Lindstrom Krista E, Smith Tyler C, Wells Timothy S, Wang Linda Z, Smith Besa, Reed Robert J, Goldfinger Wendy E, Ryan Margaret A K
Department of Defense Center for Deployment Health Research at the Naval Health Research Center, San Diego, California, USA.
J Womens Health (Larchmt). 2006 Mar;15(2):162-72. doi: 10.1089/jwh.2006.15.162.
The proportion of women in the U.S. military is increasing, and they are being selected into jobs that are more combat related. However, the mental health effects of working in combat support occupations among military women have not been previously evaluated.
Active-duty enlisted Navy and Marine Corps women in combat support (n = 10,299) and noncombat support (n = 63,478) occupations were followed for 2 years between January 1, 1994, and August 31, 2001. Hospitalization diagnoses were examined and organized into eight categories of mental disorders; Cox proportional hazards modeling was used to describe these outcomes.
Women in combat support occupations were found to be significantly less likely to be hospitalized for a mental disorder than women in all other military occupations.
These results are reassuring but may be confounded by a healthy worker selection effect. Further studies are needed to assess how service in combat support occupations affects the long-term health of U.S. military women.
美国军队中女性的比例正在增加，她们正被选入与战斗关联度更高的工作岗位。然而，此前尚未评估过军事女性从事战斗支援职业对心理健康的影响。
在1994年1月1日至2001年8月31日期间，对现役入伍的海军和海军陆战队中从事战斗支援（n = 10299）和非战斗支援（n = 63478）职业的女性进行了为期2年的跟踪研究。对住院诊断进行了检查，并将其归为八类精神障碍；使用Cox比例风险模型来描述这些结果。
发现从事战斗支援职业的女性因精神障碍住院的可能性明显低于所有其他军事职业的女性。
这些结果令人安心，但可能受到健康工人选择效应的混淆。需要进一步研究来评估从事战斗支援职业对美国军事女性长期健康的影响。
