潜艇服役与多种疾病之间的关联：对韩国海军人员的横断面研究。

The association between submarine service and multimorbidity: a cross-sectional study of Korean naval personnel.

机构信息

Department of Family Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.

Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

BMJ Open. 2017 Sep 24;7(9):e017776. doi: 10.1136/bmjopen-2017-017776.

DOI:10.1136/bmjopen-2017-017776

PMID:28947461

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5623552/

Abstract

OBJECTIVE

We aimed to estimate the prevalence of multimorbidity (≥2 chronic health problems) among Korean submariners and to evaluate the association between submarine service and multimorbidity and disease burden.

STUDY DESIGN AND SETTING

This cross-sectional study included 590 naval personnel who visited a Korean primary care clinic during 2014-2015. Data regarding general characteristics and morbidities were collected from medical records, and disease burden was assessed using the Cumulative Illness Rating Scale (CIRS). Multiple logistic regression analysis was used to evaluate the association between submarine service and multimorbidity and disease burden.

RESULTS

The prevalence of multimorbidity was 11.7% among 180 non-submariners and 32.2% among 410 submariners. The prevalence of multimorbidity and the CIRS scores gradually increased with age. Submarine service was associated with higher risk of multimorbidity and disease burden compared with non-submarine service even after adjusting for age, alcohol consumption, smoking status and naval rank. However, a dose-response relationship was not evident between the duration of submarine service and the risk of multimorbidity as well as high disease burden.

CONCLUSIONS

Submarine service was significantly associated with a higher risk of multimorbidity and greater disease burden than non-submarine service. This finding suggests that multidimensional and holistic healthcare approaches are needed for submariners.

摘要

目的

本研究旨在评估韩国潜艇兵的共病（≥2 种慢性健康问题）患病率，并评估潜艇服役与共病和疾病负担之间的关系。

研究设计和地点

本横断面研究纳入了 2014 年至 2015 年期间访问韩国初级保健诊所的 590 名海军人员。从病历中收集了一般特征和疾病数据，并使用累积疾病评分量表（CIRS）评估了疾病负担。采用多因素逻辑回归分析评估了潜艇服役与共病和疾病负担之间的关系。

结果

在 180 名非潜艇兵和 410 名潜艇兵中，共病的患病率分别为 11.7%和 32.2%。共病的患病率和 CIRS 评分随年龄逐渐增加。与非潜艇兵相比，潜艇兵的共病和疾病负担风险更高，即使在调整了年龄、饮酒、吸烟状况和海军军衔后也是如此。然而，潜艇服役时间与共病和高疾病负担风险之间没有明显的剂量-反应关系。