Burr R G, Palinkas L A
Occupational Medicine Department, Naval Health Research Center, San Diego, CA 92138-9174.
Undersea Biomed Res. 1987 Nov;14(6):535-44.
This study evaluated health risks associated with U.S. Navy submarine duty by comparing hospitalization rates of submariners with surface ship personnel. The groups were compared using age-adjusted hospitalization rates for 16 major diagnostic categories and several specific diagnoses postulated to be submarine associated. Submarine personnel did not have significantly higher hospitalization rates for any diagnostic categories nor for any of the submarine-associated illnesses. Submariner relative risk of hospital admissions was greater for a few selected diagnoses but statistical significance was not attained. Submarine personnel had lower hospitalization rates for nearly all of the diagnostic categories examined. Reasons for these lower rates may be stringent screening of submariners, higher levels of education among submariners, difficulty of evacuation from a submarine, and the healthy-worker effect. The health status of U.S. Navy personnel does not seem to be adversely affected by submarine duty.
本研究通过比较潜艇艇员与水面舰艇人员的住院率，评估了与美国海军潜艇服役相关的健康风险。使用16个主要诊断类别的年龄调整住院率以及假定与潜艇相关的几种特定诊断，对两组人员进行了比较。潜艇人员在任何诊断类别或任何与潜艇相关的疾病方面，住院率均未显著更高。对于一些选定的诊断，潜艇艇员的住院相对风险更高，但未达到统计学显著性。在所检查的几乎所有诊断类别中，潜艇人员的住院率较低。这些较低住院率的原因可能是对潜艇艇员的严格筛选、潜艇艇员较高的教育水平、从潜艇撤离的困难以及健康工人效应。美国海军人员的健康状况似乎未受到潜艇服役的不利影响。
