Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, USA.
Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, USA.
Brain Inj. 2024 Feb 23;38(3):210-216. doi: 10.1080/02699052.2024.2309276. Epub 2024 Jan 30.
This study examined racial and ethnic differences in the association between mild traumatic brain injury (mTBI) and work duty limitations in active-duty service members (ADSMs).
This study used retrospective and cross-sectional data from the 2019-2021 Military Health System Data Repository on 910,700 ADSMs who were 18-64 years old and were grouped into racial and ethnic categories of White, non-Hispanic; Black, non-Hispanic; Hispanic/Latino; and Asian or Pacific Islander, non-Hispanic.
Descriptive statistics showed that Black, Hispanic/Latino, and Asian or Pacific Islander patients had a lower proportion of having a diagnosis of mTBI compared to White patients (s < 0.001). Further, the proportion of history of deployment varied by racial and ethnic group and deployment location. Multivariate logistic regression results showed odds of 1.52 ( < 0.001) for White patients with mTBI, odds of 1.61 ( < 0.001) for Black patients with mTBI, odds of 1.57 ( < 0.001) for Hispanic/Latino patients with mTBI, and odds of 1.99 ( < 0.001) for Asian or Pacific Islander patients with mTBI for being placed on work duty limitations.
These results advance our understanding of the work duty limitations for racial/ethnic minority patients with mTBI in the Military Health System.
本研究旨在探讨现役军人（ADSM）中轻度创伤性脑损伤（mTBI）与工作任务限制之间的关联在种族和民族方面的差异。
本研究使用了 2019-2021 年军事卫生系统数据存储库中 910700 名年龄在 18-64 岁的 ADSM 的回顾性和横断面数据，并将其分为白种人、非西班牙裔；黑种人、非西班牙裔；西班牙裔/拉丁裔；以及亚洲或太平洋岛民、非西班牙裔。
描述性统计数据显示，与白人患者相比，黑人、西班牙裔/拉丁裔和亚洲或太平洋岛民患者患有 mTBI 的比例较低（s<0.001）。此外，种族和民族群体以及部署地点的部署历史比例也不同。多变量逻辑回归结果显示，患有 mTBI 的白人患者的可能性为 1.52（<0.001），患有 mTBI 的黑人患者的可能性为 1.61（<0.001），患有 mTBI 的西班牙裔/拉丁裔患者的可能性为 1.57（<0.001），患有 mTBI 的亚洲或太平洋岛民患者的可能性为 1.99（<0.001），他们被限制工作任务。
这些结果提高了我们对军事卫生系统中少数民族患者 mTBI 的工作任务限制的理解。
