Health and Health Behavior Differences US Military, Veteran, and Civilian Men
Health and Health Behavior Differences US Military, Veteran, and Civilian Men
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DOI：
10.1016/j.amepre.2012.07.029
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发表时间：
2012-11-01
影响因子：
5.5
通讯作者：
Nelson, Karin M.
中科院分区：
文献类型：
--
作者：
Hoerster, Katherine D.;Lehavot, Keren;Nelson, Karin M.
背景资料：关于退伍军人、现役军人、国民警卫队/预备役成员和平民之间的健康和健康行为差异知之甚少。从这些亚群中确定了美国妇女之间的几个重要差异;为了确定有针对性的干预领域，需要对这些亚群中的男性进行比较研究。目的：比较退伍军人、军人和平民男性对美国主要健康指标的影响。方法：数据来自2010年行为风险因素监测调查，这是一项基于美国人群的研究。在2011年，自我报告的健康结果进行了比较，使用多变量logistic回归男性退伍军人（n= 53，406），现役服务成员（n=2144），国民警卫队/预备役服务成员（n=3724）;和平民（n= 110，116）。尽管有更好的医疗保健服务，退伍军人的健康和功能比平民和国民警卫队/预备役成员在几个指标差。退伍军人也比现役军人更有可能报告糖尿病。退伍军人比国民警卫队/预备役成员和平民男子更有可能报告目前吸烟和酗酒，与现役男子和国民警卫队/预备役成员相比，他们缺乏锻炼。国民警卫队/预备役男子有更高水平的肥胖，糖尿病和心血管疾病（分别与现役军人和退伍军人，现役军人和平民相比）。现役男子更有可能报告目前吸烟和酗酒的消费比平民和国民警卫队/储备成员，并报告更多的无烟烟草使用比civiles.Conclusions：退伍军人有较差的健康和健康行为，增加预防工作需要从退伍军人服务组织。尽管健康状况良好，但现役男子报告了不健康的生活方式，这表明预防工作的一个重要领域。(Am J Prey Med 2012;43（5）：483-489）由Elsevier Inc.美国预防医学杂志（American Journal of Preventive Medicine）
Background: Little is known about health and health behavior differences among military service veterans, active duty service members, National Guard/Reserve members, and civilians. Several important differences were identified among U.S. women from these subpopulations; to identify areas for targeted intervention, studies comparing men from these subpopulations are needed.Purpose: To compare veteran, military, and civilian men on leading U.S. health indicators.Methods: Data were from the 2010 Behavioral Risk Factor Surveillance Survey, a U.S. population-based study. In 2011, self-reported health outcomes were compared using multivariable logistic regression across male veterans (n=53,406); active duty service members (n=2144); National Guard/Reserve service members (n=3724); and civilians (n=110,116).Results: Multivariate logistic regression results are presented. Despite better healthcare access, veterans had poorer health and functioning than civilians and National Guard/Reserve members on several indicators. Veterans also were more likely than those on active duty to report diabetes. Veterans were more likely to report current smoking and heavy alcohol consumption than National Guard/Reserve members and civilian men, and lack of exercise compared to active duty men and National Guard/Reserve members. National Guard/Reserve men had higher levels of obesity, diabetes, and cardiovascular disease (versus active duty and veterans, active duty, and civilians, respectively). Active duty men were more likely to report current smoking and heavy alcohol consumption than civilians and National Guard/Reserve members, and reported more smokeless tobacco use than civilians.Conclusions: Veterans have poorer health and health behaviors; increased prevention efforts are needed from veteran-serving organizations. Despite good health, active duty men reported unhealthy lifestyles, indicating an important area for prevention efforts. (Am J Prey Med 2012;43(5):483-489) Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine