Dr. Tyler Smith

Dr. Tyler Smith
National University School of Health and Human Services
Professor and Chair, Community Health Department
(858) 309-3487

Areas of Expertise:
Military population health including trends in health/mental health
Health Analytics and Population Health identifying greater efficiencies for health care practitioners and better outcomes for patients
Epidemiology and Advanced Statistical modeling

Background: Dr. Tyler Smith is a statistical epidemiologist and associate professor at National University who has conducted extensive longitudinal studies and research on the physical and mental health of military populations, particularly those who have served overseas during the wars in Iraq and Afghanistan. He teaches biostatistics, epidemiology, health informatics, and data analytics; he is also the program lead for the Master Degree in Health Analytics within the School of Health and Human Services/Department of Community Health. Current research focus:

Childhood vaccine efficiencies
Precision health and education
Health outcomes

Dr. Smith previously served as Department Head and Director of Deployment Health Research at the Naval Health Research Center where he led a team of more than 35 research professionals in large epidemiologic studies of military occupational and reproductive health. Dr. Smith has served on Institute of Medicine committees, served on the faculty at UCSD, and is an active scientist with 140 peer-reviewed journal publications in major scientific journals including JAMA, BMJ, and AJE as well as presenting 300 scientific presentations. He has been principal investigator or co-investigator on numerous grants totaling in excess of $20,000,000. Among his focus related to military populations:

Mental health related issues – including PTSD, depression, and suicide – among military populations
Health related issues among military populations deployed overseas, including impact of oil well fire smoke, open-air burning, and nerve agents.
Post-traumatic stress disorder after deployment and combat exposures

Dr. Smith received a BS in mathematics with an option in statistics from Chico State, a MS in statistics from the University of Kentucky, and a PhD in epidemiology from the University of California, San Diego. Dr. Smith has served as President and Academic Chair for the Western Users of SAS Software and Chair of SAS Global Forum 2015, and currently serves on the Board of Community Health Improvement Partners and as President of Point Loma Little League.


Type Date Title Audience Function Location
Poster 2016-06-27 Effects of Registered Nurse Staffing Level on Hospital-Acquired Conditions in Cardiac Surgery Patients Academy Health Annual Research Meeting Boston, MA
Lecture 2016-06-09 Using Big Data and Advanced Health Analytics Education to Propel Patient Centered Care 24th International Conference on Health Promoting Hospitals and Health Services New Haven, Connecticut
Lecture 2016-04-27 Health Statisticians in 2016 Presentation to the Society of Statisticians and Actuaries San Diego, CA
Lecture 2016-04-05 Testing Reliability of Regional Coverage Rates Using Registry Data in Voluntary Reporting Areas American Immunization Registry Association Seattle, WA
Lecture 2015-09-08 Social, Behavioral, Health, and Demographic Factors Associated with Educational Success National University Faculty Scholarship Conference San Diego, CA
Lecture 2015-09-08 Multi-Disciplinary Integration of GIS National University Faculty Scholarship Conference San Diego, CA
Conference 2015-06-11 Leveraging new data availabilities in health care. Information Technology in Academic Medicine Conference San Diego, CA
Lecture 2015-05-20 Population Health Management Webinar; Leveraging Data to Better Health. Physician's Partners San Diego, CA
Conference 2015-03-18 Academic Freedom and Academic Responsibility National University Spring Symposium San Diego, CA
Conference 2015-03-10 Model for Student Success. National University Spring Symposium San Diego, CA
Conference 2014-09-15 Administrative Coding and Clinician Documentation of Mental Health Issues for Hospitalized Heart Failure Patients: Is There Agreement? 18th Annual Scientific meeting of the Heart Failure Society of America Las Vegas, NV
Conference 2014-09-10 Longitudinal Assessment of Mental and Behavioral Health Among a Population-based Cohort of U.S. Service Members. National University Faculty Scholarship Conference San Diego, CA
Paper 2014-06-01 Using SAS« to Calculate and Compare Adjusted Relative Risks, (INVITED) San Diego, CA
Paper 2014-06-01 Trends in Pediatric Spleen Management: Does Hospital Type and Ownership Still Matter? San Diego, CA
Paper 2014-06-01 Feasibility and acute care utilization outcomes of a post-acute transitional tele-monitoring program for underserved COPD patients San Diego, CA
Paper 2014-06-01 Predictors of suboptimal glycemic control for hospitalized diabetic patients. San Diego, CA
Paper 2014-03-01 Leveraging Publicly Available Data in the Classroom Using SAS« PROC SURVEYLOGISTIC Washington, DC
Paper 2014-03-01 Analytics in Higher Education; Developing Future Analysts in a Data-Driven World (INVITED) Washington, DC
Paper 2013-09-01 SAS« in the Cloud: A Panel Discussion. Las Vegas, CA
Paper 2012-12-01 Weighted Logistic Regression for Public Use Data San Diego, CA
Paper 2012-11-01 Is Deployment Associated With Sexual Harassment or Sexual Assault in a Large, Female Military Cohort? Los Angeles, CA
Paper 2012-10-01 Wellness among US Service Members; the Millennium Cohort Study San Francisco, CA
Paper 2012-10-01 Riding the Big Data Wave in Healthcare San Diego, CA
Paper 2012-10-01 Associations among mental health needs and co-morbid chronic conditions in California San Francisco, CA
Paper 2012-09-01 PTSD and Associated Risk and Resiliency Factors in Combat Veterans. San Diego, CA


Type Date Author Type Date Title Publication Name Author List Publisher Volume / Issue / Page
Effects of Registered Nurse Staffing Level on Hospital-Acquired Conditions in Cardiac Surgery Patients: A Propensity Score Matching Analysis. Nursing Outlook. November 2016;64(6):533-541. Li X, Bowman Sm, Smith Tc.
When Should "Pre" Carry as Much Weight in the Diabetes Comorbidity Debate? Gaining Insight from a Population-Based Survey. Preventing Chronic Disease. 2018 Mar 22;15:E36. doi: 10.5888/pcd15.170158 Iranfar N, Smith Tc
Voluntarily Reported Immunization Registry Data: Reliability and Feasibility to Predict Immunization Rates, San Diego, California, 2013. Public Health Reports. June 2017. 132(3) 1-9. Madewell Zj, Wester Rb, Wang Ww, Smith Tc, Peddecord Km, Morris J, Deguzman H, Sawyer Mh, Mcdonald E
Critical Congenital Heart Defects and Abnormal Levels of Routinely Collected First- and Second-Trimester Biomarkers. American Journal of Medical Genetics Part A. 2017 Feb; 173(2):368-374. doi: 10.1002/ajmg.a.38013. Borelli M, Baer Rj, Chambers Cd, Smith Tc, Jelliffe-Pawlowski Ll.
Longitudinal Assessment of Self-Reported Recent Back Pain and Combat Deployment in the Millennium Cohort Study. Spine. November 2016; 42(22) 1754-1763. Granado Ns, Pietrucha A, Ryan Mak, Boyko Ej, Hooper Ti, Smith B, Smith Tc
Article Co-Author The association of predeployment and deployment-related factors on dimensions of postdeployment wellness in US military service members Am J Health Promot Bagnell, M.B., Leardmann, C.L., Mcmaster, H.S., Boyko, E.J., Smith, T.C. 28(2) 56-66
Article Co-Author Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of US military service members in the Millennium Cohort study Boyko, E.J., Seelig, A.D., Jacobson, I.G., Smith, B. 36(10) 3154-61
Article Co-Author Infant Abusive Head Trauma in a Military Cohort Pediatrics Gumbs, G., Keenan, H., Sevick, C.J., Smith T.C. 132(4) 668-76
Article Co-Author Combat Deployment is Associated with Sexual Harassment or Sexual Assault in a Large, Female Military Cohort Leardmann, C.L., Pietrucha, A., Magruder, K.M. 23(4) 215-23
Article Co-Author Risk Factors Associated with Suicide in Current and Former US Military Personnel Leardmann, C.L., Powell, T.M., 310(5) 496-506
Article Co-Author Risk Factors for Lower Extremity Tendinopathies in Military Personnel. Owens, B.D., Wolf, J.M., Seelig, A.D., 1(1)
Article Co-Author Predeployment Sleep Duration and Insomnia Symptoms as Risk Factors for New-Onset Mental Health Disorders Following Military Deployment Gehrman, P., Seelig, A.D., Jacobson, I.G. 36(7) 1009-1018
Article Author May 2013 The Impact of Prior Deployment Experience on Civilian Employment After Military Service. Horton, J.L., Jacobson, I.J., Wong, C.A., Wells, T.S., Boyko, E.J. 70 408-417
Article Co-Author Dec 2012 Posttraumatic stress disorder and depression among US military health care professionals deployed in support of the operations in Iraq and Afghanistan. Jacobson, I.G., Horton, J.L., Leardmann, C.A., Ryan, M.A.K., Boyko, E.J. 25(6) 616-623
Article Co-Author Sept 2012 Birth defects in infants born in 1998-2004 to men and women serving in the US military during the 1990-1991 Gulf War Era. Bukowinski, A.T., Descisciolo, C., Conlin, A.M.S., Ryan, M.A.K., Sevick, C.J. 94(9) 721-728
Article Co-Author July 2012 Prospective Evaluation of Mental Health and Deployment Experience Among Women in the US Military. Seelig, A.D., Jacobson, I.G., Smith, B., Hooper, T.I., Gackstetter, G.D. 176(2) 135-145
Article Co-Author June 2012 Prospective Assessment of Chronic Multisymptom Illness Reporting Possibly Associated with Open-Air Burn Pit Smoke Exposure in Iraq Powell, T.M., Jacobson, I.G., Boyko, E.J., Gackstetter, G.G 54(6) 682-688
Article Co-Author June 2012 Bodybuilding, energy, and weight loss supplements are associated with deployment and physical activity in U.S. military personnel Jacobson, I.G., Horton, J.L., Smith, B., Wells, T.S., Boyko, E.J. 22 318-330
Article Co-Author June 2012 The effects of exposure to documented open-air burn pits on respiratory health among deployers of the Millennium Cohort Study Smith, B., Wong, C.A., Boyko, E.J., Phillips, C.J., Gackstetter, G.G. 54(6) 708-716
Article Co-Author June 2012 Newly reported lupus and rheumatoid arthritis in relation to deployment within proximity to a documented open-air burn pit in Iraq. Jones, K.A., Smith, B., Granado, N.S., Boyko, E.J., Gackstetter, G.D. 54(6) 698-707
Article Co-Author June 2012 Birth Outcomes Among Military Personnel Following Exposure to Documented Open-Air Burn Pits Before and During Pregnancy Conline, A.S., Descisciolo, C., Sevick, C.J., Bukowinski, A.T., Phillips, C.J. 54(6) 689-697
Article Co-Author May 2012 Smokeless tobacco use related to military deployment, cigarettes, and mental health symptoms in a large, prospective cohort study among US service members. Hermes, E.D., Wells, T.S., Smith, B., Boyko, E.J., Gackstetter, G.D. 107(5) 983-994
Article Co-Author May 2012 Individual Augmentee Deployment and Newly Reported Mental Health Morbidity. Granado, N.S., Zimmermann, L., Smith, B., Jones, K.A., Wells, T.S. 54(5) 615-620
Article Co-Author Mar 2012 Trajectories of Trauma Symptoms and Resilience in Deployed U.S. Military Service Members: A Prospective Cohort Study. Bonanno, G.A., Mancini, A.D., Horton, J.L., Powell, T.M., Leardmann, C.A. 317-323
Article Co-Author Weight Change Following US Military Service Littman, A.J., Jacobson, I.G., Boyko, E.J. Powell, T.M., 1-10
Article Author A comparison of mental health outcomes in persons entering U.S. Military Service before and after September 11, 2001. Wells, T.S., Ryan, M.A.K., Jones, K.A., Hooper, T.I., Boyko, E.J. 25 17-24
Article Co-Author Examination of post-service health-related quality of life among rural and urban military members of the Millennium Cohort Study Proctor, S.P., Wells, T.S., Jones, K.A., Boyko, E.J., 26(3) 32-56
Article Co-Author A Prospective Study of Lupus and Rheumatoid Arthritis in Relation to Deployment in Support of Iraq and Afghanistan; the Millennium Cohort Study. Jones, K.A., Granado, N.S., Smith, B., Slymen, D.J., Ryan, M.A.K.
Article Author Application of latent semantic analysis for open-ended responses in a large, epidemiologic study. Leleu, T.D., Jacobson, I.G., Leardmann, C., Smith, B., Foltz, P.W. 11(1) 136
Article Co-Author Headache Disorders in the Millennium Cohort: Epidemiology and Relations with Combat Deployment Jankosky, C., Hooper, Ti., Granado, Ns., Scher, A., Gackstetter, G.D. 51(7) 1098-1111
Article Author Linking Exposures and Health Outcomes to a Large Population-Based Longitudinal Study: The Millennium Cohort Study. 176(7) 56-63
Article Co-Author Profile of Two Cohorts: UK and US Prospective Studies of Military Health. Pinder, R.J., Greenberg, N., Boyko, E.J., Gackstetter, G.D., Hooper, T.I. 1-14
Article Co-Author The Effects of Preinjury Psychiatric Status and Injury Severity on Postdeployment Posttraumatic Stress Disorder. Sandweiss, D.A.,Slymen, D.J., Leardmann, C.A., Smith, B., White, M.R. 68(5) 496-504
Article Co-Author Prospectively Assessed Posttraumatic Stress Disorder and Associated Physical Activity. Leardmann, C.L.,. Kelton, M.L., Smith, B., Littman, A.J., Boyko, E.J. 126(3) 371-383
Article Co-Author Health care utilization among complementary and alternative medicine users in a large military cohort. BMC Complement Altern Med White, M.R., Jacobson, I.G., Smith, B., Wells, T.S., Smith, T.C. 11(27)
Article Author Mental Health Impact of the Iraq and Afghanistan Conflicts: A Review of US Research, Service Provision, and Programmatic Responses Wells, T.S., Miller, S.C., Adler, A.B., Engle, C.C., Fairbank, J.A. 23(2) 144-152
Article Co-Author Health Outcomes among Infants Born to Women Deployed to US Military Operations during Pregnancy. Ryan, M.A.K., Jacobson, I.G., Sevick, C.J., Gumbs, G.R., Conlin, A.M. 91(2) 117-124
Article Author Health Impact of US Military Service in a Large Population-based Military Cohort: Findings of the Millennium Cohort Study, 2001-2008 BMC Public Health Smith, T.C., Jacobson, I.G., Hooper, T.I., Leardmann, C.A., Boyko, E.J., Ryan, M.A.K. 11(1) 69
Article Co-Author Sleep Patterns Before, During, and After Deployment to Iraq and Afghanistan Selig, A., Jacobson, I.G., Smith, B., Hooper, T.I., Boyko, I.J. Sleep 33(12) 1615-1622
Article Co-Author Assessing Nonresponse Bias at Follow-up in a Large Prospective Cohort of Relatively Young and Mobile Military Service Members BMC Med Res Methodol Littman, A.J., Boyko, E.J., Jacobson, I.G., Horton, J., Gackstetter, G.D. 10(99)
Article Co-Author Exploratory Factor Analysis of Self-Reported Symptoms in a Large, Population-Based Military Cohort. BMC Med Res Methodol Kelton, M.L., Leardmann, C.A., Smith, B., Boyko, E.J., Hooper, T.I.,
Article Co-Author Risk of diabetes in US military service members in relation to combat deployment and mental health. Diabetes Care Boyko, E.J., Jacobson, I.G., Smith, B., Ryan, M.A.K.,Hooper, T.I, 33 1771-1777
Article – Peer Reviewed Author Trends in Consistency in Physical Activity and Increase in Mental Health in Elderly Over a Decade; Are We Achieving Better Population Health? AIMS Medical Science Smith Tc, Smith B 3(1) 147-61
Article – Peer Reviewed Author Deployment, Combat, and Risk of Multiple Physical Symptoms in the US Military: A Prospective Cohort Study Ann Epidemiol Mccutchan Pk, Liu X, Leardmann Ca, Smith Tc, Boyko Ej, Gore Kl, Freed Mc, Engel Cc 26(2) 122-8
Article – Peer Reviewed Author Using administrative mental health indicators in heart failure outcomes research; a comparison of clinical records and ICD-9 coding Journal of Cardiac Failure Bender M, Smith Tc 22(1) 56-60
Article – Peer Reviewed Co-Author Building an evidence base for the co-occurrence of chronic disease and psychiatric distress and impairment. Preventing Chronic Disease Piane Gm, Smith Tc 11(E188)
Article – Peer Reviewed Author Feasibility and acute care utilization outcomes of a post-acute transitional telemonitoring program for underserved chronic disease patients Telemedicine and e-Health Broad J, Davis C, Bender M, Smith Tc 21(9) 1-9
Article – Peer Reviewed Author Understanding the Early Signs of Chronic Disease by Investigating the Overlap of Mental Health Needs and Adolescent Obesity AIMS Public Health Smith Tc, Smith B 2(3) 487-500
Article – Peer Reviewed Author Changes in Meeting Vigorous Physical Activity Guidelines After Discharge From the Military Journal of Physical Activity and Health Littman A, Jacobson Ig, Boyko Ej, Smith Tc 12(5) 666-674
Article – Peer Reviewed Author Trends in pediatric spleen management: Do hospital type and ownership still matter? J Trauma and Acute Care Surgery Liu S, Bowman Sm, Smith Tc, Sharar Sr 78(5) 935-42
Article – Peer Reviewed Author Predictors of Suboptimal Glycemic Control for Hospitalized Patients with Diabetes: Targets for Clinical Action J Clinical Outcomes Management Bender M, Smith Tc, Thompson J, Koucheki A, Holdy K. 22(4) 159-67
Article – Peer Reviewed Co-Author Predictors of Suboptimal Glycemic Control for Hospitalized Patients with Diabetes: Targets for Clinical Action. J Clinical Outcomes Management Bender M, Smith Tc, Thompson J, Koucheki A, Holdy K 22(4) 159-67
Article – Peer Reviewed Co-Author Trends in pediatric spleen management: Do hospital type and ownership still matter? J Trauma and Acute Care Surgery Liu S, Bowman Sm, Smith Tc, Sharar Sr 78(5) 935-42
Article – Peer Reviewed Author Chronic multisymptom illness: a comparison of Iraq and Afghanistan deployers with veterans of the 1991 Gulf War. American J Epidemiology Smith Tc, Powell Tm, Jacobson Ig, Smith B, Hooper Ti 180(12) 1176-87
Article – Peer Reviewed Co-Author Diabetes in US women on the rise independent of increasing BMI and other risk factors; a trend investigation of serial cross-sections. BMC Public Health Ibe A, Smith Tc 14(954)
Article – Peer Reviewed Author Longitudinal assessment of mental disorders, smoking, and hazardous drinking among a population-based cohort of US service members. J Addict Med Smith Tc, Leardmann Ca, Smith B, Jacobson Ig, Miller Sc 8(4) 271-81
Article – Peer Reviewed Co-Author Impact of combat deployment and posttraumatic stress disorder on newly reported coronary heart disease among US active duty and reserve forces. Circulation Crum-Cianflone Nf, Bagnell Me, Schaller E, Boyko Ej, Smith B, Smith Tc 129(18) 1813-20
Article – Peer Reviewed Co-Author US Naval and Marine Corps occupations, PTSD and depression risk and absenteeism. J Workplace Behav Health. Wells Ts, Bagnell Me, Miller Sc, Smith Tc, Gackstetter Gd 29(2) 91-112
Article – Peer Reviewed Co-Author 2014-04-01 Animation shows promise initiating timely CPR: Results of a pilot study Comput Inform Nurs Attin M, Winslow K, Smith Tc 32(4) 166-171
Article – Peer Reviewed Author Isolating the association of sleep, depressed state, and other independent indicators for suicide ideation in United States teenagers. Archives of Suicide Research. In press. Whitmore L, Smith Tc
Book Co-Author Mar 2013 IOM (Institute of Medicine). Returning Home from Iraq and Afghanistan: Readjustment Needs of Veterans, Service Members, and Their Families. Rutherford, G.W. The National Academy Press; Washington DC
Dr. Tyler Smith


Dr. Tyler Smith

School of Health and Human Services

Community Health


UC San Diego - PHD - Public Health