Johnson Amelia G, Hu Zheng, Cost Angelia A
MSMR. 2016 Jun;23(6):10-5.
Functional gastrointestinal disorders (FGIDs) are common chronic conditions with an unknown pathophysiology and etiology. FGIDs elevate healthcare costs and cause substantial burden to public health and the military, including diminished readiness, productivity, and quality of life. This retrospective cohort study of active component U.S. military personnel covered a 10-year surveillance period, 2005-2014. The Defense Medical Surveillance System (DMSS) was the data source. Incident cases were identified and rates were calculated and stratified by important covariates. Trends were described over the surveillance period. Incidence rates among deployed personnel were compared to rates in non-deployed personnel, stratified by age and sex. An increasing trend in functional constipation was observed during 2005-2012. Being female, black, in the Army or Air Force, and younger than 20 years of age or 40 years of age or older was associated with higher incidence rates. Deployment-exposed personnel had incidence rates that were 53% higher than those of non-deployed personnel. Elevated rates in personnel younger than 20 years of age and deployed personnel evoke interest concerning readiness and cost implications for the Military Health System. These subgroups should be examined in future studies.
功能性胃肠疾病（FGIDs）是常见的慢性疾病，其病理生理学和病因尚不清楚。FGIDs增加了医疗成本，给公共卫生和军队带来了沉重负担，包括战备状态、生产力和生活质量下降。这项针对美国现役军人的回顾性队列研究涵盖了2005年至2014年的10年监测期。国防医疗监测系统（DMSS）是数据来源。确定了发病病例，并计算了发病率，并按重要协变量进行分层。描述了监测期内的趋势。将部署人员的发病率与未部署人员的发病率进行比较，并按年龄和性别分层。2005年至2012年期间观察到功能性便秘呈上升趋势。女性、黑人、陆军或空军人员以及年龄小于20岁或40岁及以上与较高的发病率相关。部署暴露人员的发病率比未部署人员高53%。20岁以下人员和部署人员的发病率升高引发了对军事卫生系统战备状态和成本影响的关注。这些亚组应在未来的研究中进行检查。
