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Updated: May 19, 2026

05:35
A Point-of-Care Method with Integrated Decision Support Tool to Estimate Anemia at Population Level
Published on: January 19, 2024
Summary
Iron deficiency anemia (IDA) is common in US service members, especially women and Black individuals. Increased incidence rates highlight the need for awareness, particularly before demanding activities.
Area of Science:
- Military Health
- Hematology
- Epidemiology
Background:
- Iron deficiency anemia (IDA) is the most prevalent anemia in the United States.
- IDA disproportionately affects women of childbearing age and Black, non-Hispanic populations.
- Anemia impacts physical capacity and cognitive function, critical for military readiness.
Purpose of the Study:
- To determine the incidence and trends of IDA among active component service members.
- To identify demographic and clinical factors associated with IDA in this population.
- To inform healthcare providers about IDA risks in service members.
Main Methods:
- Retrospective analysis of incident IDA cases among active component service members.
- Surveillance period data used to calculate incidence rates.
- Analysis of associated diagnoses in the year preceding or following IDA diagnosis.
Main Results:
- 10,157 incident IDA cases were identified, with an overall incidence rate of 7.1 per 10,000 person-years.
- Incidence rates increased annually for both males and females.
- Higher rates observed in females, youngest (<20 years) and oldest (40+ years) age groups, and Black, non-Hispanic service members.
Conclusions:
- IDA incidence is increasing in service members, with specific demographic groups at higher risk.
- Associated diagnoses include gastrointestinal hemorrhage in males and female genital tract bleeding in females.
- Healthcare providers should maintain vigilance for IDA in service members, especially women, prior to deployment and intensive training.
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