995 8.0

HS Senior 18,361 19.8 14,240 22.7 4,565 24.9 3,456 27.8

HS Diploma 53,317 57.5 34,066 54.2 9,854 53.8 6,290 50.6

Some College 8,216 8.9 5,522 8.8 922 5.0 597 4.8

Bachelor's and

above 6,807 7.3 4,133 6.6 1,750 9.6 1,095 8.8

AFQT Score§

93 – 99 5,462 5.9 3,748 5.9 1,025 5.6 700 5.6

65 – 92 30,280 32.5 21,574 34.2 6,080 33.1 4,299 34.6

50 – 64 22,318 24.0 15,441 24.5 4,319 23.5 3,018 24.3

30 – 49 32,787 35.2 21,622 34.3 6,680 36.4 4,401 35.4

11 – 29 1,999 2.1 591 0.9 232 1.3 20 0.2

< 11‡ 83 0.1 51 0.1 2 <0.1 0 0.0

Missing 126 0.1 3 <0.1 4 <0.1 0 0.0

Medical Status

Fully Qualified 74,150 79.7 54,295 86.1 15,052 82.1 11,158 89.7

Permanent DQ 14,203 15.3 6,391 10.1 2,480 13.5 910 7.3

Temporary DQ 4,702 5.1 2,344 3.7 810 4.4 370 3.0

Total 93,055 100.0 63,030 100.0 18,342 100.0 12,438 100.0



holder; 3) one who is attending high school and is not yet a senior. ‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data capture errors.

7


TABLE 11: ACCESSION RATE FOR ENLISTED NATIONAL GUARD COMPONENT APPLICANTS AT MEPS WHO RECEIVED A

MEDICAL EXAMINATION IN 2010-2015: ARMY

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

% Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 41,692 33,300 79.9 33,687 80.8 33,689 80.8

2011 35,181 28,522 81.1 28,829 81.9 28,833 82.0

2012 39,663 30,713 77.4 31,067 78.3 31,072 78.3

2013 42,007 22,617 53.8 23,142 55.1 23,171 55.2

2014 40,710 33,581 82.5 33,816 83.1† 33,816 83.1†

2015 35,890 28,009 78.0† 28,009 78.0† 28,009 78.0†

Total

Applicants 235,143 176,742

178,550

178,590



8


TABLE 12: DEMOGRAPHIC CHARACTERISTICS OF ENLISTED NATIONAL GUARD APPLICANTS WHO RECEIVED A


2010 – 2014 2015


n % n % n % n %

Sex§

Male 154,030 77.3 117,654 78.1 26,928 75.0 21,353 76.2

Female 45,197 22.7 32,927 21.9 8,959 25.0 6,656 23.8

Age Group at

MEPS§

17 – 20 139,504 70.0 107,994 71.7 26,094 72.7 20,848 74.4

21 – 25 41,799 21.0 30,265 20.1 6,854 19.1 5,110 18.2

> 25 17,945 9.0 12,317 8.2 2,942 8.2 2,051 7.3

Race§

White 151,413 76.0 116,980 77.7 26,142 72.8 20,775 74.2

Black 37,718 18.9 27,605 18.3 7,913 22.0 5,953 21.3

Other 10,122 5.1 5,996 4.0 1,835 5.1 1,281 4.6

Education§

Below HS Senior† 21,801 11.0 17,050 11.3 3,981 11.1 3,272 11.7

HS Senior 39,616 19.9 31,585 21.0 8,550 23.8 7,020 25.1

HS Diploma 116,606 58.6 85,748 57.0 19,917 55.5 15,124 54.0

Some College 11,333 5.7 9,059 6.0 1,504 4.2 1,167 4.2

Bachelor's and

above 9,732 4.9 7,034 4.7 1,920 5.4 1,416 5.1

AFQT Score§

93 – 99 11,110 5.6 8,782 5.8 1,937 5.4 1,563 5.6

65 – 92 65,548 32.9 52,207 34.7 11,146 31.1 9,297 33.2

50 – 64 48,543 24.4 37,987 25.2 8,014 22.3 6,568 23.4

30 – 49 65,270 32.8 49,043 32.6 12,235 34.1 9,835 35.1

11 – 29 8,089 4.1 2,559 1.7 2,484 6.9 746 2.7

< 11‡ 92 <0.1 1 <0.1 40 0.1 0 0.0

Missing 601 0.3 2 <0.1 34 0.1 0 0.0

Medical Status

Fully Qualified 155,587 78.1 128,860 85.6 28,749 80.1 24,706 88.2

Permanent DQ 27,011 13.6 12,405 8.2 4,509 12.6 1,965 7.0

Temporary DQ 16,655 8.4 9,316 6.2 2,632 7.3 1,338 4.8

Total 199,253 100.0 150,581 100.0 35,890 100.0 28,009 100.0



or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data

capture errors.

9

Disqualifications

TABLE 13: MEDICAL DISQUALIFICATION OF FIRST-TIME ACTIVE COMPONENT ENLISTED APPLICANTS BY ALL ICD-9

CODES IN 2010-2014 VS. 2015: ARMY

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§



Cannabis abuse 3,744 4.6 1,014 965 7.3 1,473


Hyperkinetic syndrome of childhood 2,870 3.5 777 655 4.9 1,000

Hearing loss 3,674 4.5 995 525 4.0 801

Abnormal loss of weight and underweight 2,779 3.4 753 475 3.6 725


Other joint derangement, not elsewhere classified 1,933 2.4 524 433 3.3 661

Asthma 2,101 2.6 569 363 2.7 554



TABLE 14: MEDICAL DISQUALIFICATION OF FIRST-TIME RESERVE COMPONENT ENLISTED APPLICANTS BY ALL ICD-9

CODES IN 2010-2014 VS. 2015: ARMY

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§





Hearing loss 790 4.2 849 131 4.0 714


Cannabis abuse 395 2.1 424 110 3.3 600






10


TABLE 15: MEDICAL DISQUALIFICATION OF FIRST-TIME NATIONAL GUARD ENLISTED APPLICANTS BY ALL ICD-9

CODES IN 2010-2014 VS. 2015: ARMY

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§






Hearing loss 1,820 4.2 913 253 3.5 705

Cannabis abuse 1,907 4.4 957 214 3.0 596

Other derangement of joint, not elsewhere classified 750 1.7 376 160 2.2 446




Total of disqualified applicants 43,666 7,141 † Condition categories are not mutually exclusive. ‡ Indicates the percentage of medically disqualified MEPS applicants for the specified condition. § Indicates the number of individuals with the specified condition for every 100,000 applicants screened at MEPS.

11


TABLE 16: MEDICAL DISQUALIFICATION OF FIRST-TIME ACTIVE COMPONENT ENLISTED APPLICANTS BY ALL LISTED

USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: ARMY

2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§


Refraction 8,914 10.9 2,414 1,924 14.5 2,936

Psychiatric 10,108 12.3 2,738 1,611 12.2 2,458

Skin, lymphatics, allergies 7,019 8.6 1,901 1,144 8.6 1,746

Lower extremities (except feet) 6,168 7.5 1,670 1,088 8.2 1,660


Cannabis test positive 3,549 4.3 961 914 6.9 1,395


Audiometer 3,575 4.4 968 526 4.0 803

Genitourinary 2,987 3.6 809 522 3.9 797



TABLE 17: MEDICAL DISQUALIFICATION OF FIRST-TIME RESERVE COMPONENT ENLISTED APPLICANTS BY ALL LISTED


2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§


Refraction 2,481 13.1 2,666 509 15.5 2,775

Psychiatric 1,958 10.4 2,104 334 10.2 1,821




Cannabis test positive 643 3.4 691 176 5.3 960


Eyes - Other 624 3.3 671 128 3.9 698

Audiometer 782 4.1 840 125 3.8 681



12


TABLE 18: MEDICAL DISQUALIFICATION OF FIRST-TIME NATIONAL GUARD ENLISTED APPLICANTS BY ALL LISTED


2010-2014 2015

Condition† n %

‡ Rate

§ n %

‡ Rate

§


Refraction 4,079 9.3 2,047 928 13.0 2,586

Psychiatric 4,705 10.8 2,361 716 10.0 1,995



Cannabis test positive 3,013 6.9 1,512 380 5.3 1,059

Upper extremities 2,112 4.8 1,060 349 4.9 972


Audiometer 1,809 4.1 908 258 3.6 719

Genitourinary 1,286 2.9 645 240 3.4 669



13


§: 2010-2015

Year Consider

(n)

Approved

(n)

Approved

(%)

2010 15,698 9,145 58.3

2011 14,887 8,381 56.3

2012 14,255 7,853 55.1

2013 15,620 9,640 61.7

2014 15,336 9,491 61.9

2015 11,718 7,042 60.1

Total 87,514 §Applicants may be counted more than once per year.

TABLE 20: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATION COUNTS: 2010-2015


Applicants 80,214


Considerations with a single condition 69,362 (86.5%)

Considerations with multiple conditions 17,481 (21.8%)

Considerations with missing conditions 671 (1.0%)

14


TABLE 21: LEADING CONDITIONS FOR ACTIVE AND RESERVE COMPONENT ACCESSION WAIVERS CONSIDERED IN

2010-2014 VS. 2015: ARMY

2010-2014 2015



§ n %

‡ n %

§


accommodation 11,228 14.8 9,527 21.4 2,066 17.6 1,840 26.1

Hyperkinetic syndrome of childhood 3,396 4.5 1,699 3.8 852 7.3 460 6.5


classified‡‡ 5,354 7.1 4,552 10.2 804 6.9 652 9.3

Hearing loss 4,797 6.3 1,543 3.5 677 5.8 121 1.7

Asthma 2,823 3.7 1,076 2.4 554 4.7 196 2.8


classified 2,299 3.0 1,781 4.0 471 4.0 397 5.6

Contact dermatitis and other eczema 1,499 2.0 1,026 2.3 336 2.9 250 3.6

Internal derangement of knee 1,788 2.4 1,095 2.5 295 2.5 204 2.9

Curvature of spine 1,546 2.0 1,201 2.7 281 2.4 218 3.1

Neurotic disorders 3,294 4.3 385 0.9 276 2.4 26 0.4

Dislocation of shoulder 1,026 1.4 781 1.8 229 2.0 185 2.6



† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ This category includes waiver considerations with missing condition values.

15


TABLE 22: CONDITION-SPECIFIC CATEGORIES FOR THOSE ACCESSION MEDICAL WAIVERS WITH THE HIGHEST

PROPORTION OF APPROVED APPLICATIONS AMONG ACTIVE AND RESERVE COMPONENT ARMY ENLISTEES: 2010-2014

VS. 2015

Total 2010-2014 2015


§ n %

§

Disorders of refraction and accommodation 13,294 85.5 11,228 84.9 2,066 89.1

Other joint derangement, not elsewhere classified 2,770 78.6 2,299 77.5 471 84.3


Dislocation of shoulder 1,255 77.0 781 76.1 229 80.8

Curvature of spine 1,827 77.7 1,201 77.7 281 77.6

Contact dermatitis and other eczema 1,835 69.5 1,026 68.4 336 74.4

Internal derangement of knee 2,083 62.4 1,095 61.2 295 69.2

Congenital anomalies of genital organs 1,213 68.1 720 69.1 171 62.0


Other nonspecific abnormal findings 992 49.7 397 48.8 179 53.6



16


TABLE 23: ACTIVE COMPONENT ACCESSIONS FOR ENLISTED APPLICANTS WHO RECEIVED A WAIVER IN 2010-2015†

BY YEAR: ARMY



n %

2010 5,798 4,646 80.1

2011

5,379 4,422 82.2

2012

4,989 4,242 85.0

2013 6,417 5,573 86.8

2014 6,268 5,317 84.8

2015

4,715 3,281 69.6 † Considers accessions among only those applicants with both a MEPS physical examination for Active component service rand an approved

waiver.

TABLE 24: RESERVE COMPONENT ACCESSIONS FOR ENLISTED APPLICANTS WHO RECEIVED A WAIVER IN 2010-2015†

BY YEAR: ARMY



n %

2010 1,791 796 44.4

2011

1,747 1,033 59.1

2012

1,533 897 58.5

2013 1,650 886 53.7

2014 1,778 1,206 67.8

2015

1,318 826 62.7 † Considers accessions among only those applicants with both a MEPS physical examination for Active component service rand an approved

waiver.

17


TABLE 25: DEMOGRAPHIC CHARACTERISTICS OF ACTIVE COMPONENT ENLISTED APPLICANTS WHO RECEIVED AN

ACCESSION MEDICAL WAIVER COMPARED TO ACTIVE COMPONENT ACCESSIONS 2010-2014 VS. 2015: ARMY

2010-2014 2015


n % n % n % n %

Sex§

Male 24,403 84.6 20,715 85.6 4,025 85.4 2,812 85.7

Female 4,448 15.4 3,485 14.4 689 14.6 469 14.3

Age at Waiver§

17 – 20 16,337 56.6 14,135 58.4 2,930 62.1 2,135 65.1

21 – 25 8,720 30.2 7,247 29.9 1,355 28.7 908 27.7

> 25 3,794 13.2 2,818 11.6 430 9.1 238 7.3

Race§

White 22,145 76.8 18,731 77.4 3,465 73.5 2,466 75.2

Black 4,789 16.6 4,058 16.8 862 18.3 609 18.6

Other 1,917 6.6 1,411 5.8 388 8.2 206 6.3

Education Level§

Below HS senior† 57 0.2 36 0.1 6 0.1 0 0.0

HS senior 1,970 6.8 1,375 5.7 375 8.0 132 4.0

HS diploma 21,162 73.3 18,291 75.6 3,629 77.0 2,704 82.4

Some college 2,737 9.5 2,263 9.4 268 5.7 189 5.8

Bachelor's and higher 2,785 9.7 2,156 8.9 432 9.2 254 7.7

AFQT Score§

93-99 2,388 8.3 1,944 8.0 329 7.0 211 6.4

65-92 10,323 35.8 8,741 36.1 1,586 33.6 1,104 33.6

50-64 7,091 24.6 6,020 24.9 1,198 25.4 843 25.7

30-49 8,786 30.5 7,442 30.8 1,570 33.3 1,118 34.1

11-29 137 0.5 50 0.2 27 0.6 5 0.2

<11 3 <0.1 3 <0.1 0 0.0 0 0.0


Permanent DQ 28,736 99.6 24,158 99.8 4,710 99.9 3,281 100.0

Temporary DQ 42 0.1 28 0.1 1 <0.1 0 0.0

Total 28,851 24,200 4,715 3,281 HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.



18


TABLE 26: DEMOGRAPHIC CHARACTERISTICS OF RESERVE COMPONENT ENLISTED APPLICANTS WHO RECEIVED AN

ACCESSION MEDICAL WAIVER COMPARED TO RESERVE COMPONENT ACCESSIONS 2010-2014 VS. 2015: ARMY

2010-2014 2015


n % n % n % n %

Sex§

Male 6,511 76.6 3,590 74.5 977 74.1 611 74.0

Female 1,988 23.4 1,228 25.5 341 25.9 215 26.0

Age at Waiver§

17 – 20 4,389 51.6 2,958 61.4 822 62.4 549 66.5

21 – 25 1,818 21.4 1,103 22.9 298 22.6 174 21.1

> 25 2,292 27.0 757 15.7 198 15.0 103 12.5

Race§

White 6,293 74.0 3,613 75.0 840 63.7 523 63.3

Black 1,578 18.6 892 18.5 311 23.6 193 23.4

Other 628 7.4 313 6.5 167 12.7 110 13.3

Education Level§

Below HS senior† 314 3.7 257 5.3 62 4.7 45 5.4

HS senior 1,126 13.2 837 17.4 259 19.7 186 22.5

HS diploma 4,905 57.7 2,744 57.0 757 57.4 461 55.8

Some college 842 9.9 469 9.7 82 6.2 53 6.4


AFQT Score§

93-99 623 7.3 380 7.9 79 6.0 57 6.9

65-92 2,859 33.6 1,826 37.9 455 34.5 285 34.5

50-64 1,867 22.0 1,114 23.1 329 25.0 202 24.5

30-49 2,382 28.0 1,458 30.3 437 33.2 282 34.1

11-29 74 0.9 18 0.4 8 0.6 0 0.0

<11 6 0.1 2 <0.1 0 0.0 0 0.0


Permanent DQ 8,436 99.3 4,814 99.9 1,312 99.5 826 100.0

Temporary DQ 42 0.5 4 0.1 5 0.4 0 0.0

Total 8,499 4,818 1,318 826 HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.



19

Hospitalizations

TABLE 27: ACTIVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: ARMY


Year

Total

accessed

(n)

Admissions

(n)

Individuals

(n)

Individuals

(%)

Admissions

(n)

Individuals

(n)

Individuals

(%)

2010 68,116 2,438 2,148 3.2 2,955 2,265 3.3

2011 60,427 2,107 1,884 3.1 2,408 1,924 3.2

2012 58,928 2,023 1,795 3.0 2,102 1,687 2.9

2013 66,713 2,254 2,013 3.0 2,517 2,039 3.1

2014 55,285 1,966 1,724 3.1 1,078 900 1.6§

2015 57,096 989 886 1.6§ - - -

Total 366,565 11,777 10,450 2.9 11,060 8,815 2.4 §Underestimated due to lack of follow-up time.

TABLE 28: RESERVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: ARMY


Year

Total

accessed

(n)

Admissions

(n)

Individuals

(n)

Individuals

(%)

Admissions

(n)

Individuals

(n)

Individuals

(%)

2010 14,507 133 122 0.8 60 44 0.3

2011 16,977 279 258 1.5 51 38 0.2

2012 13,436 183 171 1.3 34 26 0.2

2013 10,840 125 117 1.1 17 17 0.2

2014 13,588 159 145 1.1 29 22 0.2§

2015 13,927 111 94 0.7§ - - -


TABLE 29: NATIONAL GUARD HOSPITALIZATIONS IN 2010-2015 BY YEAR: ARMY


Year

Total

accessed

(n)

Admissions

(n)

Individuals

(n)

Individuals

(%)

Admissions

(n)

Individuals

(n)

Individuals

(%)

2010 41,908 387 348 0.8 121 95 0.2

2011 35,404 463 432 1.2 81 67 0.2

2012 36,883 451 413 1.1 85 71 0.2

2013 24,082 320 293 1.2 66 53 0.2

2014 38,086 512 473 1.2 60 50 0.1§

2015 33,727 179 162 0.5§ - - -

Total 210,090 2,312 2,121 1.0 413 336 0.2 §Underestimated due to lack of follow-up time.

20


TABLE 30: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR ACTIVE COMPONENT ENLISTED PERSONNEL

ACCESSED IN 2010-2015: ARMY


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 307,923 9,281 8,268 2.7 1.00 -

Female┼ 58,642 2,496 2,182 3.7 1.40 (1.34, 1.47)

Age at Accession§

17 – 20 (REF) 219,860 6,887 6,147 2.8 1.00 -

21 – 25 108,853 3,480 3,073 2.8 1.01 (0.97, 1.06)

> 25 38,027 1,410 1,230 3.2 1.24 (1.18, 1.30)

Race§

White (REF) 264,855 8,662 7,670 2.9 1.00 -

Black 78,242 2,436 2,187 2.8 0.98 (0.93, 1.02)

Other

Education Level§ 23,468 679 593 2.5 1.16 (1.09, 1.24)

Below HS

graduate†

144 6 5 3.5 1.23 (0.50, 3.01)

HS diploma

(REF) 301,776 9,630 8,561 2.8 1.00 -

Some college 37,963 1,382 1,205 3.2 1.12 (1.06, 1.19)

Bachelor's or

higher 26,631 754 675 2.5 0.89 (0.82, 0.96)

AFQT Score§

93 – 99 (REF) 21,640 654 575 2.7 1.00 -

65 – 92 118,099 3,971 3,483 2.9 1.11 (1.02, 1.21)

50 – 64 90,036 2,938 2,598 2.9 1.09 (0.99, 1.19)

30 – 49 134,877 4,153 3,744 2.8 1.05 (0.96, 1.14)

11 – 29 1,796 50 40 2.2 0.83 (0.60, 1.15)

Medical Status

Fully Qualified

(REF) 310,602 9,870 8,774 2.8 1.00 -

Temporary DQ 16,606 596 532 3.2 1.14 (1,04, 1.24)

Permanent DQ 39,357 1,311 1,144 2.9 1.03 (0.97, 1.10)

Total 366,565 11,777 10,450 2.9

RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total.



21


TABLE 31: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR RESERVE COMPONENT ENLISTED PERSONNEL



Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 60,840 680 617 1.0 1.00 -

Female┼ 22,435 310 290 1.3 1.28 (1.11, 1.47)

Age at Accession§

17 – 20 (REF) 54,114 639 580 1.1 1.00 -

21 – 25 17,793 228 218 1.2 1.14 (0.98, 1.34)

> 25 11,364 123 109 1.0 0.89 (0.73, 1.10)

Race§

White (REF) 57,788 680 619 1.1 1.00 -

Black 19,050 250 231 1.2 1.03 (0.89, 1.19)

Other 6,437 60 57 0.9 0.75 (0.58, 0.99)

Education Level§

Below HS

graduate†

5,820 41 38 0.7 0.59 (0.43, 0.82)

HS diploma

(REF) 62,526 755 686 1.1 1.00 -

Some college 8,689 110 104 1.2 1.09 (0.89, 1.34)

Bachelor's or

higher 6,222 84 79 1.3 1.16 (0.92, 1.47)

AFQT Score§

93 – 99 (REF) 4,990 64 55 1.1 1.00 -

65 – 92 28,520 337 301 1.1 0.96 (0.72, 1.28)

50 – 64 20,377 244 230 1.1 1.02 (0.76, 1.38)

30 – 49 28,278 340 316 1.1 1.01 (0.76, 1.35)

11 – 29 770 5 5 0.7 0.58 (0.23, 1.47)

Medical Status

Fully Qualified

(REF) 71,870 841 772 1.1 1.00 -

Temporary DQ 3,287 43 37 1.1 1.06 (0.75, 1.46)

Permanent DQ 8,118 106 98 1.2 1.13 (0.91, 1.40)





22


TABLE 32: HOSPITAL ADMISSIONS WITHIN ONE YEAR OF ACCESSION FOR NATIONAL GUARD ENLISTED PERSONNEL



Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 165,217 1,200 1,125 0.6 1.00 -

Female┼ 44,873 580 533 1.2 1.90 (1.71, 2.10)

Age at Accession§

17 – 20 (REF) 142,454 1,014 946 0.7 1.00 -

21 – 25 45,341 480 447 0.9 1.30 (1.16, 1.45)

> 25 14,452 286 265 0.9 1.38 (1.20, 1.58)

Race§ 7,819

White (REF) 162,406 1,383 1,283 0.7 1.00 -

Black 38,819 330 311 0.9 1.36 (1.20, 1.54)

Other 8,865 67 64 0.7 1.10 (0.86, 1.41)

Education Level§

Below HS

graduate†

19,938 128 119 0.5 0.66 (0.54, 0.79)

HS diploma

(REF) 147,902 1,261 1,177 0.7 1.00 -

Some college 29,930 279 261 0.8 1.11 (0.97, 1.27)

Bachelor's or

higher 12,227 112 101 0.9 1.18 (0.96, 1.44)

AFQT Score§

93 – 99 (REF) 12,510 104 92 0.7 1.00 -

65 – 92 71,471 623 580 0.7 1.05 (0.84, 1.31)

50 – 64 51,780 475 443 0.8 1.07 (0.85, 1.33)

30 – 49 69,312 557 523 0.7 1.05 (0.84, 1.31)

11 – 29 4,360 17 16 0.5 0.71 (0.42, 1.21)

Medical Status

Fully Qualified

(REF) 179,120 1,496 1,392 0.7 1.00 -

Temporary DQ 12,962 138 133 0.7 0.97 (0.81, 1.15)

Permanent DQ 18,008 146 133 0.8 1.08 (0.90, 1.28)

Total 210,090 1,780 1,658 0.7 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total.



23


TABLE 33: DISTRIBUTION OF PRIMARY CAUSE CATEGORIES FOR HOSPITALIZATIONS DURING FIRST YEAR OF SERVICE

AMONG ACTIVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§





Fracture 5.5 4.0

Psychoses 5.3 5.7

Injuries 3.8 2.6



Alcohol and drug dependence 2.4 3.2

Rheumatism, excluding the back 2.3 2.4 § Percent of total hospitalizations

TABLE 34: DISTRIBUTION OF PRIMARY CAUSE CATEGORIES FOR HOSPITALIZATIONS DURING SECOND YEAR OF

SERVICE AMONG ACTIVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§




Fracture 7.0 3.7

Injuries 5.4 3.1

Psychoses 4.2 5.3






Poisoning and toxic effects 1.9 2.3 § Percent of total hospitalizations

24



AMONG RESERVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§






Psychoses 4.5 6.2



Fracture 3.7 4.5

Osteopathies, chondropathies, and acquired

musculokeletal deformities 3.2 5.1

§ Percent of total hospitalizations


SERVICE AMONG RESERVE COMPONENT ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§




puerperium 5.3 7.4




Other bacterial diseases 2.7 0.0

Other diseases due to viruses and chlamydiae 2.7 0.0

Psychoses 2.7 11.1

Noninfectious enteritis and colitis 2.7 0.0 § Percent of total hospitalizations

25



AMONG NATIONAL GUARD ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§





Fracture 5.1 2.8

Psychoses 4.9 6.4




Injuries 3.9 3.0 § Percent of total hospitalizations


SERVICE AMONG NATIONAL GUARD ENLISTEES IN 2010-2014 VS. 2015

Category 2010-2014§ 2015

§


Fracture 7.1 3.5


Psychoses 5.8 11.8



Injuries 5.5 0.0





§ Percent of total hospitalizations

26

Attrition

TABLE 39: ATTRITION AMONG FIRST TIME ACTIVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: ARMY

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 68,116 4,398 6.5 6.5 2,227 3.3 9.7 1,719 2.5 12.2 3,322 4.9 17.1 2011 60,427 3,771 6.2 6.2 2,059 3.4 9.6 1,603 2.7 12.3 3,451 5.7 18.0 2012 58,928 4,500 7.6 7.6 2,033 3.4 11.1 1,586 2.7 13.8 3,118 5.3 19.1 2013 66,713 5,053 7.6 7.6 2,318 3.5 11.0 1,657 2.5 13.5 3,682 5.5 19.1 2014¥ 55,285 3,860 7.0 7.0 2,019 3.7 10.6 1,467 2.7 13.3 - - - 2015¥ 57,096 3,161 5.5 5.5 1,459 2.6 8.1 - - - - - -

Sex*

Male 307,923 18,708 6.1 6.1 9,268 3.0 9.1 6,488 2.1 11.2 12,337 4.0 15.2 Female 58,642 6,035 10.3 10.3 2,847 4.9 15.1 1,886 3.2 18.4 2,803 4.8 23.1

Age at Accession§

17 – 20 219,680 16,089 7.3 7.3 8,029 3.7 11.0 5,772 2.6 13.6 10,399 4.7 18.3 21 – 25 108,853 6,577 6.0 6.0 3,147 2.9 8.9 2,007 1.8 10.8 3,834 3.5 14.3 > 25 38,027 2,077 5.5 5.5 939 2.5 7.9 595 1.6 9.5 907 2.4 11.9

Race§

White 264,855 19,148 7.2 7.2 9,019 3.4 10.6 6,322 2.4 13.0 10,797 4.1 17.1 Black 78,242 4,399 5.6 5.6 2,369 3.0 8.7 1,651 2.1 10.8 3,693 4.7 15.5 Other 23,468 1,196 5.1 5.1 727 3.1 8.2 401 1.7 9.9 650 2.8 12.7

Education Level§

Below HS graduate‡ 144 12 8.3 8.3 6 4.2 12.5 3 2.1 14.6 10 6.9 21.5 HS diploma 301,776 21,382 7.1 7.1 10,530 3.5 10.6 7,248 2.4 13.0 13,212 4.4 17.4 Some college 37,963 2,518 6.6 6.6 1,150 3.0 9.7 798 2.1 11.8 1,500 4.0 15.7 Bachelor's or higher 26,631 822 3.1 3.1 425 1.6 4.7 319 1.2 5.9 418 1.6 7.4

AFQT Score§

93 – 99 21,640 785 3.6 3.6 450 2.1 5.7 358 1.7 7.4 476 2.2 9.6 65 – 92 118,099 7,002 5.9 5.9 3,209 2.7 8.6 2,833 2.4 11.0 4,122 3.5 14.5 50 – 64 90,036 6,575 7.3 7.3 3,072 3.4 10.7 2,220 2.5 13.2 3,991 4.4 17.6 30 – 49 134,877 10,283 7.6 7.6 5,287 3.9 11.5 2,909 2.2 13.7 6,503 4.8 18.5 11 – 29 1,796 88 4.9 4.9 90 5.0 9.9 47 2.6 12.5 46 2.6 15.1

Medical Status

Fully Qualified 310,602 19,980 6.4 6.4 9,871 3.2 9.6 7,025 2.3 11.9 12,878 4.1 16.0 Temporary DQ 16,606 1,399 8.4 8.4 740 4.5 12.9 464 2.8 15.7 857 5.2 20.8 Permanent DQ 39,357 3,364 8.5 8.5 1,504 3.8 12.4 885 2.2 14.6 1,405 3.6 18.2




27

TABLE 40: ATTRITION AMONG FIRST TIME RESERVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: ARMY

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 14,507 39 0.3 0.3 127 0.9 1.1 117 0.8 2.0 42 0.3 2.2 2011 16,977 54 0.3 0.3 173 1.0 1.3 223 1.3 2.7 55 0.3 3.0 2012 13,436 33 0.2 0.2 170 1.3 1.5 200 1.5 3.0 52 0.4 3.4 2013 10,840 46 0.4 0.4 180 1.7 2.1 212 2.0 4.0 58 0.5 4.6 2014¥ 13,588 61 0.4 0.4 223 1.6 2.1 247 1.8 3.9 - - - 2015¥ 13,927 28 0.2 0.2 92 0.7 0.9 - - - - - -

Sex*

Male 60,840 155 0.3 0.3 643 1.1 1.3 621 1.0 2.3 147 0.2 2.6 Female 22,435 106 0.5 0.5 322 1.4 1.9 415 1.8 3.8 89 0.4 4.2

Age at Accession§

17 – 20 54,114 142 0.3 0.3 654 1.2 1.5 788 1.5 2.9 208 0.4 3.3 21 – 25 17,793 75 0.4 0.4 198 1.1 1.5 174 1.0 2.5 21 0.1 2.6 > 25 11,364 44 0.4 0.4 113 1.0 1.4 74 0.7 2.0 7 0.1 2.1

Race§

White 57,788 185 0.3 0.3 686 1.2 1.5 730 1.3 2.8 167 0.3 3.1 Black 19,050 64 0.3 0.3 240 1.3 1.6 256 1.3 2.9 55 0.3 3.2 Other 6,437 12 0.2 0.2 39 0.6 0.8 50 0.8 1.6 14 0.2 1.8

Education Level§

Below HS graduate‡ 5,820 7 0.1 0.1 55 0.9 1.1 50 0.9 1.9 31 0.5 2.5 HS diploma 62,526 201 0.3 0.3 758 1.2 1.5 852 1.4 2.9 192 0.3 3.2 Some college 8,689 36 0.4 0.4 111 1.3 1.7 97 1.1 2.8 10 0.1 2.9 Bachelor's or higher 6,222 17 0.3 0.3 41 0.7 0.9 37 0.6 1.5 3 0.0 1.6

AFQT Score§

93 – 99 4,990 13 0.3 0.3 22 0.4 0.7 32 0.6 1.3 5 0.1 1.4 65 – 92 28,520 68 0.2 0.2 230 0.8 1.0 288 1.0 2.1 76 0.3 2.3 50 – 64 20,377 62 0.3 0.3 253 1.2 1.5 239 1.2 2.7 78 0.4 3.1 30 – 49 28,278 114 0.4 0.4 448 1.6 2.0 448 1.6 3.6 72 0.3 3.8 11 – 29 770 4 0.5 0.5 12 1.6 2.1 22 2.9 4.9 2 0.3 5.2

Medical Status

Fully Qualified 71,870 216 0.3 0.3 796 1.1 1.4 881 1.2 2.6 199 0.3 2.9 Temporary DQ 3,287 10 0.3 0.3 41 1.2 1.6 41 1.2 2.8 12 0.4 3.2 Permanent DQ 8,118 35 0.4 0.4 128 1.6 2.0 114 1.4 3.4 25 0.3 3.7

Total§ 83,275 261 0.3 0.3 965 1.2 1.5 1,036 1.2 2.7 236 0.3 3.0 FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative

§Individuals with missing values for demographic variables are included in the total.


school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior.

¥Attrition is not calculated after 365 days among 2014 accessions or after 180 days in 2015 accessions and is underestimated in all 2015 accessions due to lack of sufficient follow-up time.

28

TABLE 41: ATTRITION AMONG FIRST TIME NATIONAL GUARD COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: ARMY

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) FY of Accession

2010 41,908 1 <0.1 <0.1 6 <0.1 <0.1 11 <0.1 <0.1 3 <0.1 <0.1 2011 35,404 1 <0.1 <0.1 4 <0.1 <0.1 9 <0.1 <0.1 1 <0.1 <0.1 2012 36,883 1 <0.1 <0.1 1 <0.1 <0.1 0 0.0 <0.1 1 <0.1 <0.1 2013 24,082 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 2014¥ 38,086 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 - - - 2015¥ 33,727 0 0.0 0.0 0 0.0 0.0 - - - - - -

Sex*

Male 165,217 3 <0.1 <0.1 9 <0.1 <0.1 17 <0.1 <0.1 3 <0.1 <0.1 Female 44,873 0 0.0 0.0 2 <0.1 <0.1 3 <0.1 <0.1 2 <0.1 <0.1

Age at Accession§

17 – 20 142,454 1 <0.1 <0.1 7 <0.1 <0.1 11 <0.1 <0.1 4 <0.1 <0.1 21 – 25 45,341 1 <0.1 <0.1 3 <0.1 <0.1 8 <0.1 <0.1 1 <0.1 <0.1 > 25 22,271 1 <0.1 <0.1 1 <0.1 <0.1 1 <0.1 <0.1 0 <0.1 <0.1

Race§

White 162,406 3 <0.1 <0.1 10 <0.1 <0.1 17 <0.1 <0.1 5 <0.1 <0.1 Black 38,819 0 0.0 0.0 1 <0.1 <0.1 3 <0.1 <0.1 0 0.0 0.0 Other 8,865 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

Education Level§

Below HS graduate‡ 19,938 0 0.0 0.0 0 0.0 0.0 3 <0.1 <0.1 3 <0.1 <0.1

HS diploma 147,902 3 <0.1 <0.1 9 <0.1 <0.1 14 <0.1 <0.1 2 <0.1 <0.1 Some college 29,930 0 0.0 0.0 2 <0.1 <0.1 3 <0.1 <0.1 0 0.0 <0.1 Bachelor's or higher 12,227 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

AFQT Score§

93 – 99 12,510 0 0.0 0.0 0 0.0 0.0 1 <0.1 <0.1 0 0.0 <0.1 65 – 92 71,471 0 0.0 0.0 2 <0.1 <0.1 3 <0.1 <0.1 0 0.0 <0.1 50 – 64 51,780 0 0.0 0.0 7 <0.1 <0.1 9 <0.1 <0.1 3 <0.1 <0.1 30 – 49 69,312 3 <0.1 <0.1 2 <0.1 <0.1 7 <0.1 <0.1 2 <0.1 <0.1 11 – 29 4,360 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

Medical Status

Fully Qualified 179,120 3 <0.1 <0.1 9 <0.1 <0.1 18 <0.1 <0.1 5 <0.1 <0.1 Temporary DQ 12,962 0 0.0 0.0 1 <0.1 <0.1 2 <0.1 <0.1 0 0.0 <0.1 Permanent DQ 18,008 0 0.0 0.0 1 <0.1 <0.1 0 <0.1 <0.1 0 0.0 <0.1

Total§ 210,090 3 <0.1 <0.1 11 <0.1 <0.1 20 <0.1 <0.1 5 <0.1 <0.1 FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative §Individuals with missing values for demographic variables are included in the total.



29

EPTS Discharges


Component 2010 2011 2012 2013 2014 Total

Active 1,528 1,820 830 664 280 5,122

National Guard 666 918 341 245 97 2,267

Reserve 207 276 88 29 43 643

Total 2,401 3,014 1,259 938 420 8,032

TABLE 43: EPTS DISCHARGES OF ENLISTEES IN 2010-2014 ALL COMPONENTS

Condition n %

Psychiatric - other 2,131 26.5



Asthma 619 7.7



Ortho - feet 346 4.3

Genitourinary system (incl.

pregnancy)

296 3.7

Eyes - other 273 3.4

Neurology - Other 203 2.5



Total 8,032


2014: ARMY

2010-2013 2014


n % n %


Hearing loss 163 2.1 43 10.2

Asthma 628 8.3 25 6.0

Corneal opacity and other disorders of cornea 150 2.0 20 4.8





Other nonspecific abnormal findings 33 0.4 10 2.4




420

30


TABLE 45: EPTS DISCHARGES FROM ACTIVE COMPONENT BY ACCESSION YEAR: ARMY


(n)

Discharges

(n)

Discharges

(%)

2010 68,116 1,336 2.0

2011 60,427 1,667 2.8

2012 58,928 800 1.4

2013 66,713 615 0.9

2014† 55,285 187 0.3

Total 309,469 4,605 1.5 † Incomplete, due to delays in reporting

TABLE 46: EPTS DISCHARGES FROM RESERVE COMPONENT BY ACCESSION YEAR: ARMY


(n)

Discharges

(n)

Discharges

(%)

2010 14,507 166 1.1

2011 16,977 229 1.3

2012 13,436 39 0.3

2013 10,840 27 0.2

2014† 13,588 17 0.1

Total 69,348 478 0.7 † Incomplete, due to delays in reporting

TABLE 47: EPTS DISCHARGES FROM NATIONAL GUARD BY ACCESSION YEAR: ARMY


(n)

Discharges

(n)

Discharges

(%)

2010 41,908 744 1.8

2011 35,404 668 1.9

2012 36,883 290 0.8

2013 24,082 96 0.4

2014† 38,086 45 0.1

Total 176,363 1,843 1.0 † Incomplete, due to delays in reporting

31


TABLE 48: CHARACTERISTICS OF ENLISTED ACTIVE COMPONENT ACCESSIONS IN 2010-2014 ENDING IN EPTS

DISCHARGE: ARMY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 260,528 3,746 1.4 1.00 -

Female 48,941 859 1.8 1.22 (1.13, 1.31)

Age at

Accession§

17 – 20 (REF) 181,895 2,844 1.6 1.00 -

21 – 25 94,020 1,311 1.4 0.89 (0.84, 0.95)

> 25 33,549 450 1.3 0.86 (0.78, 0.95)

Race§

White (REF) 225,505 3,777 1.7 1.00 -

Black 64,449 600 0.9 0.56 (0.51, 0.61)

Other 19,515 228 1.2 0.70 (0.61, 0.80)

Education

Level§

Below HS

graduate† 141 8 5.7 3.59 (1.83, 7.03)

HS diploma

(REF) 251,874 3,900 1.5 1.00 -

Some college 34,613 541 1.6 1.01 (0.92, 1.10)

Bachelor's or

higher 22,790 156 0.7 0.44 (0.38, 0.52)

AFQT Score§

93 – 99 (REF) 18,813 161 0.9 1.00 -

65 – 92 100,884 1,389 1.4 1.61 (1.37, 1.89)

50 – 64 75,661 1,183 1.6 1.83 (1.55, 2.15)

30 – 49 112,564 1,862 1.7 1.93 (1.65, 2.27)

11 – 29 1,450 10 0.7 0.81 (0.43, 1.52)

Medical Status

Fully Qualified

(REF) 261,863 3,538 1.4 1.00 -

Temporary DQ 14,527 290 2.0 1.48 (1.31, 1.66)

Permanent DQ 33,079 777 2.3 1.74 (1.61, 1.88)




32


TABLE 49: CHARACTERISTICS OF ENLISTED RESERVE COMPONENT ACCESSIONS IN 2010-2014 ENDING IN EPTS

DISCHARGE: ARMY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 50,861 318 0.6 1.00 -

Female 18,487 160 0.9 1.38 (1.15, 1.67)

Age at

Accession§

17 – 20 (REF) 44,699 318 0.7 1.00 -

21 – 25 15,043 98 0.7 0.92 (0.73, 1.15)

> 25 9,603 62 0.6 0.91 (0.69, 1.19)

Race§

White (REF) 49,036 382 0.8 1.00 -

Black 15,564 79 0.5 0.65 (0.51, 0.83)

Other 4,748 17 0.4 0.46 (0.28, 0.75)

Education

Level§

Below HS

graduate† 4,818 42 0.9 1.29 (0.94, 1.77)

HS diploma

(REF) 51,787 350 0.7 1.00 -

Some college 7,844 60 0.8 1.13 (0.86, 1.49)

Bachelor's or

higher 4,881 26 0.5 0.79 (0.53, 1.17)

AFQT Score§

93 – 99 (REF) 4,188 27 0.6 1.00 -

65 – 92 23,793 146 0.6 0.95 (0.63, 1.43)

50 – 64 17,014 135 0.8 1.23 (0.82, 1.86)

30 – 49 23,287 168 0.7 1.12 (0.75, 1.68)

11 – 29 737 2 0.3 0.42 (0.10, 1.77)

Medical Status

Fully Qualified

(REF) 59,594 392 0.7 1.00 -

Temporary DQ 2,819 64 2.3 3.45 (2.66, 4.48)

Permanent DQ 6,935 22 0.3 0.48 (0.31, 0.74)




33


TABLE 50: CHARACTERISTICS OF ENLISTED NATIONAL GUARD COMPONENT ACCESSIONS IN 2010-2014 ENDING IN

EPTS DISCHARGE: ARMY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 139,252 1,396 1.0 1.00 -

Female 37,111 447 1.2 1.20 (1.08, 1.34)

Age at

Accession§

17 – 20 (REF) 118,555 1,217 1.0 1.00 -

21 – 25 38,602 441 1.1 1.11 (1.00, 1.24)

> 25 19,183 185 1.0 0.94 (0.81, 1.10)

Race§

White (REF) 137,606 1,594 1.2 1.00 -

Black 31,511 211 0.7 0.58 (0.50, 0.67)

Other 7,246 38 0.5 0.45 (0.33, 0.62)

Education

Level§

Below HS

graduate† 16,648 214 1.3 1.15 (1.00, 1.33)

HS diploma

(REF) 123,458 1,379 1.1 1.00 -

Some college 25,908 194 0.7 0.67 (0.58, 0.78)

Bachelor's or

higher 10,258 55 0.5 0.48 (0.37, 0.63)

AFQT Score§

93 – 99 (REF) 10,627 59 0.6 1.00 -

65 – 92 60,672 511 0.8 1.52 (1.16, 1.98)

50 – 64 44,052 504 1.1 2.06 (1.57, 2.70)

30 – 49 57,206 749 1.3 2.36 (1.81, 3.07)

11 – 29 3,178 18 0.6 1.02 (0.60, 1.73)

Medical Status

Fully Qualified

(REF) 150,206 1,513 1.0 1.00 -

Temporary DQ 11,157 119 1.1 1.06 (0.88, 1.27)

Permanent DQ 15,000 211 1.4 1.40 (1.21, 1.61)




34


TABLE 51: DISABILITY DISCHARGES FROM ACTIVE COMPONENT WITHIN IN THE FIRST YEAR OF

SERVICE AMONG 2010-2015 ACCESSIONS: ARMY



(n) n %

2010 68,116 362 0.53

2011 60,427 251 0.42

2012 58,928 143 0.04

2013 66,713 311 0.32

2014 55,285 218 0.32

2015§ 57,096 26 0.04


TABLE 52: DISABILITY DISCHARGES FROM RESERVE COMPONENT WITHIN IN THE FIRST YEAR OF




(n) n %

2010 14,507 24 0.17

2011 16,977 27 0.16

2012 13,436 5 0.01

2013 10,840 14 0.11

2014 13,588 11 0.06

2015§ 13,927 2 0.01


TABLE 53: DISABILITY DISCHARGES FROM NATIONAL GUARD WITHIN IN THE FIRST YEAR OF




(n) n %

2010 41,908 86 0.20

2011 35,404 48 0.14

2012 36,883 22 0.01

2013 24,082 36 0.12

2014 38,086 31 0.07

2015§ 33,727 3 0.01


35


TABLE 54: DISABILITY DISCHARGES FROM ACTIVE COMPONENT IN THE FIRST YEAR OF SERVICE AMONG 2010-2015

ACCESSIONS: ARMY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 307,923 801 0.26 1.00 -

Female 58,642 510 0.87 3.43 ( 2.99 , 3.74 )

Age at

Accession§

17 – 20 (REF) 219,680 667 0.30 1.00 -

21 – 25 108,853 429 0.39 1.30 ( 1.15 , 1.47 )

> 25 38,027 215 0.57 1.86 ( 1.60 , 2.17 )

Race§

White (REF) 264,855 1,047 0.40 1.00 -

Black 78,242 187 0.24 0.60 ( 0.52 , 0.71 )

Other 23,468 77 0.33 0.83 ( 0.66 , 1.05 )

Education

Level§

Below HS

graduate† 144 0 0 - -

HS diploma

(REF) 301,776 1,030 0.34 1.00 -

Some college 37,963 188 0.50 1.45 ( 1.24 , 1.69 )

Bachelor's or

higher 26,631 93 0.35 1.02 ( 0.83 , 1.27 )

AFQT Score§

93 – 99 (REF) 21,640 79 0.37 1.00 -

65 – 92 118,099 552 0.47 1.28 ( 1.28 , 1.62 )

50 – 64 90,036 309 0.34 0.94 ( 0.73 , 1.20 )

30 – 49 134,877 369 0.27 0.75 ( 0.59 , 0.96 )

11 – 29 1,796 2 0.11 0.31 ( 0.08 , 1.24 )

Medical Status

Fully Qualified

(REF) 310,602 1,023 0.33 1.00 -

Temporary DQ 16,606 96 0.58 1.76 ( 1.42 , 2.16 )

Permanent DQ 39,357 192 0.49 1.48 (1.27 , 1.73)




36


TABLE 55: DISABILITY DISCHARGES FROM RESERVE COMPONENT IN THE FIRST YEAR OF SERVICE AMONG 2010-2015

ACCESSIONS: ARMY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 60,840 33 0.05 1.00 -

Female 22,435 50 0.22 4.11 (2.65 , 6.38)

Age at

Accession§

17 – 20 (REF) 54,114 39 0.07 1.00 -

21 – 25 17,793 24 0.13 1.87 (1.13 , 3.11)

> 25 11,364 20 0.18 2.44 (1.42 , 4.19)

Race§

White (REF) 57,788 62 0.11 1.00 -

Black 19,050 12 0.06 0.59 (0.32 , 1.09)

Other 6,437 9 0.14 1.30 (0.65 , 2.62)

Education

Level§

Below HS

graduate† 5,820 0 0 - -

HS diploma

(REF) 62,526 59 0.09 1.00 -

Some college 8,689 13 0.15 1.59 (0.87 , 2.89)

Bachelor's or

higher 6,222 11 0.18 1.87 (0.98 , 3.57)

AFQT Score§

93 – 99 (REF) 4,990 6 0.12 1.00 -

65 – 92 28,520 28 0.10 0.82 (0.34 , 1.97)

50 – 64 20,377 23 0.11 0.94 (0.38 , 2.31)

30 – 49 28,278 25 0.09 0.74 (0.30 , 1.79)

11 – 29 770 1 0.13 1.08 (0.13 , 8.97)

Medical Status

Fully Qualified

(REF) 71,870 72 0.10 1.00 -

Temporary DQ 3,287 3 0.09 0.91 (0.29 , 2.89)

Permanent DQ 8,118 8 0.10 0.98 (0.47 , 2.04)




37


TABLE 56: DISABILITY DISCHARGES FROM NATIONAL GUARD IN THE FIRST YEAR OF SERVICE AMONG 2010-2015

ACCESSIONS: ARMY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 165,217 117 0.07 1.00 -

Female 44,873 109 0.24 3.43 (2.64 , 4.45)

Age at

Accession§

17 – 20 (REF) 142,454 111 0.08 1.00 -

21 – 25 45,341 50 0.11 1.42 (1.01 , 1.98)

> 25 22,271 65 0.29 3.75 (2.76 , 5.09)

Race§

White (REF) 162,406 183 0.11 1.00 -

Black 38,819 38 0.10 0.87 (0.61 , 1.23)

Other 8,865 5 0.06 0.50 (0.21 , 1.22)

Education

Level§

Below HS

graduate† 19,938 13 0.07 0.60 (0.34 , 1.06)

HS diploma

(REF) 147,902 160 0.11 1.00 -

Some college 29,930 41 0.14 1.27 (0.90 , 1.78)

Bachelor's or

higher 12,227 12 0.10 0.91 (0.50 , 1.63)

AFQT Score§

93 – 99 (REF) 12,510 8 0.06 1.00 -

65 – 92 71,471 70 0.10 1.53 (0.74 , 3.18)

50 – 64 51,780 69 0.13 2.08 (1.00 , 4.33)

30 – 49 69,312 77 0.11 1.74 (0.84 , 3.60)

11 – 29 4,360 1 0.02 0.36 (0.04 , 2.87)

Medical Status

Fully Qualified

(REF) 179,120 184 0.10 1.00 -

Temporary DQ 12,962 17 0.13 1.28 (0.78 , 2.10)

Permanent DQ 18,008 25 0.14 1.35 (0.89 , 2.05)




38


TABLE 57: DIAGNOSIS CATEGORIES FOR DISABILITY DISCHARGES AMONG FIRST-TIME ENLISTED PERSONNEL IN

THE FIRST YEAR OF SERVICE FOR 2010-2015 ACCESSIONS: ARMY

2010-2015


Impairment, limitation and ankylosis of joints, spine, skull, limbs and extremities 1,010 62.77










Total individuals 1,609




Supplemental Tables: Marine Corps Applicants and Accessions









Defense.


i

AMSARA Annual Report 2016: Marine Corps

Contents



MEPS who received a medical examination by year: Marine Corps ................................................... 1


MEPS who received a medical examination by year: Marine Corps ................................................... 1


enlisted active component accessions by year: Marine Corps ............................................................. 2


enlisted reserve component accessions by year: Marine Corps ........................................................... 2



examination in 2010-2015: Marine Corps............................................................................................ 3


medical examination in 2010-2014 vs. 2015: Marine Corps ............................................................... 4


examination in 2010-2015: Marine Corps............................................................................................ 5


medical examination in 2010-2014 vs. 2015: Marine Corps ............................................................... 6



codes in 2010-2014 vs. 2015: Marine Corps ........................................................................................ 7


codes in 2010-2014 vs. 2015: Marine Corps ........................................................................................ 7


USMEPCOM failure codes in 2010-2014 vs. 2015: Marine Corps ..................................................... 8


USMEPCOM failure codes in 2010-2014 vs. 2015: Marine Corps ..................................................... 8

Accession Medical Waivers ....................................................................................................... 9

Table 13: Active and reserve component waiver considerations by year§: 2010-2015 ........................ 9

Table 14: Active and reserve component waiver consideration counts§: 2010-2015 ........................... 9


2010-2014 vs. 2015: Marine Corps .................................................................................................... 10


proportion of approved applications among active and reserve component Marine Corps enlistees:

2010-2014 vs. 2015 ............................................................................................................................ 11


by year: Marine Corps ........................................................................................................................ 12

ii



2015† by year: Marine Corps.............................................................................................................. 12


accession medical waiver compared to active component accessions 2010-2014 vs. 2015: Marine

Corps .................................................................................................................................................. 13


accession medical waiver compared to reserve component accessions 2010-2014 vs. 2015: Marine

Corps .................................................................................................................................................. 14


Table 21: Active component hospitalizations in 2010-2015 by year: Marine Corps ......................... 15

Table 22: Reserve component hospitalizations in 2010-2015 by year: Marine Corps ....................... 15


accessed in 2010-2015: Marine Corps ............................................................................................... 16


personnel accessed in 2010-2015: Marine Corps ............................................................................... 17









Attrition .................................................................................................................................... 20


since accession: Marine Corps ........................................................................................................... 20


since accession: Marine Corps ........................................................................................................... 21

EPTS Discharges ....................................................................................................................... 22


Table 32: EPTS discharges of enlistees in 2010-2014: All Components ........................................... 22

Table 33: Leading primary EPTS discharge conditions for all enlistees in 2010-2013 vs. 2014:

Marine Corps ...................................................................................................................................... 22

Table 34: EPTS discharges from active component by accession year: Marine Corps ..................... 23

Table 35: EPTS discharges from reserve component by accession year: Marine Corps ................... 23


discharge: Marine Corps .................................................................................................................... 24


discharge: Marine Corps ................................................................................................................... 25

iii



Table 38: Disability discharges from active component within the first year of service among 2010-

2015 accessions: Marine Corps .......................................................................................................... 26

Table 39: Disability discharges from reserve component within the first year of service among 2010-



accessions: Marine Corps ................................................................................................................... 27




first year of service for 2010-2015 accessions: Marine Corps ........................................................... 29

1



APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: MARINE CORPS

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010† 43,698 8,355 19.1 1,602 3.7 1,103 2.5 28,681 65.6

2011† 44,440 9,057 20.4 1,099 2.5 908 2.0 29,323 66.0

2012 41,337 8,666 21.0 1,659 4.0 1,509 3.7 29,025 70.2

2013 44,230 9,469 21.4 1,208 2.7 1,039 2.3 30,285 68.5

2014† 35,906 7,607 21.2 - - - - 24,625 68.6

2015†§

42,996 8,300 19.3 - - - - 13,288 -

Total 252,607 51,454 20.4 5,568 3.2 4,559 2.6 141,939 67.7

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow up time. † Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not received for 2015. Therefore, 2010, 2011, 2014 and

2015 waiver counts and percentages should be considered underestimates.


APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: MARINE CORPS

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010† 9,755 1,740 17.8 362 3.7 281 2.9 5,942 60.9

2011† 8,926 1,697 19.0 222 2.5 193 2.2 5,441 61.0

2012 8,182 1,534 18.7 346 4.2 323 3.9 4,110 50.2

2013 8,443 1,772 21.0 250 3.0 237 2.8 5,374 63.7

2014† 8,450 1,706 20.2 - - - - 5,372 63.6

2015†§

7,101 1,346 19.0 - - - - - -

Total 50,857 9,795 19.3 1,180 3.3 1,034 2.9 26,239 60.0

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow-up time. † Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not received for 2015. Therefore, 2010, 2011, 2014 and 2015 waiver counts and percentages should be considered underestimates.

2

TABLE 3: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED ACTIVE COMPONENT ACCESSIONS BY

YEAR: MARINE CORPS

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n)┼

Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 29,418 3,631 12.3 1,039 3.5 600 2.0 1,059 3.6 93 0.32 3,149 10.7

2011 30,735 3,591 11.7 754 2.5 690 2.2 1,154 3.8 92 0.30 2,828 9.2

2012 30,855 3,997 13.0 909 2.9 534 1.7 1,019 3.3 93 0.30 2,468 8.0

2013 32,182 4,409 13.7 1,462 4.5 566 1.8 882 2.7 89 0.28 2,752 8.6

2014 26,002 3,696 14.2 591 2.3 456 1.8 864 3.3 92 0.35 2,396 9.2

2015§ 29,653 4,487 15.1 22 0.1 - - 541 1.8 - - - -

Total 178,845 23,811 13.3 4,777 2.7 2,846 1.9 5,519 3.1 459 0.31 13,593 9.1 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

TABLE 4: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED RESERVE COMPONENT ACCESSIONS BY

YEAR: MARINE CORPS

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n)┼

Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 5,942 666 11.2 194 3.3 86 1.4 74 1.2 23 0.39 532 9.0

2011 5,687 672 11.8 150 2.6 84 1.5 158 2.8 13 0.23 429 7.5

2012 5,507 669 12.1 135 2.5 69 1.3 140 2.5 8 0.15 379 6.9

2013 4,522 585 12.9 184 4.1 77 1.7 110 2.4 14 0.31 390 8.6

2014 5,581 778 13.9 94 1.7 63 1.1 133 2.4 16 0.29 506 9.1

2015§ 5,227 801 15.3 3 0.1 - - 90 1.7 - - - -

Total 32,466 4,171 12.8 760 2.3 379 1.4 705 2.2 74 0.27 2,236 8.2 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow-up time. ┼In the first 365 days of service.

3



A MEDICAL EXAMINATION IN 2010-2015: MARINE CORPS

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 43,698 25,473 58.3 28,623 65.5 28,681 65.6

2011 44,440 26,100 58.7 29,298 65.9 29,323 66.0

2012 41,337 26,509 64.1 28,988 70.1 29,025 70.2

2013 44,230 27,277 61.7 30,260 68.4 30,285 68.5

2014 35,906 22,675 63.2 24,625 68.6† 24,625 68.6†

2015 42,996 13,288 30.9† 13,288 30.9† 13,288 30.9†

Total

Applicants 252,607 141,322

155,082

155,227



4


F


RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: MARINE CORPS

2010 – 2014 2015


n % n % n % n %

Sex§

Male 187,361 89.4 128,419 90.5 38,218 89.0 11,940 89.9

Female 22,191 10.6 13,520 9.5 4,747 11.0 1,348 10.1

Age Group at

MEPS§

17 – 20 176,016 84.0 122,372 86.2 36,241 84.3 11,165 84.0

21 – 25 30,296 14.5 17,981 12.7 6,135 14.3 1,957 14.7

> 25 3,296 1.6 1,585 1.1 617 1.4 166 1.2

Race§

White 176,149 84.0 120,731 85.1 35,307 82.1 11,144 83.9

Black 22,273 10.6 14,639 10.3 4,901 11.4 1,585 11.9

Other 11,189 5.3 6,569 4.6 2,788 6.5 559 4.2

Education§

Below HS Senior† 275 0.1 77 0.1 62 0.1 3 <0.1

HS Senior 57,425 27.4 30,095 21.2 16,286 37.9 2,270 17.1

HS Diploma 142,083 67.8 106,158 74.8 24,577 57.2 10,468 78.8

Some College 4,851 2.3 3,269 2.3 1,062 2.5 349 2.6

Bachelor's and

above 4,954 2.4 2,329 1.6 1,009 2.3 198 1.5

AFQT Score§

93 – 99 9,756 4.7 6,980 4.9 1,638 3.8 588 4.4

65 – 92 78,020 37.2 55,131 38.8 14,878 34.6 4,902 36.9

50 – 64 59,530 28.4 41,992 29.6 12,507 29.1 4,055 30.5

30 – 49 53,665 25.6 35,880 25.3 11,911 27.7 3,671 27.6

11 – 29 2,214 1.1 45 <0.1 759 1.8 9 0.1

< 11‡ 35 <0.1 0 0.0 14 <0.1 0 0.0

Missing 6,391 3.0 1,911 1.3 1,289 3.0 63 0.5

Medical Status

Fully Qualified 166,457 79.4 123,318 86.9 34,696 80.7 11,634 87.6

Permanent DQ 33,473 16.0 13,261 9.3 6,888 16.0 1,351 10.2

Temporary DQ 9,681 4.6 5,360 3.8 1,412 3.3 303 2.3

Total 209,611 100.0 141,939 100.0 42,996 100.0 13,288 100.0





capture errors.

5


F


A MEDICAL EXAMINATION IN 2010-2015: MARINE CORPS

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 9,755 5,572 57.1 5,942 60.9 5,942 60.9

2011 8,926 5,096 57.1 5,439 60.9 5,441 61.0

2012 8,182 3,746 45.8 4,104 50.2 4,110 50.2

2013 8,443 4,993 59.1 5,374 63.7 5,374 63.7

2014 8,450 5,126 60.7 5,372 63.6† 5,372 63.6†

2015 7,101 2,411 34.0† 2,411 34.0† 2,411 34.0†

Total


28,642

28,650



6


F


RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: MARINE CORPS

2010 – 2014 2015


n % n % n % n %

Sex§

Male 41,847 95.6 25,470 97.1 6,779 95.5 2,359 97.8

Female 1,906 4.4 769 2.9 321 4.5 52 2.2

Age Group at

MEPS§

17 – 20 35,296 80.7 21,412 81.6 5,812 81.8 1,986 82.4

21 – 25 7,528 17.2 4,347 16.6 1,144 16.1 384 15.9

> 25 932 2.1 480 1.8 145 2.0 41 1.7

Race§

White 36,135 82.6 22,009 83.9 5,703 80.3 1,999 82.9

Black 5,078 11.6 2,818 10.7 888 12.5 293 12.2

Other 2,543 5.8 1,412 5.4 510 7.2 119 4.9

Education§

Below HS Senior† 46 0.1 16 0.1 5 0.1 0 0.0

HS Senior 8,213 18.8 3,965 15.1 1,934 27.2 368 15.3

HS Diploma 33,384 76.3 20,948 79.9 4,816 67.8 1,912 79.3

Some College 1,351 3.1 850 3.2 233 3.3 93 3.9

Bachelor's and

above 745 1.7 452 1.7 113 1.6 38 1.6

AFQT Score§

93 – 99 2,851 6.5 1,825 7.0 432 6.1 159 6.6

65 – 92 18,202 41.6 11,460 43.7 2,954 41.6 1,084 45.0

50 – 64 11,594 26.5 6,942 26.5 1,892 26.6 654 27.1

30 – 49 10,592 24.2 6,003 22.9 1,709 24.1 513 21.3

11 – 29 404 0.9 9 <0.1 95 1.3 1 <0.1

< 11‡ 4 <0.1 0 0.0 3 <0.1 0 0.0

Missing 109 0.2 0 0.0 16 0.2 0 0.0

Medical Status

Fully Qualified 35,307 80.7 22,936 87.4 5,755 81.0 2,109 87.5

Permanent DQ 6,515 14.9 2,321 8.8 1,123 15.8 252 10.5

Temporary DQ 1,934 4.4 982 3.7 223 3.1 50 2.1

Total 43,756 100.0 26,239 100.0 7,101 100.0 2,411 100.0



or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school

credential holder; 3) one who is attending high school and is not yet a senior. ‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data

capture errors.

7

Disqualifications


ALL ICD-9 CODES IN 2010-2014 VS. 2015: MARINE CORPS

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§

Abnormal loss of weight and underweight 5,844 13.5 2,788 1,467 17.7 3,412





Certain adverse effects, not elsewhere classified 2,322 5.4 1,108 326 3.9 758

Hearing loss 1,551 3.6 740 294 3.5 684

Asthma 1,492 3.5 712 251 3.0 584

Cannabis abuse 1,321 3.1 630 216 2.6 502

Other nonspecific abnormal findings 643 1.5 307 156 1.9 363




BY ALL ICD-9 CODES IN 2010-2014 VS. 2015: MARINE CORPS

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§

Abnormal loss of weight and underweight 1,158 13.7 2,646 223 16.6 3,140




Certain adverse effects, not elsewhere classified 480 5.7 1,097 64 4.8 901

Asthma 260 3.1 594 58 4.3 817


Cannabis abuse 263 3.1 601 32 2.4 451


Hearing loss 272 3.2 622 30 2.2 422



8


F


ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: MARINE CORPS

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§


Psychiatric 6,004 13.9 2,864 1,169 14.1 2,719

Refraction 4,423 10.2 2,110 1,024 12.3 2,382




Upper extremities 2,172 5.0 1,036 332 4.0 772

Genitourinary 1,519 3.5 725 328 4.0 763

Audiometer 1,497 3.5 714 285 3.4 663

Abdomen and viscera 1,355 3.1 646 199 2.4 463




BY ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: MARINE CORPS

2010-2014 2015

Condition† n

% of DQ

apps‡

Rate§ n

% of DQ

apps‡

Rate§


Refraction 940 11.1 2,148 180 13.4 2,535

Psychiatric 1,058 12.5 2,418 165 12.3 2,324




Upper extremities 370 4.4 846 66 4.9 929

Genitourinary 317 3.8 724 56 4.2 789

Feet 218 2.6 498 39 2.9 549

Spine, other musculoskeletal 210 2.5 480 39 2.9 549



9


§: 2010-2015

Year Consider

(n)

Approved

(n)

Approved

(%)

2010‡ 2,189 1,501 68.6

2011‡ 805 591 73.4

2012 2,365 2,082 88.0

2013 2,424 2,107 86.9

2014‡ 142 122 85.9

2015‡ - - -

Total 7,925 § Applicants may be counted more than once per year and in multiple services.

‡ Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not received for 2015.

TABLE 14: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATION COUNTS

§: 2010-2015


Individuals 7,671




Considerations with missing conditions 20 (0.3%)

§ Applicants can be counted in multiple services.

† Value undercounted due to missing Marine waiver records from 2010, 2011, 2014 and 2015.

10


F


CONSIDERED IN 2010-2014 VS. 2015: MARINE CORPS 2010-2014ʅ 2015ʅ



§ n %

‡ n %

§


accommodation 1,645 20.8 1,442 22.5 - - - -

Other nonspecific abnormal findings 1,372 17.3 1,094 17.1 - - - -


classified‡‡ 839 10.6 799 12.5 - - - -

Asthma 502 6.3 412 6.4 - - - -

Hyperkinetic syndrome of childhood 444 5.6 375 5.9 - - - -

Neurotic disorders 323 4.1 260 4.1 - - - -

Hearing loss 304 3.8 141 2.2 - - - -

Late effects of musculoskeletal and

connective tissue injuries 249 3.1 213 3.3 - - - -

Contact dermatitis and other eczema 195 2.5 172 2.7 - - - -

Other and unspecified disorders of bone

and cartilage 174 2.2 146 2.3 - - - -

Curvature of spine 168 2.1 77 1.2 - - - -

Total considerations¥ 7,925 -

Total of approved considerations¥ 6,403 -

† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ This category includes waiver applicants with missing condition values. ʅ Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not reported for 2015.

11


F


HIGHEST PROPORTION OF APPROVED APPLICATIONS AMONG ACTIVE AND RESERVE COMPONENT MARINE

CORPS ENLISTEES: 2010-2014 VS. 2015 Total 2010-2014¥ 2015¥


§ n %

§

Certain adverse effects, not elsewhere classified‡‡ 839 95.2 839 95.2 - -

Contact dermatitis and other eczema 195 88.2 195 88.2 - -

Disorders of refraction and accommodation 1645 87.7 1645 87.7 - -

Late effects of musculoskeletal and connective

tissue injuries 249 85.5 249 85.5 - -

Hyperkinetic syndrome of childhood 444 84.5 444 84.5 - -

Other and unspecified disorders of bone and

cartilage 174 83.9 174 83.9 - -

Asthma 502 82.1 502 82.1 - -

Neurotic disorders 323 80.5 323 80.5 - -

Other nonspecific abnormal findings 1372 79.7 1372 79.7 - -

Hearing loss 304 46.4 304 46.4 - -


† Condition categories are not mutually exclusive. ‡‡ Codes in this category typically include unspecified allergies and anaphylactic shock. ¥ Waiver data were underreported by the Marine Corps for 2010, 2011, and 2014 and not reported for 2015.

12


F


2010-2015† BY YEAR: MARINE CORPS



n %

2010§ 1,094 828 75.7

2011§ 444 330 74.3

2012

1,581 1,287 81.4

2013 1,624 1,347 82.9

2014§ 95 72 75.8

2015§ - - -


waiver. § Value undercounted due to missing Marine Corps waiver records.


2010-2015† BY YEAR: MARINE CORPS



n %

2010§ 284 181 63.7

2011§ 115 67 58.3

2012

347 156 45.0

2013 354 226 63.8

2014§ 22 10 45.5

2015§ - - -


waiver. § Value undercounted due to missing Marine Corps waiver records.

13


F



VS. 2015: MARINE CORPS

2010-2014‡ 2015‡


n % n % n % n %

Sex§

Male 4,329 89.5 3,493 90.4 - - - -

Female 509 10.5 372 9.6 - - - -

Age at Waiver§

17 – 20 3,945 81.5 3,198 82.7 - - - -

21 – 25 818 16.9 624 16.1 - - - -

> 25 75 1.6 43 1.1 - - - -

Race§

White 4,219 87.2 3,381 87.5 - - - -

Black 397 8.2 322 8.3 - - - -

Other 222 4.6 162 4.2 - - - -

Education Level§

Below HS senior† 5 0.1 3 0.1 - - - -

HS senior 1,019 21.1 640 16.6 - - - -

HS diploma 3,603 74.5 3,051 78.9 - - - -

Some college 126 2.6 101 2.6 - - - -

Bachelor's and higher 85 1.8 70 1.8 - - - -

AFQT Score§

93-99 335 6.9 268 6.9 - - - -

65-92 2,059 42.6 1,676 43.4 - - - -

50-64 1,423 29.4 1,141 29.5 - - - -

30-49 1,012 20.9 779 20.2 - - - -

11-29 2 <0.1 1 <0.1 - - - -

<11 0 0.0 0 0.0 - - - -

Medical Status Fully Qualified 9 0.2 3 0.1 - - - -

Permanent DQ 4,820 99.6 3,858 99.8 - - - -

Temporary DQ 9 0.2 4 0.1 - - - -

Total 4,838 3,865 - - HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.


or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ‡Value underreported due to missing Marine Corps waiver records.

14


F



2014 VS. 2015: MARINE CORPS

2010-2014‡ 2015‡

All waivers Accessed only

All waivers

n %

n %

n %

Sex§

Male 942 72.6 472 72.7 - - - -

Female 356 27.4 177 27.3 - - - -

Age at Waiver§

17 – 20 582 44.8 330 50.8 - - - -

21 – 25 323 24.9 178 27.4 - - - -

> 25 393 30.3 141 21.7 - - - -

Race§

White 842 64.9 405 62.4 - - - -

Black 225 17.3 117 18.0 - - - -

Other 231 17.8 127 19.6 - - - -

Education Level§

Below HS senior† 1 0.1 1 0.2 - - - -

HS senior 37 2.9 14 2.2 - - - -

HS diploma 992 76.4 516 79.5 - - - -

Some college 87 6.7 45 6.9 - - - -


AFQT Score§

93-99 99 7.6 41 6.3 - - - -

65-92 564 43.5 324 49.9 - - - -

50-64 367 28.3 204 31.4 - - - -

30-49 153 11.8 79 12.2 - - - -

11-29 2 0.2 0 0.0 - - - -

<11 0 0.0 0 0.0 - - - -


Permanent DQ 1,285 99.0 645 99.4 - - - -

Temporary DQ 10 0.8 3 0.5 - - - -

Total 1,298 649 - - HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.


or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ‡Value underreported due to missing Marine Corps waiver records.

15

Hospitalizations

TABLE 21: ACTIVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: MARINE CORPS


Year Total


% of


% of

Individuals

2010 29,418 1,180 1,059 3.5 958 699 2.3

2011 30,735 1,296 1,155 3.7 806 647 2.1

2012 30,855 1,155 1,020 3.2 773 620 2.0

2013 32,182 978 882 2.7 892 725 2.2

2014 26,002 964 865 3.3 294 250 1.0§

2015 29,653 595 542 1.8§ - - -


TABLE 22: RESERVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: MARINE CORPS


Year Total


% of


% of

Individuals

2010 5,942 75 74 1.2 15 12 0.2

2011 5,687 172 158 2.8 17 11 0.2

2012 5,507 154 140 2.5 3 3 0.1

2013 4,522 120 111 2.5 8 5 0.1

2014 5,581 139 133 2.4 3 2 <0.1§

2015 5,227 97 90 1.7§ - - -


16



PERSONNEL ACCESSED IN 2010-2015: MARINE CORPS


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 162,332 5,499 4,946 3.0 1.00 -

Female┼ 16,513 669 577 3.5 1.15 (1.06, 1.26)

Age at Accession§

17 – 20 (REF) 145,565 5,068 4,541 3.1 1.00 -

21 – 25 30,160 970 863 2.9 0.13 (0.11, 0.16)

> 25 3,116 130 119 3.8 0.13 (1.07, 1.17)

Race§

White (REF) 152,136 5,242 4,691 3.1 1.00 -

Black 18,467 663 600 3.2 1.06 (0.97, 1.15)

Other 8,242 263 232 2.8 0.91 (0.80, 1.04)

Education Level§

Below HS graduate† 3 0 0 0.0 1.78 (1.43, 2.22)

HS diploma (REF) 169,424 5,876 5,260 3.1 1.00 -

Some college 5,898 218 192 3.3 1.05 (0.91, 1.21)


AFQT Score§

93 – 99 (REF) 8,916 316 285 3.2 1.00 -

65 – 92 69,010 2,444 2,186 3.2 1.00 (0.88, 1.12)

50 – 64 52,139 1,805 1,615 3.1 0.97 (0.85, 1.10)

30 – 49 45,916 1,593 1,427 3.1 0.97 (0.85, 1.10)

11 – 29 65 2 2 3.1 0.96 (0.24, 3.79)

Medical Status


Temporary DQ 6,739 281 249 3.7 1.22 (1.08, 1.39)

Permanent DQ 17,072 670 597 3.5 1.16 (1.07, 1.27)

Total 178,845 25,600 5,523 3.1 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent



or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ┼ Hospitalizations for pregnancy/childbirth are included.

17



ENLISTED PERSONNEL ACCESSED IN 2010-2015: MARINE CORPS


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 31,520 739 688 2.2 1.00 -

Female┼ 946 18 18 1.9 0.87 (0.55, 1.39)

Age at Accession§

17 – 20 (REF) 24,549 583 544 2.2 1.00 -

21 – 25 6,654 150 140 2.1 0.95 (0.79, 1.14)

> 25 1,263 24 22 1.7 0.79 (052, 1.20)

Race§ -

White (REF) 27,238 623 582 2.1 1.00 -

Black 3,448 80 74 2.1 1.00 (0.79, 1.28)

Other 1,780 54 50 2.8 1.32 (0.99, 1.75)

Education Level§

Below HS graduate† 2 0 0 0.0 - -

HS diploma (REF) 29,983 710 659 2.2 1.00 -

Some college 1,535 36 36 2.3 1.07 (076, 1.50)

Bachelor's or higher 944 11 11 1.2 0.53 (0.29, 0.96)

AFQT Score§

93 – 99 (REF) 2,306 54 47 2.0 1.00 -

65 – 92 14,067 341 324 2.3 1.13 (0.83, 1.52)

50 – 64 8,446 199 182 2.2 1.06 (0.77, 1.45)

30 – 49 7,358 161 151 2.1 1.00 (0.73, 1.39)

11 – 29 11 1 1 9.1 4.46 (0.67, 29.53)

Medical Status

Fully Qualified (REF) 28,295 643 600 2.1 1.00 -

Temporary DQ 1,203 35 35 2.9 1.37 (0.98, 1.92)

Permanent DQ 2,968 79 71 2.4 1.13 (0.88,1.44)




or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school and is not yet a senior. ┼ Hospitalizations for pregnancy/childbirth are included.

18




Category 2010-2014§ 2015

§





Fracture 4.1 4.0



Psychoses 3.2 2.4


Injuries 2.6 3.3 §Percent of total hospitalizations



Category 2010-2014§ 2015

§




Fracture 8.1 4.8

Psychoses 5.8 5.4

Injuries 5.5 5.2





Poisoning and toxic effects 2.3 2.8 §Percent of total hospitalizations

19




Category 2010-2014§ 2015

§










Fracture 2.5 1.6 §Percent of total hospitalizations



Category 2010-2014§ 2015

§



Injuries 10.0 0.0

Psychoses 7.5 20.0

Fracture 7.5 0.0



Noninfectious enteritis and colitis 5.0 0.0


Other diseases due to viruses and chlamydiae 2.5 0.0 §Percent of total hospitalizations

20

Attrition

TABLE 29: ATTRITION AMONG FIRST TIME ACTIVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: MARINE CORPS

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 29,418 2,184 7.4 7.4 431 1.5 8.9 534 1.8 10.7 809 2.8 13.5 2011 30,735 1,921 6.3 6.3 359 1.2 7.4 548 1.8 9.2 835 2.7 11.9 2012 30,855 1,556 5.0 5.0 293 0.9 6.0 619 2.0 8.0 781 2.5 10.5 2013 32,182 1,785 5.5 5.5 434 1.3 6.9 533 1.7 8.6 852 2.6 11.2 2014¥ 26,002 1,608 6.2 6.2 461 1.8 8.0 327 1.3 9.2 - - - 2015¥ 29,653 1,471 5.0 5.0 293 1.0 5.9 - - - - - -

Sex*

Male 162,332 8,599 5.3 5.3 1,794 1.1 6.4 2,375 1.5 7.9 3,227 2.0 9.9 Female 16,513 1,926 11.7 11.7 477 2.9 14.6 250 1.5 16.1 320 1.9 18.0

Age at Accession§

17 – 20 145,565 7,931 5.4 5.4 1,857 1.3 6.7 2,296 1.6 8.3 3,076 2.1 10.4 21 – 25 30,160 2,239 7.4 7.4 377 1.3 8.7 305 1.0 9.7 438 1.5 11.1 > 25 3,116 354 11.4 11.4 37 1.2 12.5 24 0.8 13.3 33 1.1 14.4

Race§

White 152,136 8,885 5.8 5.8 1,952 1.3 7.1 2,335 1.5 8.7 2,960 1.9 10.6 Black 18,467 1,227 6.6 6.6 204 1.1 7.7 191 1.0 8.8 458 2.5 11.3 Other 8,242 413 5.0 5.0 115 1.4 6.4 99 1.2 7.6 129 1.6 9.2

Education Level§

Below HS graduate‡ 3 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 HS diploma 169,424 9,683 5.7 5.7 2,153 1.3 7.0 2,532 1.5 8.5 3,411 2.0 10.5 Some college 5,898 400 6.8 6.8 91 1.5 8.3 70 1.2 9.5 109 1.8 11.4 Bachelor's or higher 3,499 436 12.5 12.5 27 0.8 13.2 23 0.7 13.9 27 0.8 14.7

AFQT Score§

93 – 99 8,916 436 4.9 4.9 106 1.2 6.1 67 0.8 6.8 119 1.3 8.2 65 – 92 69,010 3,656 5.3 5.3 802 1.2 6.5 957 1.4 7.8 1,285 1.9 9.7 50 – 64 52,139 2,964 5.7 5.7 680 1.3 7.0 786 1.5 8.5 1,051 2.0 10.5 30 – 49 45,916 2,957 6.4 6.4 650 1.4 7.9 755 1.6 9.5 1,032 2.2 11.7 11 – 29 65 9 13.8 13.8 1 1.5 15.4 0 0.0 15.4 1 1.5 16.9

Medical Status

Fully Qualified 155,034 8,500 5.5 5.5 1,829 1.2 6.7 2,276 1.5 8.1 3,122 2.0 10.1 Temporary DQ 6,739 480 7.1 7.1 135 2.0 9.1 114 1.7 10.8 151 2.2 13.1 Permanent DQ 17,072 1,545 9.0 9.0 307 1.8 10.8 235 1.4 12.2 274 1.6 13.8




21

TABLE 30: ATTRITION AMONG FIRST TIME RESERVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: MARINE CORPS

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 5,942 399 6.7 6.7 90 1.5 8.2 43 0.7 9.0 213 3.6 12.5 2011 5,687 311 5.5 5.5 73 1.3 6.8 45 0.8 7.5 140 2.5 10.0 2012 5,507 274 5.0 5.0 43 0.8 5.8 62 1.1 6.9 201 3.6 10.5 2013 4,522 287 6.3 6.3 49 1.1 7.4 54 1.2 8.6 182 4.0 12.6 2014¥ 5,581 380 6.8 6.8 84 1.5 8.3 42 0.8 9.1 - - - 2015¥ 5,227 295 5.6 5.6 41 0.8 6.4 - - - - - -

Sex* Male 31,520 1,848 5.9 5.9 357 1.1 7.0 249 0.8 7.8 806 2.6 10.3 Female 946 98 10.4 10.4 23 2.4 12.8 7 0.7 13.5 16 1.7 15.2

Age at Accession§

17 – 20 24,549 1,340 5.5 5.5 293 1.2 6.7 203 0.8 7.5 651 2.7 10.1 21 – 25 6,654 493 7.4 7.4 75 1.1 8.5 46 0.7 9.2 157 2.4 11.6 > 25 1,263 113 8.9 8.9 12 1.0 9.9 7 0.6 10.5 14 1.1 11.6

Race§

White 27,238 1,606 5.9 5.9 321 1.2 7.1 216 0.8 7.9 662 2.4 10.3 Black 3,448 249 7.2 7.2 44 1.3 8.5 29 0.8 9.3 120 3.5 12.8 Other 1,780 91 5.1 5.1 15 0.8 6.0 11 0.6 6.6 40 2.2 8.8

Education Level§

Below HS graduate‡ 2 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 1 50.0 50.0 HS diploma 29,983 1,715 5.7 5.7 365 1.2 6.9 245 0.8 7.8 783 2.6 10.4 Some college 1,535 102 6.6 6.6 12 0.8 7.4 10 0.7 8.1 31 2.0 10.1 Bachelor's or higher 944 128 13.6 13.6 3 0.3 13.9 1 0.1 14.0 56 5.9 19.9

AFQT Score§ 93 – 99 2,306 113 4.9 4.9 24 1.0 5.9 7 0.3 6.2 36 1.6 7.8 65 – 92 14,067 767 5.5 5.5 161 1.1 6.6 104 0.7 7.3 601 4.3 11.6 50 – 64 8,446 475 5.6 5.6 97 1.1 6.8 81 1.0 7.7 500 5.9 13.7 30 – 49 7,358 517 7.0 7.0 98 1.3 8.4 63 0.9 9.2 519 7.1 16.3 11 – 29 11 1 9.1 9.1 0 0.0 9.1 0 0.0 9.1 0 0.0 9.1

Medical Status Fully Qualified 28,295 1,563 5.5 5.5 315 1.1 6.6 216 0.8 7.4 734 2.6 10.0 Temporary DQ 1,203 87 7.2 7.2 17 1.4 8.6 12 1.0 9.6 33 2.7 12.4 Permanent DQ 2,968 296 10.0 10.0 48 1.6 11.6 28 0.9 12.5 55 1.9 14.4

Total§ 32,466 1,946 6.0 6.0 380 1.2 7.2 256 0.8 8.0 822 2.5 10.5 FY: Fiscal Year; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; Cumul: Cumulative §Individuals with missing values for demographic variables are included in the total.



22

EPTS Discharges


Component 2010 2011 2012 2013 2014 Total

Active 667 759 572 630 566 3,194

Reserve 105 102 81 113 76 477

Total 772 861 653 746 646 3,678

TABLE 32: EPTS DISCHARGES OF ENLISTEES IN 2010-2014: ALL COMPONENTS

Condition n %

Psychiatric - other 1,080 29.4


Asthma 255 6.9





Genitourinary system (incl.

pregnancy)

93 2.5

Eyes - other 76 2.1

Ortho - feet 62 1.7



Total 3,678

TABLE 33: LEADING PRIMARY EPTS DISCHARGE CONDITIONS FOR ALL ENLISTEES IN 2010-2013 VS. 2014:

MARINE CORPS

2010-2013 2014


n % n %





Dentofacial anomalies, including malocclusion 46 1.5 34 5.3

Asthma 267 8.5 33 5.1

Toxic effect of other substances, chiefly nonmedicinal as to

source 100 3.3 20 3.1



Hearing loss 52 1.7 15 2.3



646

23

TABLE 34: EPTS DISCHARGES FROM ACTIVE COMPONENT BY ACCESSION YEAR: MARINE CORPS


(n)

Discharges

(n)

Discharges

(%)

2010 29,418 603 2.0

2011 30,735 703 2.3

2012 30,855 537 1.7

2013 32,182 583 1.8

2014† 26,002 467 1.8

Total 149,192 2,893

† Incomplete, due to delays in reporting

TABLE 35: EPTS DISCHARGES FROM RESERVE COMPONENT BY ACCESSION YEAR: MARINE CORPS


(n)

Discharges

(n)

Discharges

(%)

2010 5,942 86 1.4

2011 5,687 84 1.5

2012 5,507 70 1.3

2013 4,522 77 1.7

2014† 5,581 64 1.1

Total 27,239 381 1.4 † Incomplete, due to delays in reporting

24


EPTS DISCHARGE: MARINE CORPS

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Sex§

Male (REF) 135,537 2154 1.6 1.00 -

Female 13,655 739 5.4 3.41 (3.14, 3.70)

Age at Accession§

17 – 20 (REF) 120,987 2,348 1.9 1.00 -

21 – 25 25,520 489 1.9 0.99 (0.90, 1.09)

> 25 2,681 56 2.1 1.08 (0.83, 1.40)

Race§

White (REF) 127,064 2,426 1.9 1.00 -

Black 15,167 375 2.5 1.29 (1.16, 1.44)

Other 6,961 92 1.3 0.69 (0.56, 0.85)

Education Level§

Below HS graduate† 3 0 0.0 - -

HS diploma (REF) 141,208 2,759 2.0 1.00 -

Some college 5,020 98 2.0 1.00 (0.82, 1.22)


AFQT Score§

93 – 99 (REF) 7,604 116 1.5 1.00 -

65 – 92 57,926 987 1.7 1.12 (0.92, 1.35)

50 – 64 42,948 886 2.1 1.35 (1.12, 1.64)

30 – 49 38,071 900 2.4 1.55 (1.28, 1.88)

11 – 29 55 4 7.3 4.77 (1.82, 12.46)

Medical Status

Fully Qualified

(REF) 129,868 2,265 1.7 1.00 -

Temporary DQ 5,911 153 2.6 1.48 (1.26, 1.74)

Permanent DQ 13,413 475 3.5 2.03 (1.84, 2.24)





25


IN EPTS DISCHARGE: MARINE CORPS

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Sex§

Male (REF) 26,457 351 1.3 1.00 -

Female 782 30 3.8 2.89 (2.01, 4.17)

Age at

Accession§

17 – 20 (REF) 20,548 282 1.4 1.00 -

21 – 25 5,597 86 1.5 1.12 (0.88, 1.42)

> 25 1,094 13 1.2 0.87 (0.50, 1.50)

Race§

White (REF) 22,910 296 1.3 1.00 -

Black 2,856 70 2.5 1.90 (1.47, 2.45)

Other 1,473 15 1.0 0.79 (0.47, 1.32)

Education

Level§

Below HS

graduate† 2 0 0.0 - -

HS diploma

(REF) 25,206 355 1.4 1.00 -

Some college 1,279 22 1.7 1.22 (0.80, 1.87)

Bachelor's or

higher 750 4 0.5 0.38 (0.14, 1.01)

AFQT Score§

93 – 99 (REF) 1,945 21 1.1 1.00 -

65 – 92 11,758 132 1.1 1.04 (0.66, 1.64)

50 – 64 7,017 105 1.5 1.39 (0.87, 2.21)

30 – 49 6,297 122 1.9 1.79 (1.13, 2.84)

11 – 29 9 1 11.1 10.29 (1.55, 68.55)

Medical Status

Fully Qualified

(REF) 23,869 311 1.3 1.00 -

Temporary DQ 1,076 12 1.1 0.86 (0.48, 1.52)

Permanent DQ 2,294 58 2.5 1.94 (1.47, 2.56)




26


TABLE 38: DISABILITY DISCHARGES FROM ACTIVE COMPONENT WITHIN THE FIRST YEAR

OF SERVICE AMONG 2010-2015 ACCESSIONS: MARINE CORPS



(n) n %

2010 29,418 93 0.32

2011 30,735 92 0.30

2012 30,855 93 0.30

2013 32,182 89 0.28

2014 26,002 92 0.35

2015§ 29,653 11 0.04


TABLE 39: DISABILITY DISCHARGES FROM RESERVE COMPONENT WITHIN THE FIRST

YEAR OF SERVICE AMONG 2010-2015 ACCESSIONS: MARINE CORPS



(n) n %

2010 5,942 23 0.39

2011 5,687 13 0.23

2012 5,507 8 0.15

2013 4,522 14 0.31

2014 5,581 16 0.29

2015§ 5,227 0 0.00


27



2010-2015 ACCESSIONS: MARINE CORPS

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Sex§

Male (REF) 162,332 388 0.24 1.00 -

Female 16,513 82 0.50 2.08 (1.64 , 2.64)

Age at Accession§

17 – 20 (REF) 145,565 365 0.25 1.00 -

21 – 25 30,160 93 0.31 1.23 (0.98 , 1.54)

> 25 3,116 12 0.39 1.54 (0.86 , 2.73)

Race§

White (REF) 152,136 418 0.27 1.00 -

Black 18,467 40 0.22 0.79 (0.57 , 1.09)

Other 8,242 12 0.15 0.53 (0.30 , 0.94)

Education Level§

Below HS graduate† 3 0 - - -

HS diploma (REF) 169,424 446 0.26 1.00 -

Some college 5,898 19 0.32 1.22 (0.77 , 1.94)


AFQT Score§

93 – 99 (REF) 8,916 24 0.27 1.00 -

65 – 92 69,010 192 0.28 1.03 (0.68 , 1.58)

50 – 64 52,139 140 0.27 1.00 (0.65 , 1.54)

30 – 49 45,916 114 0.25 0.92 (0.59 , 1.43)

11 – 29 65 0 0.00 - -

Medical Status


Temporary DQ 6,739 25 0.37 1.46 (0.97 , 2.19)

Permanent DQ 17,072 51 0.30 1.18 (0.88 , 1.57)





28



AMONG 2010-2015 ACCESSIONS: MARINE CORPS

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Sex§

Male (REF) 31,520 69 0.22 1.00 -

Female 946 5 0.53 2.41 (0.97 , 5.98)

Age at Accession§

17 – 20 (REF) 24,549 56 0.23 1.00 -

21 – 25 6,654 13 0.20 0.86 (0.47 , 1.57)

> 25 1,263 5 0.40 1.74 (0.70 , 4.33)

Race§

White (REF) 27,238 58 0.21 1.00 -

Black 3,448 12 0.35 1.63 (0.88 , 3.04)

Other 1,780 4 0.22 1.06 (0.38 , 2.91)

Education Level§

Below HS graduate† 2 0 - - -

HS diploma (REF) 29,983 69 0.23 1.00 -

Some college 1,535 5 0.33 1.42 (0.57 , 3.51)

Bachelor's or higher 944 0 - - -

AFQT Score§

93 – 99 (REF) 2,306 4 0.17 1.00 -

65 – 92 14,067 36 0.26 1.48 (0.53 , 4.15)

50 – 64 8,446 13 0.15 0.89 (0.29 , 2.72)

30 – 49 7,358 21 0.29 1.65 (0.56 , 4.79)

11 – 29 11 0 0.00 - -

Medical Status


Temporary DQ 1,203 11 0.91 4.17 (2.20 , 7.92)

Permanent DQ 2,968 1 0.03 0.15 (0.02 , 1.11)




29



PERSONNEL IN THE FIRST YEAR OF SERVICE FOR 2010-2015 ACCESSIONS: MARINE CORPS

2010-2015













§Represents the proportion of individuals evaluated for disability who were evaluated for each disability type


Published & Distributed 1ST Quarter of Fiscal Year 2017

Supplemental Tables: Navy Applicants and Accessions









Defense.


i

AMSARA Annual Report 2016: Navy

Contents



MEPS who received a medical examination by year: Navy ................................................................ 1


MEPS who received a medical examination by year: Navy ................................................................ 1


enlisted active component accessions by year: Navy ........................................................................... 2


enlisted reserve component accessions by year: Navy ......................................................................... 2



examination in 2010-2015: Navy ......................................................................................................... 3


medical examination in 2010-2014 vs. 2015: Navy ............................................................................. 4


examination in 2010-2015: Navy ......................................................................................................... 5


medical examination in 2010-2014 vs. 2015: Navy ............................................................................. 6



codes in 2010-2014 vs. 2015: Navy .................................................................................................... 7


codes in 2010-2014 vs. 2015: Navy ..................................................................................................... 7


USMEPCOM failure codes in 2010-2014 vs. 2015: Navy .................................................................. 8


USMEPCOM failure codes in 2010-2014 vs. 2015: Navy .................................................................. 8

Accession Medical Waivers ....................................................................................................... 9

Table 13: Active and reserve component waiver considerations by year§: 2010-2015 ........................ 9

Table 14: Active and reserve component waiver consideration counts§: 2010-2015 ........................... 9


2010-2014 vs. 2015: Navy ................................................................................................................. 10


proportion of approved applications among active and reserve component Navy enlistees: 2010-

2014 vs. 2015 ..................................................................................................................................... 11


by year: Navy ..................................................................................................................................... 12

ii



2015† by year: Navy ........................................................................................................................... 12


accession medical waiver compared to active component accessions 2010-2014 vs. 2014-2015:

Navy ................................................................................................................................................... 13


accession medical waiver compared to reserve component accessions 2010-2014 vs. 2015: Navy .. 14


Table 21: Active component hospitalizations in 2010-2015 by year: Navy ...................................... 15

Table 22: Reserve component hospitalizations in 2010-2015 by year: Navy .................................... 15


accessed in 2010-2015: Navy ............................................................................................................. 16


personnel accessed in 2010-2015: Navy ............................................................................................ 17









Attrition .................................................................................................................................... 20


since accession: Navy ......................................................................................................................... 20


since accession: Navy ......................................................................................................................... 21

EPTS Discharges ....................................................................................................................... 22


Table 32: EPTS discharges of enlistees in 2010-2014 by category: All Components ....................... 22

Table 33: Leading primary EPTS discharge conditions for all enlistees in 2010-2013 vs. 2014: Navy

............................................................................................................................................................ 22

Table 34: EPTS discharges from active component by accession year: Navy ................................... 23

Table 35: EPTS discharges from reserve component by accession year: Navy ................................. 23


discharge: Navy .................................................................................................................................. 24


discharge: Navy ................................................................................................................................. 25


iii



2010-2015 accessions: Navy .............................................................................................................. 26


2010-2015 accessions: Navy .............................................................................................................. 26


accessions: Navy ................................................................................................................................ 27


2015 accessions: Navy ....................................................................................................................... 28


first year of service for 2010-2015 accessions: Navy ........................................................................ 29

1



APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: NAVY

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010 49,932 10,046 20.1 3,782 7.6 2,177 4.4 31,237 62.6

2011 45,870 9,299 20.3 4,168 9.1 2,433 5.3 31,373 68.4

2012 52,680 10,741 20.4 5,303 10.1 3,063 5.8 37,696 71.6

2013 55,355 11,960 21.6 5,198 9.4 3,268 5.9 39,342 71.1

2014† 47,501 9,969 21.0 - - - - 32,155 67.7

2015§† 49,419 9,358 18.9 - - - - - -

Total 300,757 61,373 20.4 18,451 9.1 10,941 5.4 171,803 68.4

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow up time. † Waiver data were unavailable for the Navy in 2014 and 2015


APPLICANTS AT MEPS WHO RECEIVED A MEDICAL EXAMINATION BY YEAR: NAVY

Applicant

(n)

DQ

(n)

DQ

(%)

Waiver

Apply

(n)

Waiver

Apply

(%)

Waiver

Approve

(n)

Waiver

Approve

(%)

Access

(n)

Access

(%)

2010 4,226 708 16.8 275 6.5 200 4.7 2,380 56.3

2011 4,277 852 19.9 371 8.7 249 5.8 1,980 46.3

2012 4,644 858 18.5 422 9.1 288 6.2 2,281 49.1

2013 5,226 1,003 19.2 441 8.4 323 6.2 3,092 59.2

2014† 5,198 975 18.8 - - - - 2,869 55.2

2015§† 4,767 845 17.7 - - - - - -

Total 28,338 5,241 18.5 1,509 8.2 1,060 5.8 12,602 53.5

DQ: Disqualification; Access: Accessions §Accessions among 2015 applicants not calculated due to lack of sufficient follow up time. † Waiver data were unavailable for the Navy in 2014 and 2015

2

TABLE 3: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED ACTIVE COMPONENT

ACCESSIONS BY YEAR: NAVY

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n)┼

Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 33,843 3,589 10.6 1,853 5.5 1,294 3.8 364 1.1 30 0.09 3,318 9.8

2011 33,164 3,380 10.2 1,820 5.5 1,272 3.8 399 1.2 22 0.07 4,006 12.1

2012 36,949 4,191 11.3 2,426 6.6 1,662 4.5 444 1.2 32 0.09 4,848 13.1

2013 40,885 4,924 12.0 3,081 7.5 162 0.4 490 1.2 34 0.08 4,678 11.4

2014‡ 34,450 4,624 13.4 1,610 4.7 0 0.0 415 1.2 23 0.07 4,028 11.7

2015§‡ 35,731 4,360 12.2 32 0.1 - - 144 0.4 - - - -

Total 215,022 25,068 11.7 10,822 5.0 4,390 2.4 2,256 1.0 141 0.08 20,878 11.6 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow up time. ‡ Waiver data for 2014 and 2015 were not reported by the Navy in time to meet the publication deadline for this annual report. Waiver approval rates should be considered underestimates. ┼In the first 365 days of service.

TABLE 4: DISQUALIFICATION, WAIVER, EPTS, HOSPITALIZATION, DISABILITY, AND ATTRITION RATES AMONG ENLISTED RESERVE COMPONENT

ACCESSIONS BY YEAR: NAVY

Accession

(n)

DQ

(n)

DQ

(%)

Waiver

Approved

(n)

Waiver

Approved

(%)

EPTS

(n)

EPTS

(%)

Hosp

(n) ┼

Hosp

(%)

Disability

(n)┼

Disability

Discharge

(%)

Attrition

(n)┼

Attrition

(%)

2010 3,453 369 10.7 151 4.4 56 1.6 7 0.2 2 0.06 21 0.6

2011 3,428 375 10.9 146 4.3 64 1.9 17 0.5 0 0.00 12 0.4

2012 1,427 145 10.2 83 5.8 31 2.2 14 1.0 0 0.00 0 0.0

2013 3,138 349 11.1 224 7.1 7 0.2 21 0.7 1 0.03 0 0.0

2014‡ 2,902 364 12.5 132 4.5 0 0.0 24 0.8 2 0.07 0 0.0

2015§‡ 3,010 348 11.6 5 0.2 - - 10 0.3 - - - -

Total 17,358 1,950 11.2 741 4.3 158 1.1 93 0.5 5 0.03 33 0.2 DQ: Disqualifications; EPTS: Existed Prior to Service Discharges; Hosp: Hospitalizations §EPTS, disability, and attrition not calculated for 2015 accessions due to lack of sufficient follow up time. ‡ Waiver data for 2014 and 2015 were not reported by the Navy in time to meet the publication deadline for this annual report. Waiver approval rates should be considered underestimates. ┼In the first 365 days of service.

3



A MEDICAL EXAMINATION IN 2010-2015: NAVY

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 49,932 27,156 54.4 30,848 61.8 31,237 62.6

2011 45,870 28,718 62.6 31,058 67.7 31,373 68.4

2012 52,680 35,295 67.0 37,634 71.4 37,696 71.6

2013 55,355 36,857 66.6 39,316 71.0 39,342 71.1

2014 47,501 30,521 64.3 32,155 67.7† 32,155 67.7†

2015 49,419 16,668 33.7† 16,668 33.7† 16,668 33.7†

Total

Applicants 300,757 175,215

187,679

188,471



4


F


RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: NAVY

2010 – 2014 2015


n % n % n % n %

Sex§

Male 189,112 75.3 131,325 76.4 35,985 73.0 11,908 71.4

Female 62,069 24.7 40,478 23.6 13,325 27.0 4,760 28.6

Age Group at

MEPS§

17 – 20 159,070 63.3 114,783 66.8 31,740 64.2 11,319 67.9

21 – 25 71,193 28.3 45,911 26.7 13,890 28.1 4,414 26.5

> 25 21,068 8.4 11,106 6.5 3,788 7.7 935 5.6

Race§

White 158,384 63.0 107,189 62.4 32,111 65.0 11,053 66.3

Black 45,259 18.0 31,063 18.1 9,222 18.7 3,349 20.1

Other 47,695 19.0 33,551 19.5 8,086 16.4 2,266 13.6

Education§

Below HS Senior† 158 0.1 37 <0.1 19 <0.1 0 0.0

HS Senior 21,488 8.6 9,009 5.2 7,428 15.0 870 5.2

HS Diploma 193,468 77.0 141,728 82.5 35,068 71.0 14,168 85.0

Some College 10,270 4.1 7,653 4.5 1,595 3.2 574 3.4

Bachelor's and

above 25,729 10.2 13,272 7.7 5,296 10.7 1,053 6.3

AFQT Score§

93 – 99 22,317 8.9 16,591 9.7 3,858 7.8 1,142 6.9

65 – 92 107,313 42.7 78,589 45.7 20,178 40.8 7,491 44.9

50 – 64 72,784 29.0 52,688 30.7 14,462 29.3 5,544 33.3

30 – 49 32,832 13.1 19,133 11.1 6,995 14.2 2,095 12.6

11 – 29 1,131 0.4 2 <0.1 267 0.5 0 0.0

< 11‡ 15 <0.1 0 0.0 6 <0.1 0 0.0

Missing 14,946 5.9 4,800 2.8 3,653 7.4 396 2.4

Medical Status

Fully Qualified 199,323 79.3 151,360 88.1 40,061 81.1 14,982 89.9

Permanent DQ 41,088 16.3 15,638 9.1 7,430 15.0 1,295 7.8

Temporary DQ 10,927 4.3 4,805 2.8 1,928 3.9 391 2.3

Total 251,338 100.0 171,803 100.0 49,419 100.0 16,668 100.0





capture errors.

5


F


A MEDICAL EXAMINATION IN 2010-2015: NAVY

Year of

exam

Applicants

(n)

Within 1

year of

application

(n)

Within 1

year of

application

(%)

Within 2

years of

application

(n)

Within 2

years of

application

(%)

Total

Accessed

(n)

Overall

Accessed

(%)

2010 4,226 2,215 52.4 2,379 56.3 2,380 56.3

2011 4,277 1,865 43.6 1,970 46.1 1,980 46.3

2012 4,644 1,930 41.6 2,278 49.1 2,281 49.1

2013 5,226 2,920 55.9 3,092 59.2 3,092 59.2

2014 5,198 2,754 53.0 2,869 55.2† 2,869 55.2†

2015 4,767 1,370 28.7† 1,370 28.7† 1,370 28.7†

Total


13,958

13,972



6


F


RECEIVED A MEDICAL EXAMINATION IN 2010-2014 VS. 2015: NAVY

2010 – 2014 2015


n % n % n % n %

Sex§

Male 16,700 70.9 9,481 75.2 3,398 71.4 1,029 75.1

Female 6,862 29.1 3,121 24.8 1,361 28.6 341 24.9

Age Group at

MEPS§

17 – 20 13,557 57.5 7,348 58.3 2,786 58.4 791 57.7

21 – 25 6,211 26.4 3,229 25.6 1,186 24.9 351 25.6

> 25 3,802 16.1 2,025 16.1 795 16.7 228 16.6

Race§

White 13,132 55.7 7,041 55.9 2,745 57.6 818 59.7

Black 5,997 25.4 3,076 24.4 1,239 26.0 358 26.1

Other 4,442 18.8 2,485 19.7 783 16.4 194 14.2

Education§

Below HS Senior† 19 0.1 5 <0.1 2 <0.1 0 0.0

HS Senior 1,515 6.4 479 3.8 548 11.5 50 3.7

HS Diploma 18,643 79.3 10,272 81.7 3,584 75.3 1,130 82.6

Some College 1,401 6.0 797 6.3 214 4.5 66 4.8

Bachelor's and

above 1,937 8.2 1,027 8.2 412 8.7 122 8.9

AFQT Score§

93 – 99 1,457 6.2 745 5.9 254 5.3 68 5.0

65 – 92 10,300 43.7 5,942 47.2 1,941 40.7 671 49.0

50 – 64 7,702 32.7 4,194 33.3 1,559 32.7 454 33.1

30 – 49 3,890 16.5 1,721 13.7 974 20.4 177 12.9

11 – 29 73 0.3 0 0.0 21 0.4 0 0.0

< 11‡

1 <0.1 0 0.0 0 0.0 0 0.0

Missing 148 0.6 0 0.0 18 0.4 0 0.0

Medical Status

Fully Qualified 19,175 81.3 11,159 88.5 3,922 82.3 1,243 90.7

Permanent DQ 3,358 14.2 1,090 8.6 645 13.5 97 7.1

Temporary DQ 1,038 4.4 353 2.8 200 4.2 30 2.2

Total 23,571 100.0 12,602 100.0 4,767 100.0 1,370 100.0



or secondary school, etc; 2) those not attending high school and who are neither a high school graduate nor an alternative high school

credential holder; 3) one who is attending high school and is not yet a senior. ‡ Individuals scoring in the 10 percentile or lower are prohibited from applying, therefore, the observed accessions most likely reflect data

capture errors.

7

Disqualifications


ALL ICD-9 CODES IN 2010-2014 VS. 2015: NAVY

2010-2014 2015

Condition† n

% of DQ

apps ‡

Rate§ n

% of DQ

apps ‡

Rate§






Cannabis abuse 2,414 4.6 960 370 4.0 749


Other joint derangement, not elsewhere classified 1,393 2.7 554 335 3.6 678

Hearing loss 1,940 3.7 772 332 3.5 672

Asthma 1,856 3.6 738 278 3.0 563




BY ALL ICD-9 CODES IN 2010-2014 VS. 2015: NAVY

2010-2014 2015

Condition† n

% of DQ

apps ‡

Rate§ n

% of DQ

apps ‡

Rate§


Obesity and other hyperalimentation 432 9.8 1,833 96 11.4 2,014


Cannabis abuse 169 3.8 717 44 5.2 923

Hearing loss 137 3.1 581 29 3.4 608




Asthma 130 3.0 552 25 3.0 524




8


F


ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: NAVY

2010-2014 2015

Condition† n

% of DQ

apps ‡

Rate§ n

% of DQ

apps ‡

Rate§

Refraction 6,053 11.6 2,408 1,340 14.3 2,712


Psychiatric 7,062 13.6 2,810 1,201 12.8 2,430





Genitourinary 2,010 3.9 800 427 4.6 864

Cannabis test positive 2,236 4.3 890 347 3.7 702

Eyes-General 1,919 3.7 764 324 3.5 656




BY ALL LISTED USMEPCOM FAILURE CODES IN 2010-2014 VS. 2015: NAVY

2010-2014 2015

Condition† n

% of DQ

apps ‡

Rate§ n

% of DQ

apps ‡

Rate§

Weight, body build 593 13.5 2,516 130 15.4 2,727

Refraction 567 12.9 2,405 127 15.0 2,664


Psychiatric 427 9.7 1,812 59 7.0 1,238



Lungs and chest (includes breast) 284 6.5 1,205 45 5.3 944

Cannabis test positive 162 3.7 687 43 5.1 902

Genitourinary 171 3.9 725 38 4.5 797

Eyes-General 151 3.4 641 31 3.7 650



9


§: 2010-2015

Year Consider

(n)

Approved

(n)

Approved

(%)

2010 4,763 2,879 60.4

2011 5,171 3,084 59.6

2012 6,101 3,503 57.4

2013 7,681 4,694 61.1

2014† - - -

2015** - - -

Total 23,716 §

Applicants may be counted more than once per year. † Waiver data were unavailable for the Navy in 2014 and 2015.

TABLE 14: ACTIVE AND RESERVE COMPONENT WAIVER CONSIDERATION COUNTS

§: 2010-2015


Applicants 23,208




Considerations with missing conditions 1,085 (4.7%)

§ Value undercounted due to missing Navy waiver records from 2014 and 2015.

10


CONSIDERED IN 2010-2014 VS. 2015: NAVY 2010-2014¥ 2015¥



§ n %

‡ n %

§

Astigmatism 2,281 9.6 1,750 12.4 - - - -

Myopia 2,216 9.3 1,224 8.6 - - - -

Allergic manifestations 2,162 9.1 1,811 12.8 - - - -

Hearing deficiency 1,293 5.5 176 1.2 - - - -

Asthma 918 3.9 448 3.2 - - - -

Attention deficit w/hyperactivity 841 3.5 425 3.0 - - - -

Deviation or curvature of spine 613 2.6 151 1.1 - - - -

Shoulder dislocation, recurrent 544 2.3 472 3.3 - - - -

Self-inflicted injury by unspecified

means 539 2.3 229 1.6 - - - -

Adverse food reactions, not elsewhere

classified 511 2.2 382 2.7 - - - -

Eczema 426 1.8 199 1.4 - - - -

Total considerations‡‡ 23,716 -

Total of approved considerations‡‡ 14,160 (59.7%) -

† Condition categories are not mutually exclusive. ‡ Indicates the percentage of waiver applicants for the specified condition category, among total waivers considered. § Indicates the percentage of approved waiver applicants for the specified condition category, among total approved waivers. ‡‡ This category includes waiver applicants with missing condition values. ¥ Waiver data were not reported by the Navy for 2014 and 2015.

11


HIGHEST PROPORTION OF APPROVED APPLICATIONS AMONG ACTIVE AND RESERVE COMPONENT NAVY

ENLISTEES: 2010-2014 VS. 2015 Total 2010-2014‡‡ 2015‡‡


§ n %

§

Shoulder instability 417 88.5 417 88.5 - -

Shoulder dislocation, recurrent 544 86.8 544 86.8 - -

Allergic Manifestations 2,162 83.8 2,162 83.8 - -

Keratorefractive surgery 416 79.3 416 79.3 - -

Astigmatism 2,281 76.7 2,281 76.7 - -

Adverse food reactions, not elsewhere classified 511 74.8 511 74.8 - -

Blood pressure, elevated without diagnosis of

hypertension 410 55.4 410 55.4 - -

Myopia 2,216 55.2 2,216 55.2 - -

Attention deficit w/ hyperactivity 841 50.5 841 50.5 - -

Asthma 918 48.8 918 48.8 - -

§ Indicates the percent of waivers approved among all waivers applied. † Condition categories are not mutually exclusive.

‡‡ Waiver data were not reported by the Navy for 2014 and 2015.

12


2010-2015† BY YEAR: NAVY



n %

2010 2,269 1,684 74.2

2011

2,417 1,929 79.8

2012

2,865 2,431 84.9

2013 4,005 3,353 83.7

2014§ - - -

2015§ - - -

† Considers accessions among only those applicants with both a MEPS physical examination for Active component service and an approved

waiver. § Value undercounted due to missing Navy waiver records.


2010-2015† BY YEAR: NAVY



n %

2010 297 138 46.5

2011

262 111 42.4

2012

317 140 44.2

2013 422 260 61.6

2014§ - - -

2015§ - - -


waiver. § Value undercounted due to missing Navy waiver records.

13



VS. 2014-2015: NAVY

2010-2013 2014-2015‡‡


n % n % n % n %

Sex§

Male 8,783 76.0 7,194 76.6 - - - -

Female 2,771 24.0 2,203 23.4 - - - -

Age at Waiver§

17 – 20 7,208 62.4 6,050 64.4 - - - -

21 – 25 3,416 29.6 2,690 28.6 - - - -

> 25 931 8.1 656 7.0 - - - -

Race§

White 7,712 66.7 6,262 66.6 - - - -

Black 1,446 12.5 1,155 12.3 - - - -

Other 2,398 20.8 1,980 21.1 - - - -

Education Level§

Below HS senior† 2 <0.1 0 0.0 - - - -

HS senior 591 5.1 303 3.2 - - - -

HS diploma 9,474 82.0 7,911 84.2 - - - -

Some college 627 5.4 530 5.6 - - - -


AFQT Score§

93-99 1,524 13.2 1,239 13.2 - - - -

65-92 5,560 48.1 4,591 48.9 - - - -

50-64 3,388 29.3 2,814 29.9 - - - -

30-49 1,065 9.2 752 8.0 - - - -

11-29 4 <0.1 0 0.0 - - - -

<11 0 0.0 0 0.0 - - - -


Permanent DQ 11,376 98.4 9,241 98.3 - - - -

Temporary DQ 86 0.7 74 0.8 - - - -

Total 11,556 9,397 - - HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification § Individuals with missing values for demographic variables are included in the total.

† Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma,

vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior. ‡‡Value not reported due to missing Navy waiver records from 2014 and 2015.

14



2014 VS. 2015: NAVY

2010-2013 2014-2015‡‡


n % n % n % n %

Sex§

Male 942 72.6 472 72.7 - - - -

Female 356 27.4 177 27.3 - - - -

Age at Waiver§

17 – 20 582 44.8 330 50.8 - - - -

21 – 25 323 24.9 178 27.4 - - - -

> 25 393 30.3 141 21.7 - - - -

Race§

White 842 64.9 405 62.4 - - - -

Black 225 17.3 117 18.0 - - - -

Other 231 17.8 127 19.6 - - - -

Education Level§

Below HS senior† 1 0.1 1 0.2 - - - -

HS senior 37 2.9 14 2.2 - - - -

HS diploma 992 76.4 516 79.5 - - - -

Some college 87 6.7 45 6.9 - - - -


AFQT Score§

93-99 99 7.6 41 6.3 - - - -

65-92 564 43.5 324 49.9 - - - -

50-64 367 28.3 204 31.4 - - - -

30-49 153 11.8 79 12.2 - - - -

11-29 2 0.2 0 0.0 - - - -

<11 0 0.0 0 0.0 - - - -


Permanent DQ 1,285 99.0 645 99.4 - - - -

Temporary DQ 10 0.8 3 0.5 - - - -

Total 1,298 649 - - HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification §

Individuals with missing values for demographic variables are included in the total. † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma,

vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior. ‡‡Value not reported due to missing Navy waiver records from 2014 and 2015.

15

Hospitalizations

TABLE 21: ACTIVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: NAVY


Year Total


% of


% of

Individuals

2010 33,843 410 364 1.0 1,236 996 2.8

2011 33,164 451 399 1.2 1,078 884 2.6

2012 36,949 529 444 1.2 1,160 925 2.5

2013 40,885 562 490 1.2 1,434 1,135 2.7

2014 34,450 460 415 1.2 476 380 1.1§

2015 35,731 157 144 0.4§ - - -


TABLE 22: RESERVE COMPONENT HOSPITALIZATIONS IN 2010-2015 BY YEAR: NAVY


Year Total


% of


% of

Individuals

2010 3,453 8 7 0.2 16 12 0.3

2011 3,428 17 17 0.5 20 17 0.5

2012 1,427 14 14 1.1 11 10 0.7

2013 3,138 24 21 0.7 17 12 0.4

2014 2,902 30 24 0.8 7 7 0.2§

2015 3,010 13 10 0.3§ - - -


16



PERSONNEL ACCESSED IN 2010-2015: NAVY


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 165,023 1,595 1,407 0.9 1.00 -

Female┼ 49,999 974 849 1.7 1.99 (1.83, 2.19)

Age at Accession§

17 – 20 (REF) 132,437 1,650 1434 1.1 1.00 -

21 – 25 66,241 736 662 1.0 0.92 (0.84, 1.01)

> 25 16,342 183 160 1.0 0.90 (0.77, 1.06)

Race§

White (REF) 134,384 1,564 1,371 1.0 1.00 -

Black 39,990 522 455 1.1 1.12 (1.00, 1.24)

Other 40,648 483 430 1.1 1.04 (0.93, 1.15)

Education Level§

Below HS

graduate† 35 0 0 0.0 - -

HS diploma

(REF) 189,172 2,331 2,038 1.1 1.00 -

Some college 11,181 130 120 1.1 1.00 (0.83, 1.20)

Bachelor's or

higher 14,633 108 98 0.7 0.62 (0.51, 0.76)

AFQT Score§

93 – 99 (REF) 20,280 115 108 0.5 1.00 -

65 – 92 98,337 1,092 965 1.0 1.85 (1.52, 2.26)

50 – 64 66,682 969 849 1.3 2.41 (1.97, 2.94)

30 – 49 26,591 392 333 1.3 2.35 (1.89, 2.92)

11 – 29 4 0 0 0.0

Medical Status

Fully Qualified

(REF) 189,954 2,266 1,981 1.0 1.00 -

Temporary DQ 6,288 76 69 1.1 1.05 (0.83, 1.34)

Permanent DQ 18,780 227 206 1.1 1.05 (0.91, 1.22)

Total 215,022 2,569 2,256 1.0



vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior. ┼ Hospitalizations for pregnancy/childbirth are included.

17



ENLISTED PERSONNEL ACCESSED IN 2010-2015: NAVY


Accessed

(n)

Admissions

(n) n %

Crude

RR 95% CI

Sex§

Male (REF) 13,104 68 60 0.5 1.00 -

Female┼ 4,254 38 33 0.8 0.98 (1.11, 2.59)

Age at Accession§

17 – 20 (REF) 9,054 64 56 0.6 1.00 -

21 – 25 5,041 26 23 0.5 0.74 (0.45, 1.20)

> 25 3,207 16 14 0.4 0.70 (0.39, 1.26)

Race§

White (REF) 9,712 49 44 0.5 1.00 -

Black 4,286 32 27 0.6 1.39 (0.86, 2.25)

Other 3,360 25 22 0.7 1.45 (0.87, 2.42)

Education Level§

Below HS

graduate† 10 0 0 0.0 - -

HS diploma

(REF) 14,492 90 79 0.5 1.00 -

Some college 1,340 8 8 0.6 1.10 (0.53, 2.27)

Bachelor's or

higher 1,514 8 6 0.4 0.73 (0.32, 1.66)

AFQT Score§

93 – 99 (REF) 925 4 3 0.3 1.00 -

65 – 92 7,469 50 42 0.6 1.73 (0.54, 5.58)

50 – 64 5,444 36 33 0.6 1.87 (0.57, 6.08)

30 – 49 2,447 16 15 0.6 1.89 (0.55, 6.51)

11 – 29 19 0 0 0.0 - -

Medical Status

Fully Qualified

(REF) 15,408 91 79 0.5 1.00 -

Temporary DQ 503 3 3 0.6 1.16 (0.37, 3.70)

Permanent DQ 1,447 12 11 0.8 1.49 (0.79, 2.78)

Total 17,358 106 93 0.5 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total. † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma, vocational school, or secondary school, etc.; 2) one who is not attending high school and who is neither a high school graduate nor an alternative


18




Category 2010-2014§ 2015

§


Psychoses 7.3 6.8




puerperium 5.5 5.5



Fracture 3.3 3.6


Injuries 2.4 2.5 § % of total hospitalizations



Category 2010-2014§ 2015

§




Psychoses 7.6 8.3


Fracture 3.2 2.5



Poisoning and toxic effects 2.0 1.5


Injuries 1.5 1.4 § % of total hospitalizations

19




Category 2010-2014§ 2015

§



Psychoses 9.0 9.7

Fracture 9.0 6.5

Other diseases of urinary system 6.0 3.2

Other diseases of intestines and peritoneum 4.5 0.0

Poisoning and toxic effects 4.5 0.0


puerperium 4.5 3.2


Infections of skin and subcutaneous tissue 3.0 0.0 § % of total hospitalizations



Category 2010-2014§ 2015

§




Psychoses 10.0 0.0








Fracture 2.0 0.0 § % of total hospitalizations

20

Attrition

TABLE 29: ATTRITION AMONG FIRST TIME ACTIVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: NAVY

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 33,843 2,331 6.9 6.9 365 1.1 8.0 622 1.8 9.8 1,300 3.8 13.6

2011 33,164 3,013 9.1 9.1 371 1.1 10.2 622 1.9 12.1 1,203 3.6 15.7

2012 36,949 3,720 10.1 10.1 476 1.3 11.4 652 1.8 13.1 1,030 2.8 15.9

2013 40,885 3,054 7.5 7.5 830 2.0 9.5 794 1.9 11.4 1,280 3.1 14.6

2014¥ 34,450 2,930 8.5 8.5 512 1.5 10.0 586 1.7 11.7 - - -

2015¥ 35,731 2,886 8.1 8.1 395 1.1 9.2 - - - - - -

Sex§

Male 165,023 12,717 7.7 7.7 1,670 1.0 8.7 2,550 1.5 10.3 4,073 2.5 12.7

Female 49,999 5,217 10.4 10.4 1,279 2.6 13.0 852 1.7 14.7 1,188 2.4 17.1

Age at Accession§

17 – 20 132,437 11,758 8.9 8.9 2115 1.6 10.5 2,349 1.8 12.2 3,683 2.8 15.0

21 – 25 66,241 5,000 7.5 7.5 650 1.0 8.5 889 1.3 9.9 1,332 2.0 11.9

> 25 16,342 1,174 7.2 7.2 184 1.1 8.3 164 1.0 9.3 246 1.5 10.8

Race§

White 134,384 11,706 8.7 8.7 1,668 1.2 10.0 2,235 1.7 11.6 3,148 2.3 14.0

Black 39,990 3,061 7.7 7.7 725 1.8 9.5 533 1.3 10.8 1,087 2.7 13.5

Other 40,648 3,167 7.8 7.8 556 1.4 9.2 634 1.6 10.7 1,026 2.5 13.2

Education Level§


HS diploma 189,172 16,259 8.6 8.6 2,689 1.4 10.0 3,109 1.6 11.7 4,839 2.6 14.2

Some college 11,181 957 8.6 8.6 131 1.2 9.7 149 1.3 11.1 243 2.2 13.2


AFQT Score§

93 – 99 20,280 1,305 6.4 6.4 228 1.1 7.6 307 1.5 9.1 438 2.2 11.2

65 – 92 98,337 7,826 8.0 8.0 1,229 1.2 9.2 1,572 1.6 10.8 2,247 2.3 13.1

50 – 64 66,682 6,198 9.3 9.3 1,036 1.6 10.8 1,059 1.6 12.4 1,744 2.6 15.1

30 – 49 26,591 2,602 9.8 9.8 450 1.7 11.5 442 1.7 13.1 832 3.1 16.3

11 – 29 4 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

Medical Status

Fully Qualified 189,954 15,246 8.0 8.0 2,573 1.4 9.4 3,009 1.6 11.0 4,752 2.5 13.5

Temporary DQ 6,288 638 10.1 10.1 92 1.5 11.6 120 1.9 13.5 151 2.4 15.9

Permanent DQ 18,780 2,050 10.9 10.9 284 1.5 12.4 273 1.5 13.9 358 1.9 15.8

Total┼ 215,022 17,934 8.3 8.3 2,949 1.4 9.7 3,402 1.6 11.3 5,261 2.4 13.7


‡ Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma, vocational school, or secondary school, etc.; 2) one who is not attending high

school and who is neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior ¥Attrition is not calculated after 365 days among 2014 accessions or after 180 days in 2015 accessions and is underestimated in all 2015 accessions due to lack of sufficient follow-up time.

21

TABLE 30: ATTRITION AMONG FIRST TIME RESERVE COMPONENT ENLISTED ACCESSIONS IN 2010-2015 BY DAYS SINCE ACCESSION: NAVY

Days 0-90

Attrition

Days 91-180

Attrition

Days 181-365

Attrition

Days 366-730

Attrition

Accessed

(n) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%) n

Period

(%)

Cumul

(%)

FY of Accession

2010 3,453 2 0.1 0.1 3 0.1 0.1 16 0.5 0.6 9 0.3 0.9

2011 3,428 9 0.3 0.3 0 0.0 0.3 3 0.1 0.4 33 1.0 1.3

2012 1,427 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 20 1.4 1.4

2013 3,138 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 5 0.2 0.2

2014┼ 2,902 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 - - -

2015┼ 3,010 0 0.0 0.0 0 0.0 0.0 - - - - - -

Sex§

Male 13,104 5 <0.1 <0.1 1 <0.1 <0.1 19 0.1 0.2 55 0.4 0.6

Female 4,254 6 0.1 0.1 2 <0.1 0.2 0 0.0 0.2 12 0.3 0.5

Age at Accession§

17 – 20 9,054 9 0.1 0.1 3 <0.1 0.1 19 0.2 0.3 46 0.5 0.9

21 – 25 5,041 2 <0.1 <0.1 0 0.0 <0.1 0 0.0 <0.1 20 0.4 0.4

> 25 3,207 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 1 <0.1 <0.1

Race§

White 9,712 9 0.1 0.1 1 <0.1 0.1 7 0.1 0.2 27 0.3 0.5

Black 4,286 1 <0.1 <0.1 1 <0.1 <0.1 9 0.2 0.3 18 0.4 0.7

Other 3,360 1 <0.1 <0.1 1 <0.1 0.1 3 0.1 0.1 2 0.1 0.2

Education Level§


HS diploma 14,492 10 0.1 0.1 3 0.0 0.1 18 0.1 0.2 65 0.4 0.7

Some college 1,340 0 0.0 0.0 0 0.0 0.0 1 0.1 0.1 1 0.1 0.1


AFQT Score§

93 – 99 925 2 0.2 0.2 0 0.0 0.2 0 0.0 0.2 0 0.0 0.2

65 – 92 7,469 4 0.1 0.1 0 0.0 0.1 3 <0.1 0.1 22 0.3 0.4

50 – 64 5,444 4 0.1 0.1 0 0.0 0.1 2 <0.1 0.1 28 0.5 0.6

30 – 49 2,447 0 0.0 0.0 1 <0.1 <0.1 1 <0.1 0.1 15 0.6 0.7

11 – 29 19 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0 0 0.0 0.0

Medical Status

Fully Qualified 15,408 10 0.1 0.1 3 <0.1 0.1 17 0.1 0.2 61 0.4 0.6

Temporary DQ 503 1 0.2 0.2 0 0.0 0.2 1 0.2 0.4 1 0.2 0.6

Permanent DQ 1,447 0 0.0 0.0 0 0.0 0.0 1 0.1 0.1 5 0.3 0.4

Total 17,358 11 0.1 0.1 3 <0.1 0.1 19 0.1 0.2 67 0.4 0.6


‡ Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test based high school equivalency diploma, vocational school, or secondary school, etc.; 2) one who is not attending high

school and who is neither a high school graduate nor an alternative high school credential holder; 3) one who is attending high school but is not yet a senior ¥Attrition is not calculated after 365 days among 2014 accessions or after 180 days in 2015 accessions and is underestimated in all 2015 accessions due to lack of sufficient follow-up time.

22

EPTS Discharges


Component 2010 2011 2012 2013 2014 Total

Active 1,447 1,384 1,727 367 1 4,926

Reserve 83 120 136 32 0 371

Total 1,530 1,504 1,863 399 1 5,297

TABLE 32: EPTS DISCHARGES OF ENLISTEES IN 2010-2014 BY CATEGORY: ALL COMPONENTS

Condition n %



Asthma 597 11.3




Eyes - other 298 5.6

G-U (incl. pregnancy) 296 5.6

Chest & lung – other 264 5.0

Ortho – feet 240 4.5



Total 5,297

TABLE 33: LEADING PRIMARY EPTS DISCHARGE CONDITIONS FOR ALL ENLISTEES IN 2010-

2013 VS. 2014: NAVY

2010-2013 2014


n % n %


Asthma 598 11.3 0 0.0

Migraine 318 6.0 0 0.0


Symptoms involving respiratory system and other chest

symptoms 218 4.1 0 0.0


Enthesopathy of knee, unspecified 147 2.8 0 0.0

Curvature of spine 142 2.7 0 0.0

Corneal opacity and other disorders of cornea 116 2.2 0 0.0

Viral hepatitis 113 2.1 0 0.0

All other EPTS discharge conditions 2,530 47.8 1† 100.0


1

†Only one condition reported in 2014: Acquired deformities of toe

23


TABLE 34: EPTS DISCHARGES FROM ACTIVE COMPONENT BY ACCESSION YEAR: NAVY


(n)

Discharges

(n)

Discharges

(%)

2010 33,843 1,304 3.9

2011 33,164 1,286 3.9

2012 36,949 1,761 4.8

2013 40,885 174 0.4

2014† 34,450 0 0.0

Total 179,291 4,525


TABLE 35: EPTS DISCHARGES FROM RESERVE COMPONENT BY ACCESSION YEAR: NAVY


(n)

Discharges

(n)

Discharges

(%)

2010 3,453 58 1.7

2011 3,428 71 2.1

2012 1,427 41 2.9

2013 3,138 12 0.4

2014† 2,902 0 0.0

Total 14,348 182


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EPTS DISCHARGE: NAVY

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Sex§

Male (REF) 138,177 2,973 2.2 1.00 -

Female 41,114 1,552 3.8 1.75 (1.65, 1.86)

Age at

Accession§

17 – 20 (REF) 109,774 2,848 2.6 1.00 -

21 – 25 55,582 1,325 2.4 0.92 (0.86, 0.98)

> 25 13,933 352 2.5 0.97 (0.87, 1.09)

Race§

White (REF) 110,538 2,687 2.4 1.00 -

Black 32,996 943 2.9 1.18 (1.09, 1.26)

Other 35,757 895 2.5 1.03 (0.96, 1.11)

Education

Level§

Below HS

graduate† 35 2 5.7 2.21 (0.58, 8.51)

HS diploma

(REF) 157,674 4,069 2.6 1.00 -

Some college 9,627 257 2.7 1.03 (0.91, 1.17)

Bachelor's or

higher 11,954 197 1.6 0.64 (0.55, 0.74)

AFQT Score§

93 – 99 (REF) 17,090 324 1.9 1.00 -

65 – 92 82,047 1,968 2.4 1.27 (1.13, 1.42)

50 – 64 55,123 1,550 2.8 1.48 (1.32, 1.67)

30 – 49 22,743 683 3.0 1.58 (1.39, 1.81)

11 – 29 4 0 0.0 - -

Medical Status

Fully Qualified

(REF) 158,583 3,684 2.3 1.00 -

Temporary DQ 5,249 189 3.6 1.55 (1.34, 1.79)

Permanent DQ 15,459 652 4.2 1.82 (1.67, 1.97)

Total 179,291 4,525 2.5 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



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IN EPTS DISCHARGE: NAVY

Accessions

(n)

Discharges

(n)

Discharges

(%)

Crude

RR 95% CI

Sex§

Male (REF) 10,848 109 1.0 1.00 -

Female 3,500 73 2.1 2.08 (1.55, 2.79)

Age at

Accession§

17 – 20 (REF) 7,469 85 1.1 1.00 -

21 – 25 4,195 42 1.0 0.88 (0.61, 1.27)

> 25 2,628 51 1.9 1.71 (1.21, 2.41)

Race§

White (REF) 7,978 89 1.1 1.00 -

Black 3,457 57 1.6 1.48 (1.06, 2.06)

Other 2,913 36 1.2 1.11 (0.75, 1.63)

Education

Level§

Below HS

graduate† 9 0 0.0 - -

HS diploma

(REF) 11,986 147 1.2 1.00 -

Some college 1,125 23 2.0 1.67 (1.08, 2.58)

Bachelor's or

higher 1,226 12 1.0 0.80 (0.44, 1.43)

AFQT Score§

93 – 99 (REF) 779 7 0.9 1.00 -

65 – 92 6,068 69 1.1 1.27 (0.58, 2.74)

50 – 64 4,409 65 1.5 1.64 (0.76, 3.56)

30 – 49 2,020 18 0.9 0.99 (0.42, 2.36)

11 – 29 18 0 0.0 - -

Medical Status

Fully Qualified

(REF) 12,746 152 1.2 1.00 -

Temporary DQ 427 7 1.6 1.37 (0.65, 2.91)

Permanent DQ 1,175 23 2.0 1.64 (1.06, 2.53)

Total 14,348 182 1.3 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



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TABLE 38: DISABILITY DISCHARGES FROM ACTIVE COMPONENT WITHIN IN THE FIRST

YEAR OF SERVICE AMONG 2010-2015 ACCESSIONS: NAVY



(n) n %

2010 33,843 30 0.09

2011 33,164 22 0.07

2012 36,949 32 0.09

2013 40,885 34 0.08

2014 34,450 23 0.07

2015§ 35,731 4 0.01

§ The rate of disability evaluation is underestimated due to lack of follow up data on individuals accessed in 2015.

TABLE 39: DISABILITY DISCHARGES FROM RESERVE COMPONENT WITHIN IN THE FIRST

YEAR OF SERVICE AMONG 2010-2015 ACCESSIONS: NAVY



(n) n %

2010 3,453 2 0.06

2011 3,428 0 -

2012 1,427 0 -

2013 3,138 1 0.03

2014 2,902 2 0.07

2015§ 3,010 0 -

§ The rate of disability evaluation is underestimated due to lack of follow up data on individuals accessed in 2015.

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2010-2015 ACCESSIONS: NAVY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 165,023 88 0.05 1.00 -

Female 49,999 57 0.11 2.14 (1.53 , 2.98)

Age at

Accession§

17 – 20 (REF) 132,437 80 0.06 1.00 -

21 – 25 66,241 52 0.08 1.30 (0.92 , 1.84)

> 25 16,342 13 0.08 0.57 (0.31 , 1.02)

Race§

White (REF) 134,384 100 0.07 1.00 -

Black 39,990 25 0.06 0.84 (0.54 , 1.30)

Other 40,648 20 0.05 0.66 (0.41 , 1.07)

Education

Level§

Below HS


HS diploma

(REF) 189,172 125 0.07 1.00 -

Some college 11,181 12 0.11 1.62 (0.90 , 2.94)

Bachelor's or

higher 14,633 8 0.05 0.83 (0.40 , 1.69)

AFQT Score§

93 – 99 (REF) 20,280 19 0.09 1.00 -

65 – 92 98,337 61 0.06 0.66 (0.40 , 1.11)

50 – 64 66,682 46 0.07 0.74 (0.43 , 1.26)

30 – 49 26,591 17 0.06 0.68 (0.35 , 1.31)

11 – 29 4 0 - - -

Medical Status

Fully Qualified

(REF) 189,954 125 0.07 1.00 -

Temporary DQ 6,288 3 0.05 0.73 (0.23 , 2.28)

Permanent DQ 18,780 17 0.09 1.38 (0.83 , 2.28)

Total 215,022 145 0.07 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total. † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,


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AMONG 2010-2015 ACCESSIONS: NAVY

Accessions

(n)

Discharged

(n)

Discharged

(%)

Crude

RR 95% CI

Sex§

Male (REF) 13,104 3 0.02 1.00 -

Female 4,254 2 0.05 2.05 (0.34 , 12.29)

Age at

Accession§

17 – 20 (REF) 9,054 2 0.02 1.00 -

21 – 25 5,041 1 0.02 0.90 (0.08 , 9.90)

> 25 3,207 2 0.06 2.82 (0.40 , 20.04)

Race§

White (REF) 9,712 2 0.02 1.00 -

Black 4,286 2 0.05 2.27 (0.32 , 16.09)

Other 3,360 1 0.03 1.45 (0.13 , 15.94)

Education

Level§

Below HS

graduate† 10 0 - -

HS diploma

(REF) 14,492 4 0.03 1.00 -

Some college 1,340 0 - - -

Bachelor's or

higher 1,514 1 0.07 2.39 (0.27 , 21.41)

AFQT Score§

93 – 99 (REF) 925 1 0.11 1.00 -

65 – 92 7,469 1 0.01 0.12 (0.01 , 1.98)

50 – 64 5,444 0 0 - -

30 – 49 2,447 3 0.12 1.13 (0.12 , 10.90)

11 – 29 19 0 0 - -

Medical Status

Fully Qualified

(REF) 15,408 5 0.03 1.00 -

Temporary DQ 503 0 0 - -

Permanent DQ 1,447 0 0 - -

Total 17,358 5 0.03 RR: Relative Risk; CI: Confidence Interval; HS: High School; AFQT: Armed Forces Qualification Test; DQ: Disqualification; REF: Referent Group § Individuals with missing values for demographic variables are included in the total. † Encompasses the following three cases: 1) one who is pursuing completion of the GED or other test-based high school equivalency diploma,



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PERSONNEL IN THE FIRST YEAR OF SERVICE FOR 2010-2015 ACCESSIONS: NAVY

2010-2015













§ Represents the proportion of individuals evaluated for disability who were evaluated for each disability type.

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