Military Occupation and Deployment: Descriptive Epidemiology of Active Duty U.S. Army Men Evaluated for a Disability Discharge
Military Occupation and Deployment: Descriptive Epidemiology of Active Duty U.S. Army Men Evaluated for a Disability Discharge
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DOI：
10.7205/milmed-d-12-00542
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发表时间：
2013-07-01
影响因子：
1.2
通讯作者：
Cowan, David N.
中科院分区：
文献类型：
--
作者：
Gubata, Marlene E.;Piccirillo, Amanda L.;Cowan, David N.
目标：体力要求较高的工作和部署经历使士兵受伤、住院和残疾的风险增加。通过职业和部署历史来描述残疾结果的差异，可以确定特定的军事人群，以进行有针对性的预防和干预计划以及未来研究的潜在领域。方法：对 2005 财年至 2011 财年在国防部伤残评估系统 (DES) 中评估的美国陆军士兵进行横断面分析，将那些分配有作战武器军事职业专业 (MOS) 的人员与具有任何其他 MOS（其他）的人员进行比较。结果：在已部署的士兵中，患有战斗武器 MOS 的士兵比其他 MOS 的士兵更有可能接受医疗残疾退休，并且更有可能接受与战斗暴露相符的状况评估，包括创伤后应激障碍、创伤性脑损伤后遗症和瘫痪。在非部署士兵中，战斗兵种 MOS 出现医疗残疾的可能性仅略高于其他 MOS，并且两个 MOS 组之间的医疗状况没有显着差异。结论：战斗武器 MOS 是残疾退休的一个重要风险因素，主要是在部署人员中。需要进一步研究来确定最有残疾退休风险的特定军事职业。
Objective: Physically demanding jobs and history of deployment put Soldiers at increased risk for injury, hospitalizations, and disability. Characterizing differences in disability outcomes by occupation and deployment history may identify specific military populations for targeted prevention and intervention programs as well as potential areas of future research. Methods: A cross-sectional analysis was conducted on U.S. Army enlisted men evaluated in the Department of Defense's Disability Evaluation System (DES) between fiscal years 2005 and 2011, comparing those assigned a Combat Arms military occupational specialty (MOS) to individuals with any other MOS (Other). Results: Among deployed Soldiers, those with Combat Arms MOS were substantially and significantly more likely to receive medical disability retirement than Other MOS and were more likely to be evaluated for conditions compatible with combat exposures, including post-traumatic stress disorder, residuals of traumatic brain injury, and paralysis. Among nondeployed Soldiers, Combat Arms MOS were only slightly more likely to receive medical disability than Other MOS, and no substantial differences in medical conditions were noted between the two MOS groups. Conclusions: Combat Arms MOS is a significant risk factor for disability retirement primarily among deployed men. Further research is needed to identify specific military occupations most at risk for disability retirement.