Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Psychiatry, Boston University School of Medicine, Boston, Massachusetts.
Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC), VA Boston Healthcare System, Boston, Massachusetts; Department of Medicine, Division of Aging, Brigham and Women's Hospital, Boston, Massachusetts; Department of Medicine, Harvard Medical School, Boston, Massachusetts.
Womens Health Issues. 2019 Jun 25;29 Suppl 1(Suppl 1):S56-S66. doi: 10.1016/j.whi.2019.04.012.
The Department of Veterans Affairs Million Veteran Program (MVP) is the largest ongoing cohort program of its kind, with 654,903 enrollees as of June 2018. The objectives of this study were to examine gender differences in the MVP cohort with respect to response and enrollment rates; demographic, health, and health care characteristics; and prevalence of self-reported health conditions.
The MVP Baseline Survey was completed by 415,694 veterans (8% women), providing self-report measures of demographic characteristics, health status, and medical history.
Relative to men, women demonstrated a higher positive responder rate (23.0% vs. 16.0%), slightly higher enrollment rate (13.5% vs. 12.9%), and, among enrollees, a lower survey completion rate (59.7% vs. 63.8%). Women were younger, more racially diverse, had higher educational attainment, and were less likely to be married or cohabitating with a partner than men. Women were more likely to report good to excellent health status but poorer physical fitness, and less likely to report lifetime smoking and drinking than men. Compared with men, women veterans showed an increased prevalence of musculoskeletal conditions, thyroid problems, gastrointestinal conditions, migraine headaches, and mental health disorders, as well as a decreased prevalence of gout, cardiovascular diseases, high cholesterol, diabetes, and hearing problems.
These results revealed some substantial gender differences in the research participation rates, demographic profile, health characteristics, and prevalence of health conditions for veterans in the MVP cohort. Findings highlight the need for tailoring recruitment efforts to ensure representation of the increasing women veteran population receiving care through the Veterans Health Administration.
美国退伍军人事务部百万老兵计划（MVP）是同类项目中规模最大的正在进行的队列项目，截至 2018 年 6 月已有 654903 名参与者。本研究的目的是考察 MVP 队列中男女在响应率和参与率、人口统计学、健康和医疗保健特征以及自我报告健康状况的患病率方面的差异。
MVP 基线调查由 415694 名退伍军人（8%为女性）完成，提供了人口统计学特征、健康状况和病史的自我报告措施。
与男性相比，女性表现出更高的积极响应率（23.0%对 16.0%）、略高的参与率（13.5%对 12.9%），并且在参与者中，调查完成率较低（59.7%对 63.8%）。女性更年轻，种族更加多样化，受教育程度更高，与男性相比，结婚或与伴侣同居的可能性更低。女性更有可能报告良好到优秀的健康状况，但身体健康状况较差，报告终生吸烟和饮酒的可能性低于男性。与男性退伍军人相比，女性退伍军人更容易出现肌肉骨骼疾病、甲状腺问题、胃肠道疾病、偏头痛和心理健康障碍，而痛风、心血管疾病、高胆固醇、糖尿病和听力问题的患病率较低。
这些结果表明 MVP 队列中退伍军人的研究参与率、人口统计学特征、健康特征和健康状况的患病率存在一些显著的性别差异。研究结果强调了需要调整招募工作，以确保通过退伍军人健康管理局接受护理的不断增加的女性退伍军人人口的代表性。
