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Risk Factors for Training-Related Injuries During U.S. Army Basic Combat Training.
Sandra I Sulsky1, Maria T Bulzacchelli2, Lei Zhu1
1Ramboll Environ US Corporation, 28 Amity Street, Amherst, MA 010012.
Military Medicine
|April 11, 2018
Summary
This study identified key risk factors for injuries during U.S. Army Basic Combat Training (BCT), revealing higher injury rates than previously reported. Findings can inform injury prevention strategies for military personnel.
Area of Science:
- Military medicine
- Injury epidemiology
- Public health
Background:
- Basic Combat Training (BCT) injuries impact U.S. Army readiness.
- Identifying BCT injury risk factors is crucial for prevention.
- Few Army-wide studies have comprehensively analyzed BCT injury risk factors.
Purpose of the Study:
- To examine associations between individual and training-related characteristics and injuries during Army BCT.
- To identify specific risk factors contributing to injuries in first-time trainees.
- To provide data for adapting training and medical screening procedures.
Main Methods:
- Utilized administrative data from the Total Army Injury and Health Outcomes Database (TAIHOD).
- Analyzed medical encounter data for first-time trainees from January 2002 to September 2007.
- Employed regression models to identify risk factors for BCT injury, adjusted for confounders.
Main Results:
- 39.5% of men and 60.9% of women sustained injuries during BCT.
- For men, risk factors included older age (>25), prior marriage, and specific training locations; taller men had higher odds.
- For women, risk factors included short stature, training at Ft. Leonard Wood, and prior injury history (waivers).
Conclusions:
- Army-wide BCT injury rates are higher than previously reported.
- Identified individual and training factors associated with increased injury risk for both genders.
- Findings can inform targeted injury prevention and improved medical screening for basic trainees.
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