在查中性别差异对战斗伤害后创伤后应激障碍呈阳性
Andrew J MacGregor1, Amber L Dougherty1,2, Daniel J Crouch1
1Epidemiology and Data Management Support, Naval Health Research Center, San Diego, CA 92106, USA.
Military medicine
|May 21, 2024
概括
在战斗中受伤后,女性在军队中比男性更频繁地检测出创伤后应激障碍 (PTSD) 的阳性. 这凸显了针对战斗角色中的女性提供针对性PTSD支持的需要.
科学领域:
- 军事医学 军事医学
- 心理创伤学 心理创伤学
- 健康中的性别差异
背景情况:
- 美国女军人在现代战争中面临着战斗暴露和受伤风险.
- 之前关于部署后PTSD性别差异的研究是不确定的.
- 没有先前的研究检查了PTSD的性别差异,特别是在战斗伤害后.
研究的目的:
- 调查在战斗中受伤的美国军人中对PTSD查结果呈阳性的性别差异的流行率.
- 在这个人群中确定与PTSD查相关的因素.
主要方法:
- 美国在伊拉克或阿富汗受伤的军事人员的回顾性分析 (2003年3月至2013年3月).
- 纳入标准:应对伤害,并在一年内完成部署后健康评估 (PDHA).
- 创伤后应激障碍查使用PDHA中的4项初级护理创伤后应激障碍查;统计分析包括千平方测试和多变量后勤回归.
主要成果:
- 这项研究包括16215名受伤人员 (666名女性,15549名男性).
- 与男性 (40.9%) 相比,女性的PTSD查结果呈阳性 (48.3%) 的患病率更高 (P < .001).
- 妇女的PTSD查阳性几率更高 (OR,1.34;95% CI,1.14-1.57),精神病史是两种性别的强有力的预测因素 (OR,1.59;95% CI,1.45-1.74).
结论:
- 战斗中受伤后,女性比男性更有可能对PTSD呈阳性查.
- 未来的军事冲突可能需要针对PTSD缓解和心理护理整合在女性受伤康复中的定制策略.
- 建议女性军人加强支持和弹性计划.
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