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海军和海军陆战队男女军人在战区部署后出现的创伤后应激障碍。

Posttraumatic stress disorder after combat zone deployment among Navy and Marine Corps men and women.

作者信息

Macera Caroline A, Aralis Hilary J, Highfill-McRoy Robyn, Rauh Mitchell J

机构信息

1 DHAPP, Naval Health Research Center , San Diego, California.

出版信息

J Womens Health (Larchmt). 2014 Jun;23(6):499-505. doi: 10.1089/jwh.2013.4302. Epub 2014 May 14.

DOI:10.1089/jwh.2013.4302
PMID:24828786
Abstract

BACKGROUND

As more women are deployed into combat environments, preliminary findings have been inconsistent regarding gender differences in symptoms of posttraumatic stress disorder (PTSD) following deployment. Very little is known about the experiences of Navy and Marine Corps personnel deployed to combat zones.

METHODS

The study population consisted of Navy and Marine Corps personnel who completed a Post-Deployment Health Assessment upon return from deployment to Iraq, Afghanistan, or Kuwait during 2008 and 2009 and a Post-Deployment Health Reassessment approximately 6 months later. These instruments included screening questions for PTSD.

RESULTS

The final sample of 31,534 service members included 29,640 men and 1,894 women. Within occupation categories, women were overrepresented relative to men in the roles of functional support/administration and healthcare specialists, whereas men were overrepresented in the role of combat specialist. Screening rates were similar by gender, with a slightly higher percentage of women compared with men screening positive for PTSD (6.6% vs. 5.3%). These symptoms of PTSD among men and women in this sample could not be attributed to combat exposure or other deployment-related characteristics.

CONCLUSIONS

Relative to men, women in this sample had a similar probability of screening positive for PTSD following deployment. These PTSD symptoms were not associated with deployment-related variables, suggesting that deployment to a combat zone does not affect women differently from men. This finding could have meaningful implications for policies surrounding women in the military.

摘要

背景

随着越来越多的女性被部署到战斗环境中,关于部署后创伤后应激障碍(PTSD)症状的性别差异,初步研究结果并不一致。对于被部署到战区的海军和海军陆战队人员的经历,人们了解甚少。

方法

研究对象为2008年至2009年期间从伊拉克、阿富汗或科威特部署归来后完成部署后健康评估,并在大约6个月后完成部署后健康重新评估的海军和海军陆战队人员。这些评估工具包括PTSD筛查问题。

结果

最终样本为31534名军人,其中男性29640名,女性1894名。在职业类别中,女性在功能支持/行政和医疗保健专家岗位上的比例相对于男性过高,而男性在战斗专家岗位上的比例过高。按性别划分的筛查率相似,女性PTSD筛查呈阳性的比例略高于男性(6.6%对5.3%)。该样本中男性和女性的这些PTSD症状不能归因于战斗暴露或其他与部署相关的特征。

结论

相对于男性,该样本中的女性在部署后PTSD筛查呈阳性的可能性相似。这些PTSD症状与部署相关变量无关,这表明部署到战区对女性的影响与男性并无不同。这一发现可能对军队中女性相关政策具有重要意义。

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