Deployment Health Research Department, Naval Health Research Center, San Diego, California, United States of America.
Leidos, San Diego, California, United States of America.
PLoS One. 2022 Jun 28;17(6):e0270515. doi: 10.1371/journal.pone.0270515. eCollection 2022.
Although combat has been found to be associated with adverse health outcomes, little is known about the impact of specific combat exposures, particularly among specialized personnel. This study examined the association of different types of combat exposures with behavioral health outcomes, and whether these associations differed by Army occupational specialization: General Purpose Forces infantrymen (n = 5,361), Ranger Qualified infantrymen (n = 308), and Special Forces personnel (n = 593). Multivariable regression models estimated the association of combat severity, type of combat event (fighting, killing, threat to oneself, death/injury of others), and type of killing with mental health disorders, trouble sleeping, and problem drinking. Combat severity, each type of combat event, and killing noncombatants were associated with adverse health outcomes after adjusting for covariates and other combat exposures. Except for trouble sleeping, these associations did not differ by occupational specialization, though the prevalence and odds of outcomes were generally lower for Special Forces personnel.
虽然战斗已被发现与不良健康结果有关，但对于特定战斗暴露的影响知之甚少，尤其是在特种部队人员中。本研究调查了不同类型的战斗暴露与行为健康结果之间的关联，以及这些关联是否因陆军职业专业化而有所不同：通用目的部队步兵（n = 5361）、游骑兵合格步兵（n = 308）和特种部队人员（n = 593）。多变量回归模型估计了战斗严重程度、战斗事件类型（战斗、杀戮、对自身的威胁、他人伤亡）和杀戮类型与心理健康障碍、睡眠问题和酗酒问题之间的关联。在调整了协变量和其他战斗暴露因素后，战斗严重程度、每种战斗事件类型和杀害非战斗人员都与不良健康结果相关。除了睡眠问题外，这些关联在职业专业化方面没有差异，尽管特种部队人员的发病率和发病几率通常较低。
