Dr. Tyler Smith

Dr. Tyler Smith
National University School of Health and Human Services
Professor and Chair, Community Health Department
tsmith@nu.edu
(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.

Honors and Awards

  • 2018, Charles E. Gibbs Leadership
  • 2017, First ever Planetree Person-Centered Care Certifie
  • 2017, Promising Scholar Scholarship–Awarded (San Diego)
  • 2014, Promising Scholar Scholarship–Awarded (San Diego)
  • 2014, Promising Scholar-Not Eligible-Denied (San Diego)
  • 2013, Bridge Award-Collaboration,Communication, Collegia

Publications

  • Li X, Bowman Sm, Smith Tc.. (n.d.). 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.
  • Iranfar N, Smith Tc. (n.d.). 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.
  • Madewell Zj, Wester Rb, Wang Ww, Smith Tc, Peddecord Km, Morris J, Deguzman H, Sawyer Mh, Mcdonald E. (n.d.). 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.
  • Borelli M, Baer Rj, Chambers Cd, Smith Tc, Jelliffe-Pawlowski Ll.. (n.d.). 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.
  • Granado Ns, Pietrucha A, Ryan Mak, Boyko Ej, Hooper Ti, Smith B, Smith Tc. (n.d.). Longitudinal Assessment of Self-Reported Recent Back Pain and Combat Deployment in the Millennium Cohort Study. Spine. November 2016; 42(22) 1754-1763.
  • Bagnell, M.B., Leardmann, C.L., Mcmaster, H.S., Boyko, E.J., Smith, T.C.. (2013). The association of predeployment and deployment-related factors on dimensions of postdeployment wellness in US military service members. Am J Health Promot, 28(2): 56-66.
  • Boyko, E.J., Seelig, A.D., Jacobson, I.G., Smith, B.. (2013). Sleep Characteristics, Mental Health, and Diabetes Risk: A prospective study of US military service members in the Millennium Cohort study. 36(10): 3154-61.
  • Gumbs, G., Keenan, H., Sevick, C.J., Smith T.C.. (2013). Infant Abusive Head Trauma in a Military Cohort. Pediatrics, 132(4): 668-76.
  • Leardmann, C.L., Pietrucha, A., Magruder, K.M.. (2013). Combat Deployment is Associated with Sexual Harassment or Sexual Assault in a Large, Female Military Cohort. 23(4): 215-23.
  • Leardmann, C.L., Powell, T.M.,. (2013). Risk Factors Associated with Suicide in Current and Former US Military Personnel. 310(5): 496-506.
  • Owens, B.D., Wolf, J.M., Seelig, A.D.,. (2013). Risk Factors for Lower Extremity Tendinopathies in Military Personnel. 1(1): .
  • Gehrman, P., Seelig, A.D., Jacobson, I.G.. (2013). Predeployment Sleep Duration and Insomnia Symptoms as Risk Factors for New-Onset Mental Health Disorders Following Military Deployment. 36(7): 1009-1018.
  • Horton, J.L., Jacobson, I.J., Wong, C.A., Wells, T.S., Boyko, E.J.. (2013). The Impact of Prior Deployment Experience on Civilian Employment After Military Service. 70: 408-417.
  • Jacobson, I.G., Horton, J.L., Leardmann, C.A., Ryan, M.A.K., Boyko, E.J.. (2012). Posttraumatic stress disorder and depression among US military health care professionals deployed in support of the operations in Iraq and Afghanistan. 25(6): 616-623.
  • Bukowinski, A.T., Descisciolo, C., Conlin, A.M.S., Ryan, M.A.K., Sevick, C.J.. (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. 94(9): 721-728.
  • Seelig, A.D., Jacobson, I.G., Smith, B., Hooper, T.I., Gackstetter, G.D.. (2012). Prospective Evaluation of Mental Health and Deployment Experience Among Women in the US Military. 176(2): 135-145.
  • Powell, T.M., Jacobson, I.G., Boyko, E.J., Gackstetter, G.G. (2012). Prospective Assessment of Chronic Multisymptom Illness Reporting Possibly Associated with Open-Air Burn Pit Smoke Exposure in Iraq. 54(6): 682-688.
  • Jacobson, I.G., Horton, J.L., Smith, B., Wells, T.S., Boyko, E.J.. (2012). Bodybuilding, energy, and weight loss supplements are associated with deployment and physical activity in U.S. military personnel. 22: 318-330.
  • Smith, B., Wong, C.A., Boyko, E.J., Phillips, C.J., Gackstetter, G.G.. (2012). The effects of exposure to documented open-air burn pits on respiratory health among deployers of the Millennium Cohort Study. 54(6): 708-716.
  • Jones, K.A., Smith, B., Granado, N.S., Boyko, E.J., Gackstetter, G.D.. (2012). Newly reported lupus and rheumatoid arthritis in relation to deployment within proximity to a documented open-air burn pit in Iraq. 54(6): 698-707.
  • Conline, A.S., Descisciolo, C., Sevick, C.J., Bukowinski, A.T., Phillips, C.J.. (2012). Birth Outcomes Among Military Personnel Following Exposure to Documented Open-Air Burn Pits Before and During Pregnancy. 54(6): 689-697.
  • Hermes, E.D., Wells, T.S., Smith, B., Boyko, E.J., Gackstetter, G.D.. (2012). Smokeless tobacco use related to military deployment, cigarettes, and mental health symptoms in a large, prospective cohort study among US service members. 107(5): 983-994.
  • Granado, N.S., Zimmermann, L., Smith, B., Jones, K.A., Wells, T.S.. (2012). Individual Augmentee Deployment and Newly Reported Mental Health Morbidity. 54(5): 615-620.
  • Bonanno, G.A., Mancini, A.D., Horton, J.L., Powell, T.M., Leardmann, C.A.. (2012). Trajectories of Trauma Symptoms and Resilience in Deployed U.S. Military Service Members: A Prospective Cohort Study. 317-323.
  • Littman, A.J., Jacobson, I.G., Boyko, E.J. Powell, T.M.,. (2012). Weight Change Following US Military Service. 1-10.
  • Wells, T.S., Ryan, M.A.K., Jones, K.A., Hooper, T.I., Boyko, E.J.. (2012). A comparison of mental health outcomes in persons entering U.S. Military Service before and after September 11, 2001. 25: 17-24.
  • Proctor, S.P., Wells, T.S., Jones, K.A., Boyko, E.J.,. (2012). Examination of post-service health-related quality of life among rural and urban military members of the Millennium Cohort Study. 26(3): 32-56.
  • Jones, K.A., Granado, N.S., Smith, B., Slymen, D.J., Ryan, M.A.K.. (2011). A Prospective Study of Lupus and Rheumatoid Arthritis in Relation to Deployment in Support of Iraq and Afghanistan; the Millennium Cohort Study.
  • Leleu, T.D., Jacobson, I.G., Leardmann, C., Smith, B., Foltz, P.W.. (2011). Application of latent semantic analysis for open-ended responses in a large, epidemiologic study. 11(1): 136.
  • Jankosky, C., Hooper, Ti., Granado, Ns., Scher, A., Gackstetter, G.D.. (2011). Headache Disorders in the Millennium Cohort: Epidemiology and Relations with Combat Deployment. 51(7): 1098-1111.
  • Smith, T. (2011). Linking Exposures and Health Outcomes to a Large Population-Based Longitudinal Study: The Millennium Cohort Study. 176(7): 56-63.
  • Pinder, R.J., Greenberg, N., Boyko, E.J., Gackstetter, G.D., Hooper, T.I.. (2011). Profile of Two Cohorts: UK and US Prospective Studies of Military Health. 1-14.
  • Sandweiss, D.A.,Slymen, D.J., Leardmann, C.A., Smith, B., White, M.R.. (2011). The Effects of Preinjury Psychiatric Status and Injury Severity on Postdeployment Posttraumatic Stress Disorder. 68(5): 496-504.
  • Leardmann, C.L.,. Kelton, M.L., Smith, B., Littman, A.J., Boyko, E.J.. (2011). Prospectively Assessed Posttraumatic Stress Disorder and Associated Physical Activity. 126(3): 371-383.
  • White, M.R., Jacobson, I.G., Smith, B., Wells, T.S., Smith, T.C.. (2011). Health care utilization among complementary and alternative medicine users in a large military cohort. BMC Complement Altern Med, 11(27): .
  • Wells, T.S., Miller, S.C., Adler, A.B., Engle, C.C., Fairbank, J.A.. (2011). Mental Health Impact of the Iraq and Afghanistan Conflicts: A Review of US Research, Service Provision, and Programmatic Responses. 23(2): 144-152.
  • Ryan, M.A.K., Jacobson, I.G., Sevick, C.J., Gumbs, G.R., Conlin, A.M.. (2011). Health Outcomes among Infants Born to Women Deployed to US Military Operations during Pregnancy. 91(2): 117-124.
  • Smith, T.C., Jacobson, I.G., Hooper, T.I., Leardmann, C.A., Boyko, E.J., Ryan, M.A.K.. (2011). Health Impact of US Military Service in a Large Population-based Military Cohort: Findings of the Millennium Cohort Study, 2001-2008. BMC Public Health, 11(1): 69.
  • Selig, A., Jacobson, I.G., Smith, B., Hooper, T.I., Boyko, I.J.. (2010). Sleep Patterns Before, During, and After Deployment to Iraq and Afghanistan. 33(12): 1615-1622.
  • Littman, A.J., Boyko, E.J., Jacobson, I.G., Horton, J., Gackstetter, G.D.. (2010). Assessing Nonresponse Bias at Follow-up in a Large Prospective Cohort of Relatively Young and Mobile Military Service Members. BMC Med Res Methodol, 10(99): .
  • Kelton, M.L., Leardmann, C.A., Smith, B., Boyko, E.J., Hooper, T.I.,. (2010). Exploratory Factor Analysis of Self-Reported Symptoms in a Large, Population-Based Military Cohort. BMC Med Res Methodol,
  • Boyko, E.J., Jacobson, I.G., Smith, B., Ryan, M.A.K.,Hooper, T.I,. (2010). Risk of diabetes in US military service members in relation to combat deployment and mental health. Diabetes Care, 33: 1771-1777.
  • Smith Tc, Smith B. (2016). 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, 3(1): 147-61.
  • Mccutchan Pk, Liu X, Leardmann Ca, Smith Tc, Boyko Ej, Gore Kl, Freed Mc, Engel Cc. (2016). Deployment, Combat, and Risk of Multiple Physical Symptoms in the US Military: A Prospective Cohort Study. Ann Epidemiol, 26(2): 122-8.
  • Bender M, Smith Tc. (2016). Using administrative mental health indicators in heart failure outcomes research; a comparison of clinical records and ICD-9 coding. Journal of Cardiac Failure, 22(1): 56-60.
  • Piane Gm, Smith Tc. (2015). Building an evidence base for the co-occurrence of chronic disease and psychiatric distress and impairment. Preventing Chronic Disease, 11(E188): .
  • Broad J, Davis C, Bender M, Smith Tc. (2015). Feasibility and acute care utilization outcomes of a post-acute transitional telemonitoring program for underserved chronic disease patients. Telemedicine and e-Health, 21(9): 1-9.
  • Smith Tc, Smith B. (2015). Understanding the Early Signs of Chronic Disease by Investigating the Overlap of Mental Health Needs and Adolescent Obesity. AIMS Public Health, 2(3): 487-500.
  • Littman A, Jacobson Ig, Boyko Ej, Smith Tc. (2015). Changes in Meeting Vigorous Physical Activity Guidelines After Discharge From the Military. Journal of Physical Activity and Health, 12(5): 666-674.
  • Liu S, Bowman Sm, Smith Tc, Sharar Sr. (2015). Trends in pediatric spleen management: Do hospital type and ownership still matter?. J Trauma and Acute Care Surgery, 78(5): 935-42.
  • Bender M, Smith Tc, Thompson J, Koucheki A, Holdy K.. (2015). Predictors of Suboptimal Glycemic Control for Hospitalized Patients with Diabetes: Targets for Clinical Action. J Clinical Outcomes Management, 22(4): 159-67.
  • Bender M, Smith Tc, Thompson J, Koucheki A, Holdy K. (2015). Predictors of Suboptimal Glycemic Control for Hospitalized Patients with Diabetes: Targets for Clinical Action. J Clinical Outcomes Management, 22(4): 159-67.
  • Liu S, Bowman Sm, Smith Tc, Sharar Sr. (2015). Trends in pediatric spleen management: Do hospital type and ownership still matter?. J Trauma and Acute Care Surgery, 78(5): 935-42.
  • Smith Tc, Powell Tm, Jacobson Ig, Smith B, Hooper Ti. (2014). Chronic multisymptom illness: a comparison of Iraq and Afghanistan deployers with veterans of the 1991 Gulf War. American J Epidemiology, 180(12): 1176-87.
  • Ibe A, Smith Tc. (2014). 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, 14(954): .
  • Smith Tc, Leardmann Ca, Smith B, Jacobson Ig, Miller Sc. (2014). Longitudinal assessment of mental disorders, smoking, and hazardous drinking among a population-based cohort of US service members. J Addict Med, 8(4): 271-81.
  • Crum-Cianflone Nf, Bagnell Me, Schaller E, Boyko Ej, Smith B, Smith Tc. (2014). Impact of combat deployment and posttraumatic stress disorder on newly reported coronary heart disease among US active duty and reserve forces. Circulation, 129(18): 1813-20.
  • Wells Ts, Bagnell Me, Miller Sc, Smith Tc, Gackstetter Gd. (2014). US Naval and Marine Corps occupations, PTSD and depression risk and absenteeism. J Workplace Behav Health., 29(2): 91-112.
  • Attin M, Winslow K, Smith Tc. (2014). Animation shows promise initiating timely CPR: Results of a pilot study. Comput Inform Nurs, 32(4): 166-171.
  • Whitmore L, Smith Tc. (n.d.). Isolating the association of sleep, depressed state, and other independent indicators for suicide ideation in United States teenagers. Archives of Suicide Research. In press.
  • Rutherford, G.W.. (2013). IOM (Institute of Medicine). Returning Home from Iraq and Afghanistan: Readjustment Needs of Veterans, Service Members, and Their Families.

Presentations

  • Smith, T. (2016). Effects of Registered Nurse Staffing Level on Hospital-Acquired Conditions in Cardiac Surgery Patients. Poster presented at the Academy Health Annual Research Meeting, Boston, MA.
  • Smith, T. (2016). Using Big Data and Advanced Health Analytics Education to Propel Patient Centered Care. Lecture presented at the 24th International Conference on Health Promoting Hospitals and Health Services, New Haven, Connecticut.
  • Smith, T. (2016). Health Statisticians in 2016. Lecture presented at the Presentation to the Society of Statisticians and Actuaries, San Diego, CA.
  • Smith, T. (2016). Testing Reliability of Regional Coverage Rates Using Registry Data in Voluntary Reporting Areas. Lecture presented at the American Immunization Registry Association, Seattle, WA.
  • Smith, T. (2015). Social, Behavioral, Health, and Demographic Factors Associated with Educational Success. Lecture presented at the National University Faculty Scholarship Conference, San Diego, CA.
  • Smith, T. (2015). Multi-Disciplinary Integration of GIS. Lecture presented at the National University Faculty Scholarship Conference, San Diego, CA.
  • Smith, T. (2015). Leveraging new data availabilities in health care. Conference presented at the Information Technology in Academic Medicine Conference, San Diego, CA.
  • Smith, T. (2015). Population Health Management Webinar; Leveraging Data to Better Health. Lecture presented at the Physician's Partners, San Diego, CA.
  • Smith, T. (2015). Academic Freedom and Academic Responsibility. Conference presented at the National University Spring Symposium, San Diego, CA.
  • Smith, T. (2015). Model for Student Success. Conference presented at the National University Spring Symposium, San Diego, CA.
  • Smith, T. (2014). Administrative Coding and Clinician Documentation of Mental Health Issues for Hospitalized Heart Failure Patients: Is There Agreement?. Conference presented at the 18th Annual Scientific meeting of the Heart Failure Society of America, Las Vegas, NV.
  • Smith, T. (2014). Longitudinal Assessment of Mental and Behavioral Health Among a Population-based Cohort of U.S. Service Members. Conference presented at the National University Faculty Scholarship Conference, San Diego, CA.
  • Smith, T. (2014). Using SAS« to Calculate and Compare Adjusted Relative Risks, (INVITED). Paper presented at the , San Diego, CA.
  • Smith, T. (2014). Trends in Pediatric Spleen Management: Does Hospital Type and Ownership Still Matter?. Paper presented at the , San Diego, CA.
  • Smith, T. (2014). Feasibility and acute care utilization outcomes of a post-acute transitional tele-monitoring program for underserved COPD patients. Paper presented at the , San Diego, CA.
  • Smith, T. (2014). Predictors of suboptimal glycemic control for hospitalized diabetic patients. Paper presented at the , San Diego, CA.
  • Smith, T. (2014). Leveraging Publicly Available Data in the Classroom Using SAS« PROC SURVEYLOGISTIC. Paper presented at the , Washington, DC.
  • Smith, T. (2014). Analytics in Higher Education; Developing Future Analysts in a Data-Driven World (INVITED). Paper presented at the , Washington, DC.
  • Smith, T. (2013). SAS« in the Cloud: A Panel Discussion. Paper presented at the , Las Vegas, CA.
  • Smith, T. (2012). Weighted Logistic Regression for Public Use Data. Paper presented at the , San Diego, CA.
  • Smith, T. (2012). Is Deployment Associated With Sexual Harassment or Sexual Assault in a Large, Female Military Cohort?. Paper presented at the , Los Angeles, CA.
  • Smith, T. (2012). Wellness among US Service Members; the Millennium Cohort Study. Paper presented at the , San Francisco, CA.
  • Smith, T. (2012). Riding the Big Data Wave in Healthcare. Paper presented at the , San Diego, CA.
  • Smith, T. (2012). Associations among mental health needs and co-morbid chronic conditions in California. Paper presented at the , San Francisco, CA.
  • Smith, T. (2012). PTSD and Associated Risk and Resiliency Factors in Combat Veterans. Paper presented at the , San Diego, CA.
Dr. Tyler Smith

Contact Information

Dr. Tyler Smith

College: School of Health and Human Services

Department: Community Health

Academic Program Director: Master of Science in Health and Life Science Analytics

tsmith@nu.edu

(858) 309-3487

Kearny Mesa Campus

Education

UC San Diego - PHD - Public Health