From the Division of Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, National Capital Consortium, Walter Reed National Military Medical Center.
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, Naval Medical Center Portsmouth, Portsmouth, VA.
Female Pelvic Med Reconstr Surg. 2022 Jun 1;28(6):e195-e200. doi: 10.1097/SPV.0000000000001183. Epub 2022 Apr 27.
In the United States, pelvic floor disorders affect 25% of women. Despite facing unique occupational risk factors that may increase the risk of pelvic floor disorders, there is little research on the prevalence of these disorders in active-duty service women.
This study sought to identify the prevalence of and risk factors for pelvic floor disorders in active-duty service women in the United States from diagnostic codes through service utilization.
Utilizing the Military Health System Data Repository, a cross-sectional study was conducted of all active-duty service women in the United States Army, Air Force, Navy, and Marine Corps during fiscal years 2010 to 2019.
This study identified 497,255 active-duty service women of whom 9.93% had pelvic floor disorders. Adjusted regression model analyses indicated increasing parity and body mass index significantly affect the risk of pelvic floor disorders. Active-duty women with 3 or more births were 3 times more likely to have pelvic floor disorders compared with the nulliparous group. Finally, subset analysis indicates the risk of pelvic floor disorders were increased 250% in obese women and decreased 20% for underweight women. The rate of pelvic floor disorders appears to be increasing among active-duty women.
Active-duty service women have significantly lower rates of pelvic floor disorders compared with the general population, possibly due to the protective effects of improved weight management and physical fitness requirements for their job performance. However, pelvic floor disorders may be uptrending and need continued monitoring.
在美国，25%的女性患有盆底功能障碍。尽管现役女兵面临着可能增加盆底功能障碍风险的独特职业危险因素，但关于这些疾病在现役女兵中的患病率的研究甚少。
本研究旨在通过服务利用情况，利用诊断代码确定美国现役女兵中盆底功能障碍的患病率和危险因素。
利用军事医疗系统数据资源库，对 2010 至 2019 年期间美国陆军、空军、海军和海军陆战队的所有现役女兵进行了一项横断面研究。
本研究共纳入 497255 名现役女兵，其中 9.93%患有盆底功能障碍。调整后的回归模型分析表明，生育次数和体重指数的增加显著影响盆底功能障碍的风险。与未生育的女性相比，生育 3 次或以上的现役女性患盆底功能障碍的可能性增加了 3 倍。最后，亚组分析表明，肥胖女性患盆底功能障碍的风险增加了 250%，而体重不足的女性则降低了 20%。现役女性的盆底功能障碍发生率似乎在上升。
与一般人群相比，现役女兵的盆底功能障碍发生率显著较低，这可能是由于体重管理和身体素质要求提高对其工作表现的保护作用。然而，盆底功能障碍可能呈上升趋势，需要持续监测。
