Portland Center for the Study of Chronic, Comorbid Mental and Physical Disorders, Portland VA Medical Center, 3710 SW US Veterans Hospital Road, Portland, OR 97239, USA.
Inj Prev. 2011 Oct;17(5):343-7. doi: 10.1136/ip.2010.030213. Epub 2011 May 5.
The purpose of this study was to examine prevalence and potential risk factors for post-deployment injury among Iraq and Afghanistan combat veterans enrolled in Veterans Affairs (VA) healthcare. A national, stratified sample of Iraq/Afghanistan combat Veteran VA users was surveyed in 2008. Mental and physical health, including medically-treated injuries sustained since deployment, were self-reported. Injury risk was estimated using survey logistic regression. Stratified ORs and 95% CIs were adjusted for potential confounders and non-response bias and weighted to represent the target population. Nearly half the population reported post-deployment injuries. In multivariate models, veterans with probable post-traumatic stress disorder (OR=2.1; 95% CI 1.3 to 3.5), self-reported diagnosed depression (OR=3.6; 95% CI 1.8 to 7.0) and anger problems (OR=2.4; 95% CI 1.4 to 4.2) had greater odds of post-deployment injury. Deployment-related injuries were also strongly associated with odds of post-deployment injury. Results suggest that mental health disorders increase the odds of post-deployment injury among combat veteran VA users. Longitudinal research examining these associations is warranted.
这项研究的目的是调查在退伍军人事务部（VA）医疗保健中登记的伊拉克和阿富汗作战老兵部署后的受伤发生率和潜在风险因素。2008 年，对全国范围内分层抽样的伊拉克/阿富汗作战退伍军人 VA 用户进行了调查。心理健康和身体健康状况，包括自部署以来接受治疗的受伤情况，均由自我报告。使用调查逻辑回归估计受伤风险。分层 OR 和 95%CI 针对潜在混杂因素和无应答偏倚进行了调整，并进行了加权以代表目标人群。近一半的人报告了部署后的受伤情况。在多变量模型中，患有创伤后应激障碍（OR=2.1；95%CI 1.3 至 3.5）、自我报告诊断为抑郁症（OR=3.6；95%CI 1.8 至 7.0）和愤怒问题（OR=2.4；95%CI 1.4 至 4.2）的退伍军人发生部署后受伤的可能性更大。与部署相关的受伤也与发生部署后受伤的可能性有很强的关联。结果表明，心理健康障碍会增加作战退伍军人 VA 用户发生部署后受伤的几率。有必要进行纵向研究来检验这些关联。
