Gender differences in musculoskeletal injury rates: a function of symptom reporting?
Gender differences in musculoskeletal injury rates: a function of symptom reporting?
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DOI：
10.1097/00005768-199912000-00017
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发表时间：
1999-12-01
期刊：
影响因子：
--
通讯作者：
Long, K
中科院分区：
文献类型：
--
作者：
Almeida, SA;Trone, DW;Long, K
目的：本研究确定了美国海军陆战队（USMC）新兵下肢肌肉骨骼损伤自愿报告的性别差异，并研究了这些差异与女性受训人员中通常发现的较高受伤率之间的关系。研究方法：受试者为176名男性和241名女性入伍的美国海军陆战队新兵，他们前瞻性地接受了为期11周（男性）和12周（女性）的靴子营地训练。报告的伤害是通过医疗记录审查来衡量的。未报告的伤害是通过调查问卷和在培训结束时进行的体检确定的。结果如下：在女性新兵中，最常报告的损伤是髌股综合征（10.0%的受试者）、踝关节扭伤（9.1%）和髂胫束综合征（5.8%）;最常未报告的损伤是髌股综合征（2.1%）、跖骨痛（1.7%）和未指明的膝关节疼痛（1.7%）。在男性新兵中，髂胫束综合征（4.0%的受试者）、踝关节扭伤（2.8%）和跟腱炎/滑囊炎（2.8%）是最常报告的损伤：胫骨夹板（4.6%）。髂胫束综合征（4.0%）和踝关节扭伤（2.8%）是最常见的未报告的诊断。女性新兵比男性新兵更可能有报告的伤害（44.0%）比25.6%，相对危险度（RR）= 1.72，95%置信区间（CT）1.29-2.30），但他们不太可能有未报告的伤害（11.6%比23.9%RR = 0.49，95%CI 0.31-0.75）。当测量报告和未报告的伤害时，男女的总伤害率都很高（女性53.5%，男性45.5%，RR = 1.18，95%CI 0.96-1.44），但比率之间的差异无统计学意义。结论：我们的研究结果表明，较高的受伤率往往发现在女性军事学员可能是由性别差异的症状报告。
Purpose: This study determined gender differences in voluntary reporting of lower extremity musculoskeletal injuries among U.S. Marine Corps (USMC) recruits, and it examined the association between these differences and the higher injury rates typically found among women trainees. Methods: Subjects were 176 male and 241 female enlisted USMC recruits who were followed prospectively through 11 wk (men) and 12 wk (women) of boot camp training. Reported injuries were measured by medical record reviews. Unreported injuries were determined by a questionnaire and a medical examination administered at the completion of training. Results: Among female recruits the most commonly reported injuries were patellofemoral syndrome (10.0% of subjects), ankle sprain (9.1%), and iliotibial band syndrome (5.8%); the most common unreported injuries were patellofemoral syndrome (2.1%), metatarsalgia(1.7%), and unspecified knee pain (1.7%). Among male recruits iliotibial band syndrome (4.0% of subjects), ankle sprain (2.8%), and Achilles tendinitis/bursitis (2.8%) were the most frequently reported injuries: shin splints (4.6%). iliotibial band syndrome (4.0%), and ankle sprain (2.8%) were the most common unreported diagnoses. Female recruits were more likely to have a reported injury than male recruits (44.0%) vs 25.6%, relative risk (RR) = 1.72, 95% confidence interval (CT) 1.29-2.30), but they were less Likely to have an unreported injury (11.6% vs 23.9% RR = 0.49, 95% CI 0.31-0.75). When both reported and unreported injuries were measured, total injury rates were high for both sexes (53.5% women, 45.5% men, RR = 1.18, 95% CI 0.96-1.44), but the difference between the rates was not statistically significant. Conclusions: Our results indicate that the higher injury rates often found in female military trainees may be explained by gender differences in symptom reporting.