Gender Differences in Demographic and Health Characteristics of the Million Veteran Program Cohort
Gender Differences in Demographic and Health Characteristics of the Million Veteran Program Cohort
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DOI：
10.1016/j.whi.2019.04.012
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发表时间：
2019-06-25
影响因子：
3.2
通讯作者：
Striker, Robert
中科院分区：
文献类型：
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作者：
Harrington, Kelly M.;Nguyen, Xuan-Mai T.;Striker, Robert
背景资料：退伍军人事务部百万退伍军人计划（MVP）是同类计划中最大的正在进行的队列计划，截至2018年6月，有654，903名注册者。本研究的目的是检查MVP队列中的性别差异，包括应答率和登记率;人口统计学、健康和卫生保健特征;以及自我报告的健康状况的患病率。（8%的女性），提供人口统计学特征、健康状况和病史的自我报告措施。与男性相比，女性的阳性应答率较高（23.0%对16.0%），登记率略高（13.5%对12.9%），而在登记者中，调查完成率较低（59.7%对63.8%）。与男性相比，女性更年轻，种族更多样化，受教育程度更高，结婚或与伴侣同居的可能性更小。与男性相比，女性更有可能报告良好的健康状况，但身体健康状况较差，并且不太可能报告终身吸烟和饮酒。与男性相比，女性退伍军人的肌肉骨骼疾病、甲状腺疾病、胃肠道疾病、偏头痛和心理健康障碍的患病率增加，痛风、心血管疾病、高胆固醇、糖尿病和听力问题的患病率降低。这些结果揭示了研究参与率、人口统计学特征、健康特征、和MVP队列中退伍军人的健康状况的患病率。调查结果强调，需要量身定制的招聘工作，以确保越来越多的女性退伍军人人口的代表性，通过退伍军人健康管理局接受护理。爱思唯尔公司出版代表雅各布妇女健康研究所
Background: The Department of Veterans Affairs Million Veteran Program (MVP) is the largest ongoing cohort program of its kind, with 654,903 enrollees as of June 2018. The objectives of this study were to examine gender differences in the MVP cohort with respect to response and enrollment rates; demographic, health, and health care characteristics; and prevalence of self-reported health conditions.Methods: The MVP Baseline Survey was completed by 415,694 veterans (8% women), providing self-report measures of demographic characteristics, health status, and medical history.Results: Relative to men, women demonstrated a higher positive responder rate (23.0% vs. 16.0%), slightly higher enrollment rate (13.5% vs. 12.9%), and, among enrollees, a lower survey completion rate (59.7% vs. 63.8%). Women were younger, more racially diverse, had higher educational attainment, and were less likely to be married or cohabitating with a partner than men. Women were more likely to report good to excellent health status but poorer physical fitness, and less likely to report lifetime smoking and drinking than men. Compared with men, women veterans showed an increased prevalence of musculoskeletal conditions, thyroid problems, gastrointestinal conditions, migraine headaches, and mental health disorders, as well as a decreased prevalence of gout, cardiovascular diseases, high cholesterol, diabetes, and hearing problems.Conclusions: These results revealed some substantial gender differences in the research participation rates, demographic profile, health characteristics, and prevalence of health conditions for veterans in the MVP cohort. Findings highlight the need for tailoring recruitment efforts to ensure representation of the increasing women veteran population receiving care through the Veterans Health Administration. Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health.