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9·11事件后退伍军人的身心健康:比较健康评估访谈研究的结果

The Physical and Mental Health of Post-9/11 Female and Male Veterans: Findings from the Comparative Health Assessment Interview Research Study.

作者信息

Dursa Erin K, Cypel Yasmin S, Culpepper William J, Bernhard Paul A, Schneiderman Aaron I

机构信息

U.S. Department of Veterans Affairs, Epidemiology Program, Health Outcomes Military Exposures, Washington, DC, USA.

U.S. Department of Veterans Affairs, Surveillance Military Environmental Exposures, Health Outcomes Military Exposures, Washington, DC, USA.

出版信息

J Womens Health (Larchmt). 2025 Apr;34(4):513-524. doi: 10.1089/jwh.2024.0605. Epub 2025 Feb 18.

Abstract

Females are the fastest-growing group in the veteran population, yet there is a paucity in the literature of sex-specific results from studies of chronic disease in veterans that limit our understanding of their health issues. This study provides nationally representative estimates of the physical and mental health of females and males from the Operation Enduring Freedom, Operation Iraqi Freedom, and Operation New Dawn (OEF/OIF/OND) veteran population. Data from the 2018 Comparative Health Assessment Interview Research Study (CHAI), a cross-sectional nationwide survey of the health and well-being of OEF/OIF/OND veterans and a comparison sample of U.S. nonveterans, were analyzed to provide sex-stratified and deployment-stratified lifetime prevalence estimates and adjusted relative odds of physical and mental health conditions in a large population-based study of OEF/OIF/OND veterans. Overall, female veterans were significantly more likely to report cancer, respiratory disease, irritable bowel syndrome/colitis, bladder infections, vision loss, arthritis, back/neck pain, chronic fatigue syndrome, migraine, posttraumatic stress disorder, and depression. Male veterans were significantly more likely to report obesity, diabetes, heart conditions, hypertension, high cholesterol, hearing loss, fractures, spinal cord injury, sleep apnea, and traumatic brain injury. Both males and females who deployed were significantly more likely to report adverse health outcomes than those who did not deploy. This article reports sex-stratified and deployment-stratified lifetime prevalence estimates and adjusted relative odds of physical and mental health conditions in a large population-based study of OEF/OIF/OND veterans. This study demonstrates the value of epidemiological research on female veterans and its importance in understanding the burden of disease in the female veteran population.

摘要

女性是退伍军人中增长最快的群体,但关于退伍军人慢性病研究中特定性别的结果在文献中却很匮乏,这限制了我们对她们健康问题的理解。本研究提供了来自持久自由行动、伊拉克自由行动和新黎明行动(OEF/OIF/OND)退伍军人中女性和男性身心健康状况具有全国代表性的估计数据。对2018年比较健康评估访谈研究(CHAI)的数据进行了分析,该研究是一项对OEF/OIF/OND退伍军人的健康和幸福状况以及美国非退伍军人对照样本进行的全国性横断面调查,以在一项基于大规模人群的OEF/OIF/OND退伍军人研究中提供按性别分层和按部署分层的终生患病率估计值以及身心健康状况的调整相对比值。总体而言,女性退伍军人更有可能报告患有癌症、呼吸系统疾病、肠易激综合征/结肠炎、膀胱感染、视力丧失、关节炎、背部/颈部疼痛、慢性疲劳综合征、偏头痛、创伤后应激障碍和抑郁症。男性退伍军人更有可能报告患有肥胖症、糖尿病、心脏病、高血压、高胆固醇、听力丧失、骨折、脊髓损伤、睡眠呼吸暂停和创伤性脑损伤。与未部署的人相比,部署过的男性和女性退伍军人更有可能报告不良健康结果。本文报告了在一项基于大规模人群的OEF/OIF/OND退伍军人研究中按性别分层和按部署分层的终生患病率估计值以及身心健康状况的调整相对比值。这项研究证明了对女性退伍军人进行流行病学研究的价值及其在了解女性退伍军人疾病负担方面的重要性。

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