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在现役服役的服役人员中,胃肠道疾病的暴露性特征
Carlos J Maldonado1, Jessica A White-Phillip1, Yuliang Liu2
1Department of Clinical Investigation, Womack Army Medical Center, Fort Liberty, NC 28310, USA.
Military medicine
|August 20, 2024
概括
胃肠道疾病 (GD) 与陆军和海军航空共同体 (AMAC) 服务人员的几个因素有关. 更高的风险与年龄,BMI,种族,婚姻状况,服役时间和部署有关.
科学领域:
- 军人卫生保健 军人卫生保健
- 曝光学 (Exposomics) 是一种表现学.
- 胃肠道疾病 胃肠道疾病
背景情况:
- 胃肠道疾病 (GD) 在军人群体中是一个重大的健康问题.
- 采用暴露学方法来确定陆军和海军航空社区 (AMAC) 中GD的风险因素.
- 了解这些因素对于改善服务人员的健康和准备能力至关重要.
研究的目的:
- 确定与军事卫生系统中报告的胃肠道疾病 (GD) 相关的医疗和操作风险因素.
- 应用暴露学框架来分析AMAC内的GD发病率.
- 确定与GD风险相关的特定的人口和生活方式因素.
主要方法:
- 一项回顾性队列研究分析了从2015年10月到2019年12月的79,249名现役美国AMAC服务成员 (ADSM) 的纵向数据.
- 数据来源于医学评估和准备系统 (MARS).
- 多变量混合效应物流回归评估了GD发病率与因素之间的关联,包括等级,服役时间,部署,武装部队资格考试成绩,教育,吸烟,饮酒,年龄,性别,种族,种族,体重指数 (BMI) 和婚姻状况.
主要成果:
- 该研究观察到,每100个人年发生率为2.2%,GD的周期流行率为3.2%.
- GD独立地与更高的等级,更长的服役时间和部署有关 (P < 0.05).
- 特定的高风险类别包括年龄,BMI,种族 (非种族),婚姻状况和服役时间.
结论:
- 33岁以上,服役时间较长,部署时间较长,已婚的白人ADSM患GD的风险较高.
- 部署时间,而不是地理位置,被确定为GD的重要风险因素.
- 这项研究强调了暴露学方法在开发针对军人群体健康结果的个性化临床算法方面的有用性.
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