The changing profile of disability in the US Army: 1981-2005
The changing profile of disability in the US Army: 1981-2005
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DOI：
10.1016/j.dhjo.2007.11.007
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发表时间：
2008-01-01
影响因子：
4.5
通讯作者：
Amoroso, Paul J.
中科院分区：
文献类型：
--
作者：
Bell, Nicole S.;Schwartz, Carolyn E.;Amoroso, Paul J.
背景：我们试图提供美国陆军永久性残疾退伍士兵的概况，并澄清潜在的人口变化是否解释了风险的增加。方法：对1981年1月至2005年12月的现役伤残退伍军人进行频率分布和logistic回归分析；N = 108,119。时间序列分析描述了与残疾有关的人口因素的时间变化。结果：残疾风险在过去25年中增加了7倍。2005年，每10万现役军人中有1262人因残疾退役。危险因素包括女性、职位较低、已婚或曾经结婚、高中以下学历、年龄在40岁或以下。军队人口统计数据在此期间发生了变化；军人平均年龄和服役年限增加，军官、女兵和受过高等教育的军人比例提高。对这些人口变化进行调整并不能解释残疾风险迅速增加的原因。时间序列模型显示，妇女残疾人数的增加与军队中妇女人数的增加无关；在年轻、军衔较低、入伍和服役时间较短的士兵中，残疾人数也在以更快的速度增加。结论：伤残是昂贵的，并且在军队中不断增长。潜在的陆军人口统计数据的时间变化并不能解释整体残疾人数的增加。残疾人数在女性、初级士兵和年轻士兵中增长最快。(C) 2008爱思唯尔公司版权所有。
Background: We sought to provide a profile of U.S. Army soldiers discharged with a permanent disability and to clarify whether underlying demographic changes explain increasing risks.Methods: Frequency distributions and logistic regression analyses describe active-duty Army soldiers discharged with a disability (January 1981 through December 2005; N = 108,119). Time-series analysis describes temporal changes in demographic factors associated with disability.Results: Disability risk has increased 7-fold over the past 25 years. In 2005, there were 1,262 disability discharges per 100,000 active-duty soldiers. Risk factors include female gender, lower rank, married or formerly married, high school education or less, and age 40 or younger. Army population demographics changed during this time; the average age and tenure of soldiers increased, and the proportion of soldiers who were officers, women, and college educated grew. Adjusting for these demographic changes did not explain the rapidly increasing risk of disability. Time-series models revealed that disability among women is increasing independently of the increasing number of women in the Army; disability is also increasing at a faster pace for younger, lower-ranked, enlisted, and shorter-tenured soldiers.Conclusion: Disability is costly and growing in the Army. Temporal changes in underlying Army population demographics do not explain overall disability increases. Disability is increasing most rapidly among female, junior enlisted, and younger soldiers. (C) 2008 Elsevier Inc. All rights reserved.