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美国成年人的慢性病和兵役,1999-2018年
Scott Reule1,2, Kristine Ensrud1, Jaeden Danko1
1Minneapolis Veterans Affairs Medical Center, Minnesota.
概括
前任军人服务与美国成年人患慢性病 (CKD) 的风险更高有关. 这种联系突出了退伍军人中CKD潜在的独特风险因素,需要进一步调查.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 管理在美国成年人中已经发展.
- 关于CKD负担,风险因素和退伍军人的趋势存在不确定性.
- 以前的军事服务可能会影响CKD的患病率和进展.
研究的目的:
- 量化美国成年人中CKD和服兵役之间的关联.
- 检查军事服务人口中CKD的时间趋势.
- 根据军事服役史,确定CKD的差异性风险因素.
主要方法:
- 使用国家健康和营养检查调查 (NHANES) 数据进行的观察性研究.
- 分析了1999年至2018年间美国成年人的数据.
- 根据年龄,性别,种族和民族的统计调整.
主要成果:
- 与一般人口 (15.2%) 相比,在事先服过兵役的人群中,CKD的患病率明显高 (22.7%).
- 根据服役的时期,CKD的患病率有所不同,观察到显著的差异.
- 之前的军事服务与患CKD的可能性增加有关 (aOR,1.17;95% CI,1.06-1.28).
- 调整后的CKD关联因年龄组,性别和家庭贫困水平而异,对于那些有和没有服兵役的人来说.
结论:
- 服兵役与美国成年人患CKD的风险增加有关.
- 患CKD的风险因素在服兵役和不服兵役的子组之间呈现出差异性.
- 需要进行进一步的研究,以确定服役是否是CKD的独立风险因素.
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