From Department of Sociology, University of Central Florida, Orlando (RH).
J Am Board Fam Med. 2019 Jan-Feb;32(1):50-57. doi: 10.3122/jabfm.2019.01.180148.
Cardiovascular disease (CVD) is the most common chronic health condition affecting Americans. One important group of Americans that health researchers have noted as key to understanding general population health and wellbeing are veterans of the US military. The healthy soldier effect has been used to explain the health benefits of military service during and for a period of time after service. The purpose of this study was to examine the prevalence of CVD in a national sample with specific attention paid to reported CVD across ages.
A total of 153,556 veteran and nonveteran respondents from the National Health Interview Survey were examined for the likelihood of reporting the type and number of cardiovascular conditions.
Veterans report higher rates of certain CVD conditions and report a higher number of CVD conditions than nonveterans. Veterans also reported higher numbers of CVD conditions at younger ages (ages 25 to 70 years) than nonveteran counterparts. At older ages (ages 70 to 85+ years), nonveterans reported higher numbers of CVD conditions than veterans.
Our findings are consistent with the studies that indicate a waning healthy soldier effect for young veterans potentially due to the unique circumstances of the current conflicts.
心血管疾病（CVD）是影响美国人的最常见的慢性健康问题。健康研究人员注意到，美国军人是了解一般人群健康和幸福的关键人群之一。“健康士兵效应”被用来解释军人在服役期间和服役后一段时间内的健康益处。本研究旨在检查一个全国性样本中 CVD 的流行情况，并特别关注报告的 CVD 在不同年龄段的分布情况。
本研究共调查了来自国家健康访谈调查的 153556 名退伍军人和非退伍军人，以了解他们报告心血管疾病类型和数量的可能性。
退伍军人报告的某些 CVD 状况发生率较高，且报告的 CVD 状况数量多于非退伍军人。与非退伍军人相比，退伍军人在更年轻的年龄（25 至 70 岁）报告的 CVD 状况数量也更多。在年龄较大的人群（70 至 85 岁以上）中，非退伍军人报告的 CVD 状况数量多于退伍军人。
我们的研究结果与表明年轻退伍军人的“健康士兵效应”逐渐减弱的研究结果一致，这可能是由于当前冲突的特殊情况所致。
