千年队列研究成员在部署和非部署环境中发生创伤性脑损伤的风险。
Risk of Traumatic Brain Injury in Deployment and Nondeployment Settings Among Members of the Millennium Cohort Study.
作者信息
Jannace Kalyn C, Pompeii Lisa, Gimeno Ruiz de Porras David, Perkison William Brett, Yamal Jose-Miguel, Trone Daniel W, Rull Rudolph P
机构信息
Author Affiliations: Southwest Center for Occupational and Environmental Health, UTHealth School of Public Health, West Houston, Texas (Drs Jannace, Pompeii, and Perkison); Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland (Dr Jannace); The Center for Rehabilitation Sciences Research, Uniformed Services University for the Health Sciences, Bethesda, Maryland (Dr Jannace); Institute for Stroke and Cerebrovascular Disease, UTHealth School of Public Health, Houston, Texas (Dr Yamal); and Deployment Health Research Department, Naval Health Research Center, San Diego, California (Drs Trone and Rull) Department of Environmental and Occupational Health, UT School of Public Health San Antonio, UT Health San Antonio, San Antonio, TX, USA( Drs Gimeno Ruiz de Porras).
出版信息
J Head Trauma Rehabil. 2025;40(2):E102-E110. doi: 10.1097/HTR.0000000000000970. Epub 2024 Jun 27.
OBJECTIVE
To describe and quantify the prevalence and risk of deployment and nondeployment service-related traumatic brain injury (TBI) among participants of the Millennium Cohort Study.
SETTING
Survey data.
PARTICIPANTS
28 759 Millennium Cohort Study participants who were active duty, Reserves, or National Guard at the time of the survey.
DESIGN
Cross-sectional secondary data analysis.
MAIN MEASURES
Estimates of prevalence and rates of TBI were calculated. Multivariable Poisson regression estimated rate ratios of TBI overall and stratified by deployment and nondeployment settings.
RESULTS
The rate of TBI over the 362 535 person-years (PY) was 2.95 p/100 PY. the nondeployment rate was 2.15 p/100 PY, with a significantly higher rate (11.38 p/100 PY) in deployment settings. Bullets/blasts were the most common TBI mechanisms in deployed settings, while sports/physical training and military training were common in nondeployed settings.
CONCLUSIONS
The risk of TBI as well as its mechanism varies by deployment and nondeployment, suggesting that targeted prevention strategies are needed to reduce the risk for TBI among military personnel based on their deployment status.
目的
描述并量化千年队列研究参与者中与部署和未部署服务相关的创伤性脑损伤（TBI）的患病率及风险。
设置
调查数据。
参与者
28759名千年队列研究参与者，他们在调查时为现役军人、预备役军人或国民警卫队队员。
设计
横断面二次数据分析。
主要测量指标
计算TBI的患病率和发生率估计值。多变量泊松回归估计总体及按部署和未部署情况分层的TBI发生率比。
结果
在362535人年（PY）中，TBI发生率为2.95例/100 PY。未部署率为2.15例/100 PY，在部署情况下发生率显著更高（11.38例/100 PY）。子弹/爆炸是部署情况下最常见的TBI致伤机制，而运动/体育训练和军事训练在未部署情况下较为常见。
结论
TBI的风险及其机制因部署和未部署情况而异，这表明需要制定有针对性的预防策略，以根据军事人员的部署状态降低其TBI风险。
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