美国服务人员和退伍军人的特定原因死亡率 (2001-2018):与美国普通人口的比较
Yunnuo Zhu1,2, Clinton Hall3,4, Neika Sharifian3,4
1Deployment Health Research Department, Naval Health Research Center, 140 Sylvester Road, San Diego, CA, 92106, USA. yunnuo.zhu.ctr@health.mil.
BMC public health
|December 5, 2025
概括
美国服务人员和退伍军人总体死亡率低于普通人群. 然而,枪支自杀死亡人数更高,特别是在女性军人中,这凸显了针对性自杀预防策略的急需.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 军事医学 军事医学
背景情况:
- 将美国军人/退伍军人与平民人口之间的死亡率进行比较,对于了解健康结果至关重要.
- 千年队列研究为这种比较提供了有价值的数据集.
研究的目的:
- 为了比较美国服务人员和退伍军人的职业队伍与一般平民成年人群之间的特定原因死亡率.
- 为了确定这些群体之间存在差异的特定死亡原因.
主要方法:
- 利用千年队列研究 (2001-2018) 的已故参与者的数据.
- 从联邦和军事数据库中提取死亡原因信息.
- 计算的标准化死亡率 (SMRs) 与美国一般人口相比,按性别和部署历史分层.
主要成果:
- 服务人员和退伍军人的整体死亡率较低 (自然原因,事故和杀人事件的SMR为<1).
- 军人 (SMR=1.33) 和妇女 (SMR=2.83) 两种情况下,枪支自杀的死亡率都较高.
- 与平民女性相比,军人女性的整体自杀死亡率 (SMR=1.65) 较高.
结论:
- 服务人员和退伍军人总体死亡率较低,但枪支自杀死亡人数有所增加.
- 军人女性中自杀死亡率较高,需要有针对性的干预和支持.
- 调查结果强调,需要加强军事人口中预防自杀的努力.
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