Hatzfeld Jennifer J, Gaston-Johansson Fannie G
Clinical Investigations Facility, Travis AFB, CA 94535, USA.
Mil Med. 2010 Jan;175(1):25-32. doi: 10.7205/milmed-d-09-00060.
This study aimed to determine whether preventive health assessment currency and medical nondeployability rates were the same for all active duty members in the U.S. Air Force.
Deidentified data were compiled from personnel and readiness databases. Prevalence of current preventive appointments and nondeployable status were calculated by race/ethnicity, gender, and rank, and adjusted for age.
Permanent medical nondeployability was higher for Asian/Pacific Islanders and non-Hispanic Blacks than non-Hispanic Whites (p < 0.05), although current preventive health appointments were higher for minorities. Statistically significant differences were identified by gender, but were clinically insignificant. Currency rates for prevention appointments were lowest for senior officers, whereas senior enlisted members were more likely to be medically nondeployable (p < 0.05).
Evidence of disparities in medical deployability rates for Asian/Pacific Islanders, non-Hispanic Blacks, and senior enlisted active duty members suggest that further investigation is warranted to ensure existing policy and procedures do not contribute to health disparities.
本研究旨在确定美国空军所有现役人员的预防性健康评估时效性和医疗不可部署率是否相同。
从人员和战备数据库中收集去识别化数据。按种族/族裔、性别和军衔计算当前预防性体检的患病率和不可部署状态，并对年龄进行调整。
亚裔/太平洋岛民和非西班牙裔黑人的永久性医疗不可部署率高于非西班牙裔白人（p < 0.05），尽管少数族裔当前的预防性健康体检率更高。按性别确定了具有统计学意义的差异，但在临床上无显著意义。高级军官的预防体检时效性率最低，而高级士官更有可能因医疗原因不可部署（p < 0.05）。
亚裔/太平洋岛民、非西班牙裔黑人和高级士官现役人员在医疗可部署率方面存在差异的证据表明，有必要进行进一步调查，以确保现有政策和程序不会导致健康差异。
