美国武装部队中哮喘相关性残疾流行病学：2007-2012
2016/11/09
摘要
目的：美国武装部队与哮喘相关人员的残疾放逐包括：分开（没有福利）和退休（有残疾福利）。本文描述了他们的人口、残疾和部署特点。
方法：每年，都要对每10万名现役军人与哮喘相关的残疾放逐率或退休率以及因为其它原因的残疾放逐率进行计算。用多因素逻辑回归分析来检测残疾退休和一些人口因素的相互关系，以及军队每个分支的现役人员，与哮喘相关的残疾放逐的残疾特征与其它任何非呼吸性疾病致残的特征之间的联系。
结果：评估与哮喘有关的残疾放逐的服役人员通常没有合并症，通常是残疾退休而不是分离了，随着时间的推移残疾退休率增加。哮喘相关残疾发病率显著较高的组包括女性，在20岁之前进入军队的人，非白人，还有那些曾经部署于伊拉克或阿富汗的人。与残疾退休率最相关的特征是部署史。
结论:服役后哮喘的发生通常导致服役人员的职业障碍，特别是已部署到伊拉克或阿富汗的服役人员。
（苏欣 审校）
J Asthma. 2016 Sep;53(7):668-78.doi:10.3109/02770903.2016.1154070. Epub 2016 Apr 6.
Epidemiology of asthma-related disability in the U.S. Armed Forces: 2007-2012.
Piccirillo AL1,2, Packnett ER1,2, Cowan DN1,2, Boivin MR1.
Author information
Abstract
OBJECTIVE:To characterize the demographic, disability and deployment characteristics of U.S. Armed Forces personnel with an asthma-related disability discharge, which includes separation (without benefits) and retirement (with disability benefits).
METHODS:Incidence rates for personnel evaluated for disability discharge and/or disability retired due to asthma and due to all other causes of disability discharge were calculated per 100,000 active duty enlisted service members by year. Multivariate logistical regression was used to examine the associations between disability retirement and several demographic and disability characteristics of service members evaluated forasthma-related disability discharge versus those evaluated for any other non-respiratory condition for each branch of military service.
RESULTS:Service members evaluated for disability discharge related to asthma most often do not have comorbidity and are disability retired rather than separated, with rates of disability retirement increasing over time. Groups with a significantly higher incidence of evaluation for asthma-related disability include females, individuals who entered the military prior to the age of 20, non-Whites, and those with a history of deployment to Iraq or Afghanistan. The characteristic most associated with the odds of disability retirement was a history of deployment.
CONCLUSIONS:New-onset asthma occurring after military entry often causes occupational impairment in service members, especially in those that have been deployed to Iraq or Afghanistan.
KEYWORDS:Asthma; adult-onset; asthma; comorbidity; deployment; disability evaluation; military; occupational
J Asthma. 2016 Sep;53(7):668-78.doi:10.3109/02770903.2016.1154070. Epub 2016 Apr 6.
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哮喘-慢性阻塞性肺疾病重叠综合征与肺栓塞危险之间的关系
