Army Health and Performance Research, British Army, Andover, Hampshire, UK
Army Health and Performance Research, British Army, Andover, Hampshire, UK.
BMJ Mil Health. 2023 Feb;169(1):57-61. doi: 10.1136/jramc-2019-001347. Epub 2020 Feb 27.
Until recently, women were excluded from British combat roles. Their risk for musculoskeletal injury during basic training is two to three times higher than men. To better understand the musculoskeletal injury risk of women in British Army infantry basic training, we compared injury incidence between (1) men in standard entry training and men in infantry training, to assess the risk of infantry training; and (2) men and women in both standard entry and officer basic training, to assess the risk in women compared with men.
The incidence of musculoskeletal injury was determined from defence medical records for all men entering infantry training, and for all men and women entering standard entry and officer training, between April 2015 and March 2016.
7390 men (standard entry, n=4229; infantry, n=2683; officer, n=478) and 696 women (standard entry, n=626; officer, n=70) entered basic training. Men in infantry training had a lower incidence of musculoskeletal injury (391 vs 417 per 1000 personnel, OR 0.90 (95% CI 0.81 to 0.99), p=0.028) and a higher incidence of stress fracture (14 vs 5 per 1000 personnel, OR 2.80 (95% CI 1.64 to 4.80), p<0.001) than men in standard entry training. Women had a higher incidence of musculoskeletal injury than men in standard entry training (522 vs 417 per 1000 personnel, OR 1.53 (95% CI 1.29 to 1.81), p<0.001) and a higher incidence of stress fracture than men in officer training (114 vs 19 per 1000 personnel, OR 6.72 (95% CI 2.50 to 18.07), p<0.001).
Women in infantry training may be at similar risk for musculoskeletal injury, but at higher risk for stress fracture, compared with their non-infantry counterparts. Women in infantry training may be at higher risk for musculoskeletal injury and stress fracture compared with men in infantry training.
直到最近，女性还被排除在英国的战斗角色之外。在基础训练中，她们发生肌肉骨骼损伤的风险比男性高两到三倍。为了更好地了解英国陆军步兵基础训练中女性的肌肉骨骼损伤风险，我们将（1）参加标准入伍训练的男性与参加步兵训练的男性进行比较，以评估步兵训练的风险；（2）参加标准入伍和军官基础训练的男性和女性进行比较，以评估女性与男性相比的风险。
2015 年 4 月至 2016 年 3 月，从国防医疗记录中确定所有参加步兵训练的男性（标准入伍 4229 人，步兵 2683 人，军官 478 人）和所有参加标准入伍和军官基础训练的男性和女性（标准入伍 626 人，军官 70 人）的肌肉骨骼损伤发生率。
共有 7390 名男性（标准入伍 4229 人，步兵 2683 人，军官 478 人）和 696 名女性（标准入伍 626 人，军官 70 人）参加了基础训练。步兵训练的男性肌肉骨骼损伤发生率较低（391 例/1000 人，417 例/1000 人，比值比 0.90（95%置信区间 0.81 至 0.99），p=0.028），应激性骨折发生率较高（14 例/1000 人，5 例/1000 人，比值比 2.80（95%置信区间 1.64 至 4.80），p<0.001），比标准入伍训练的男性。与标准入伍训练的男性相比，女性的肌肉骨骼损伤发生率更高（522 例/1000 人，417 例/1000 人，比值比 1.53（95%置信区间 1.29 至 1.81），p<0.001），应激性骨折发生率也高于军官训练的男性（114 例/1000 人，19 例/1000 人，比值比 6.72（95%置信区间 2.50 至 18.07），p<0.001）。
与非步兵相比，步兵训练中的女性肌肉骨骼损伤风险可能相似，但应激性骨折风险更高。与步兵训练中的男性相比，步兵训练中的女性可能面临更高的肌肉骨骼损伤和应激性骨折风险。
