Cigarette Smoking and Musculoskeletal Pain Severity Among Male and Female Afghanistan/Iraq Era Veterans.
Cigarette Smoking and Musculoskeletal Pain Severity Among Male and Female Afghanistan/Iraq Era Veterans.
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阿富汗/伊拉克时期男性和女性退伍军人吸烟和肌肉骨骼疼痛的严重程度。
DOI：
10.1093/pm/pnw339
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Calhoun,PatrickS
中科院分区：
文献类型：
--
作者：
Green,KimberlyT;Wilson,SarahM;Dennis,PaulA;Runnals,JenniferJ;Williams,RebeccaA;Bastian,LoriA;Beckham,JeanC;Dedert,EricA;Kudler,HaroldS;Straits-Tröster,Kristy;Gierisch,JenniferM;Calhoun,PatrickS
目的吸烟和肌肉骨骼疼痛在退伍军人事务部 (VA) 医疗保健系统使用者中很普遍。这些情况经常同时发生；然而，针对阿富汗/伊拉克时期退伍军人的经验信息有限。本研究旨在探讨在阿富汗/伊拉克时代服役的美国退伍军人中吸烟与中度至重度肌肉骨骼疼痛之间关系的性别差异。方法对 2001 年 11 月 11 日后服役的 5,000 名退伍军人进行随机抽样，参与一项评估医疗保健需求和护理障碍的调查。一千九十名退伍军人完成了这项调查，评估创伤后应激障碍 (PTSD) 症状、抑郁症状和当前疼痛严重程度。使用多变量逻辑回归来检查性别、吸烟状况和当前中度至重度肌肉骨骼疼痛之间的关联。结果显示，在调整年龄、自我报告的种族/族裔和体重状况、战斗暴露、可能的创伤后应激障碍、抑郁症状、部署期间的服役相关损伤以及退伍军人管理局医疗保健服务利用后，吸烟相互作用对中度/重度肌肉骨骼疼痛具有显着的性别影响。对交互作用的解构表明，相对于女性非吸烟者，女性退伍军人吸烟者认可中度至重度肌肉骨骼疼痛的几率更高（比值比 [OR] = 2.73，95% 置信区间 [CI] = 1.16–6.41），而这种差异对于男性退伍军人来说并不显着（OR = 1.03，95%） CI = 0.69–1.56)。结论持久自由行动/伊拉克自由行动退伍军人的调查数据表明，当前吸烟、性别和中度至重度肌肉骨骼疼痛之间存在关联。吸烟与女性疼痛之间的密切关系支持了介入性和纵向研究的必要性，这些研究可以为资深吸烟者提供基于性别的疼痛风险因素。
ObjectiveCigarette smoking and musculoskeletal pain are prevalent among Department of Veterans Affairs (VA) health care system users. These conditions frequently co-occur; however, there is limited empirical information specific to Afghanistan/Iraq era veterans. The present study sought to examine gender differences in the association between cigarette smoking and moderate to severe musculoskeletal pain in US veterans with Afghanistan/Iraq era service.MethodsA random sample of 5,000 veterans with service after November 11, 2001, participated in a survey assessing health care needs and barriers to care. One thousand ninety veterans completed the survey assessing post-traumatic stress disorder (PTSD) symptoms, depressive symptoms, and current pain severity. Multivariate logistic regression was used to examine the association between gender, cigarette smoking status, and current moderate to severe musculoskeletal pain.ResultsFindings indicated a significant gender by smoking interaction on moderate/severe musculoskeletal pain, adjusting for age, self-reported race/ethnicity and weight status, combat exposure, probable PTSD, depressive symptoms, service-connected injury during deployment, and VA health care service utilization. Deconstruction of the interaction indicated that female veteran smokers, relative to female nonsmokers, had increased odds of endorsing moderate to severe musculoskeletal pain (odds ratio [OR] = 2.73, 95% confidence interval [CI] = 1.16–6.41), whereas this difference was nonsignificant for male veterans (OR = 1.03, 95% CI = 0.69–1.56).ConclusionsSurvey data from Operation Enduring Freedom/Operation Iraqi Freedom veterans suggest an association between current smoking, gender, and moderate to severe musculoskeletal pain. The stronger relationship between smoking and pain in women supports the need for interventional and longitudinal research that can inform gender-based risk factors for pain in veteran cigarette smokers.
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