在美国现役军人中失眠障碍的负担
Emerson M Wickwire1,2, Vincent F Capaldi3, Jeph Herrin4
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore.
Neurology
|October 16, 2025
概括
新发病的失眠显著增加了现役军人医疗和精神疾病的风险. 这种情况也导致医疗保健利用率更高,突出显示了服务人员的巨大负担.
科学领域:
- 军人卫生保健 军人卫生保健
- 睡眠医学 睡眠医学
- 公共卫生 公共卫生
背景情况:
- 失眠是军人群体中普遍存在的问题,但关于其影响的重大知识差距仍然存在.
- 了解失眠后果的全部范围对于有效的军事医疗保健战略至关重要.
研究的目的:
- 量化与现役军人失眠相关的医疗,精神病学和医疗保健利用负担.
- 测试失眠与这个人口群体的健康和经济状况较差有关,这一假设.
主要方法:
- 一个回顾性病例控制研究,利用来自军事数据库 (2016-2021) 的数据.
- 根据各种特征,将40,978名现役军人 (ADSM) 与患有失眠的同等人数相匹配.
- 采用时间到事件模型和通用线性模型来评估诊断后12个月内的结果和医疗资源利用率 (HCRU).
主要成果:
- 失眠与许多身体和心理健康状况的风险显著增加有关.
- 失眠的ADSM患者患上创伤后应激障碍的风险增加了6倍,创伤性脑损伤的风险增加了5倍.
- 失眠与所有服务点的医疗保健资源利用率大幅增加有关.
结论:
- 在现役人员中新诊断的失眠与不良医疗和精神病结局的大幅增加有关.
- 这项研究强调了失眠的军人中医疗保健利用率的显著增加.
- 该研究的观察性质是解释结果时需要考虑的关键限制.
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