MSMR. 2020 Nov;27(11):8-14.
This report uses routinely collected data in the Defense Medical Surveillance System (DMSS) to characterize the prevalence and burden of fibromyalgia (FM) among members of the active component of the U.S. Armed Forces between 1 Jan 2018 and 31 Dec 2018. During the study period, the prevalence of FM was 0.15%. There was a trend of increasing prevalence with increasing age. Prevalence was highest among women (0.59%), those in the oldest age group (0.52%), non-Hispanic blacks (0.25%), those in the Air Force (0.21%),those in a healthcare occupation (0.36%), senior enlisted (0.24%) and warrant officers (0.24%). The prevalence of FM was approximately twice as high among non-Hispanic blacks compared to non-Hispanic whites. The average number of medical encounters per FM patient per year was 57 (median 38, LQ=21, UQ=66, range=1-263) compared to an average of 13 in the total patient population. The groups of conditions most commonly associated with an FM diagnosis were musculoskeletal and mental health conditions.The burden of FM disease poses clear readiness and retention concerns.
本报告使用国防医疗监测系统（DMSS）中常规收集的数据，描述 2018 年 1 月 1 日至 12 月 31 日期间美国现役武装部队成员中纤维肌痛（FM）的患病率和负担。在研究期间，FM 的患病率为 0.15%。患病率随年龄增长呈上升趋势。女性患病率最高（0.59%），年龄最大的组（0.52%），非西班牙裔黑人（0.25%），空军（0.21%），医疗保健职业（0.36%），高级士官（0.24%）和准尉（0.24%）。非西班牙裔黑人和非西班牙裔白人相比，FM 的患病率约高两倍。FM 患者每年的医疗就诊次数平均为 57 次（中位数 38 次，LQ=21 次，UQ=66 次，范围为 1-263 次），而在总患者人群中平均为 13 次。与 FM 诊断最常相关的疾病群体是肌肉骨骼和心理健康状况。FM 疾病的负担明显存在战备和保留方面的担忧。
