根据退伍军人身份,退伍军人健康管理局招生和年龄的慢性疾病负担,使用全国代表性调查数据
Neetu Chawla1, Diana J Govier2,3, Claire Than4
1VA Health Services Research & Development (HSR&D) Center for the Study of Healthcare Innovation, Implementation, and Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA.
Medical care
|August 6, 2025
概括
美国退伍军人,特别是那些有退伍军人事务 (VA) 覆盖的退伍军人,报告说,与非退伍军人相比,慢性疾病的负担更高. 这种差异存在于所有年龄组中,突出显示了显著的健康差异.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国退伍军人历史上表现出比非退伍军人更高的慢性疾病负担.
- 退伍军人身份,退伍军人事务 (VA) 覆盖和慢性疾病负担之间的关联,特别是在年轻人群中,仍未得到充分研究.
研究的目的:
- 量化和比较男性退伍军人中患有慢性疾病的数量与男性非退伍军人之间的VA覆盖和没有VA覆盖.
- 为了分析这些慢性疾病在不同年龄组之间的差异.
主要方法:
- 利用了2018年国家卫生访谈调查数据,包括2301名男性退伍军人和9243名男性非退伍军人.
- 慢性疾病被测量为计数 (0-15) 和分类 (0,1,2,3+).
- 通用线性回归模型分析了退伍军人身份和VA覆盖率与慢性疾病数量,调整了社会人口统计和按年龄分层 (18-44,45-64,65+).
主要成果:
- 拥有VA保险的退伍军人年龄标准化平均值最高,为1.44个慢性疾病,其次是没有VA保险的退伍军人 (1.16) 和非退伍军人 (1.09).
- 经过调整后的分析显示,拥有VA保险的退伍军人比非退伍军人有0.36多种疾病,没有退伍军人的人比非退伍军人有0.12多种疾病.
- 根据年龄分层的结果显示,在所有年龄段 (18-44岁,45-64岁,65岁以上) 中,拥有VA保险的退伍军人总是比非退伍军人有更多的疾病.
结论:
- 拥有VA保险的退伍军人始终呈现出最多的慢性疾病.
- 在拥有VA保险的退伍军人中,这种较高的慢性疾病负担在所有被检查的年龄组中都被观察到.
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