美国陆军基础战斗训练中医疗出院的风险因素。

Risk factors for medical discharge from United States Army Basic Combat Training.

作者信息

Swedler David I, Knapik Joseph J, Williams Kelly W, Grier Tyson L, Jones Bruce H

机构信息

Center for Injury Research and Policy, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, 624 North Broadway, Room 554, Baltimore, MD 21205, USA.

出版信息

Mil Med. 2011 Oct;176(10):1104-10. doi: 10.7205/milmed-d-10-00451.

DOI:10.7205/milmed-d-10-00451

PMID:22128643

Abstract

Past studies indicated that overall Basic Combat Training (BCT) attrition (discharge) was associated with various risk factors. BCT has changed considerably since many of these studies were conducted. This study examined Soldiers medically attrited from BCT. Potential attrition risk factor data on recruits (n = 4,005) were collected from medical records, BCT unit records, and questionnaires. Attrition data from Fort Jackson, South Carolina, showed 203 medical discharges. Cox regression (univariate and multivariate) obtained hazard ratios and 95% confidence intervals for attrition risk factors. Higher attrition risk was associated with female gender. Higher attrition risk for men was associated with cigarette smoking, injury during BCT, and less exercise before BCT. Higher attrition risk for both genders was associated with failure on the initial 2-mile run test and separated or divorced marital status. Attrition risk factors found in this study were similar to those previously identified despite changes in BCT.

摘要

过去的研究表明，基础战斗训练（BCT）的总体减员（退伍）与多种风险因素相关。自从进行了许多这些研究以来，BCT已经发生了很大变化。本研究调查了因医疗原因从BCT中减员的士兵。从医疗记录、BCT单位记录和问卷中收集了新兵（n = 4,005）的潜在减员风险因素数据。南卡罗来纳州杰克逊堡的减员数据显示有203例医疗退伍。Cox回归（单变量和多变量）得出了减员风险因素的风险比和95%置信区间。较高的减员风险与女性性别相关。男性较高的减员风险与吸烟、BCT期间受伤以及BCT前较少运动有关。男女较高的减员风险都与最初的2英里跑步测试不及格以及分居或离婚的婚姻状况有关。尽管BCT有所变化，但本研究中发现的减员风险因素与之前确定的因素相似。