Hospital admissions for non-communicable disease in the UK military and associations with alcohol use and mental health: a data linkage study
Hospital admissions for non-communicable disease in the UK military and associations with alcohol use and mental health: a data linkage study
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DOI：
10.1186/s12889-020-09300-5
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发表时间：
2020-09-10
影响因子：
4.5
通讯作者：
Fear, N. T.
中科院分区：
文献类型：
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作者：
Goodwin, L.;Leightley, D.;Fear, N. T.
背景：自从最近的伊拉克和阿富汗冲突以来，军事保健研究的短期重点一直放在部署对心理健康的影响以及在战斗中受伤或受伤的人身上。现在英国武装部队已经结束了这些冲突，重要的是要考虑长期的身心健康后果，同样重要的是，这两者之间的联系。这项研究的目的是确定英国军事人员中最常见的需要住院的身体状况，以及与没有心理健康状况的人员相比，这些状况在有心理健康状况的人员、吸烟者和/或酗酒者中是否更常见。方法将一项前瞻性英国军队队列研究与英格兰、威尔士和苏格兰的电子住院患者护理记录进行数据链接。九千九百九十名军事人员完成了一项军事队列研究的第二阶段（回复率为56%，数据收集于2007年至2009年），分析仅限于86%的人同意与医疗记录联系（n=8602）。90%为男性，第二阶段的平均年龄为36岁。结果是需要住院的身体非传染性疾病（NCDs），发生在队列的第2阶段之后，当时评估了心理健康、吸烟和酒精使用暴露变量，直到2014年3月底。结果最常见的非传染性疾病是胃肠道疾病5.62%（95%可信区间（CI） 5.04, 6.19）和关节疾病5.60% （95% CI 5.02, 6.18）。非传染性疾病住院人数在有常见精神障碍（风险比1.40 (95% CI 1.16-1.68)）、创伤后应激障碍（风险比1.78 (95% CI 1.32-2.40)）和当前吸烟者(风险比1.35 （95% CI 1.12-1.64）的患者中分别显著高于无精神障碍和不吸烟者。结论：与没有精神健康问题的军人相比，有精神健康问题的军人更有可能因非传染性疾病住院，这证明了这一人群的身心健康之间存在明显联系。
BackgroundSince the recent conflicts in Iraq and Afghanistan, the short-term focus of military healthcare research has been on the consequences of deployment for mental health and on those wounded or injured in combat. Now that these conflicts have ended for the UK Armed Forces, it is important to consider the longer term physical and mental health consequences, and just as importantly, the links between these. The aims of this study were to determine the most common physical conditions requiring a hospital admission in UK military personnel and whether they were more common in personnel with a mental health condition, smokers, and/or those misusing alcohol compared to those without.MethodsData linkage of a prospective UK military cohort study to electronic admitted patient care records for England, Wales and Scotland. Nine thousand nine hundred ninety military personnel completed phase 2 of a military cohort study (56% response rate, data collected from 2007 to 2009), with analyses restricted to 86% of whom provided consent for linkage to healthcare records (n=8602). Ninety percent were male and the mean age at phase 2 was 36years. The outcome was physical non communicable diseases (NCDs) requiring a hospital admission which occurred after phase 2 of the cohort when the mental health, smoking and alcohol use exposure variables had been assessed until the end of March 2014.ResultsThe most common NCDs requiring a hospital admission were gastrointestinal disorders 5.62% (95% Confidence Intervals (CI) 5.04, 6.19) and joint disorders 5.60% (95% CI 5.02, 6.18). Number of NCDs requiring a hospital admission was significantly higher in those with a common mental disorder (Hazard ratio (HR) 1.40 (95% CI 1.16-1.68), post-traumatic stress disorder (HR 1.78 (95% CI 1.32-2.40)) and in current smokers (HR 1.35 (95% CI 1.12-1.64) compared to those without the disorder, and non-smokers, respectively.ConclusionsMilitary personnel with a mental health problem are more likely to have an inpatient hospital admission for NCDs compared to those without, evidencing the clear links between physical and mental health in this population.