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Military Occupational Disability Risk Surveillance: A Retrospective Cohort Study of Modifiable Risk Factors.

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This summary is machine-generated.

Military personnel with obesity, poor fitness, or substance use face higher disability risks. Early screening for these factors, especially opioid use and high BMI, can prioritize preventive actions for soldiers.

Keywords:
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Area of Science:

  • Military Health
  • Occupational Medicine
  • Preventive Medicine

Background:

  • Occupational disability is a significant concern for military readiness.
  • Preventive screening aims to identify and mitigate risks among service members.
  • Understanding risk factors for disability is crucial for targeted interventions.

Purpose of the Study:

  • To quantify disability risk levels in soldiers with specific risk factors.
  • To identify combinations of risk factors that increase disability.
  • To inform preventive strategies for military personnel.

Main Methods:

  • Retrospective cohort study of 607,006 U.S. Army soldiers (2011-2014).
  • Longitudinal observation for incident disability (medical nonreadiness).
  • Weibull survival regression models to assess risk factor impact.

Main Results:

  • 13.4% of soldiers were medically not ready during the study period.
  • High/low BMI, poor fitness, tobacco, and opioid use increased disability risk.
  • Combined risk factors substantially elevated hazards, affecting fewer individuals.

Conclusions:

  • Opioid use and high BMI showed marked increases in disability hazard.
  • Tobacco use and low physical fitness are also key prevention targets.
  • Clinicians should screen military members for these modifiable risk factors.