A qualitative assessment of disease and non-battle injuries in Ukraine since the Russian invasion.

IF 3.1 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Lynn Lieberman Lawry, Amandari Kanagaratnam, Ashleigh Roberds, Jessica Korona-Bailey, Luke Juman, Miranda Janvrin, Zoe Amowitz, Tiffany E Hamm, John Maddox, Oleh Berezyuk, Tracey Pérez Koehlmoos
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Abstract

Background: Disease and non-battle injuries (DNBI) often account for more military casualties than those from combat wounds. The February 2022 Russian invasion of Ukraine has severely limited access to care in areas with increasing patient care needs beyond combat injuries. The expansion of the draft resulted in an older military population susceptible to musculoskeletal injuries, while trench warfare and harsh winters create conditions conducive to cold weather injuries and infectious diseases. This study aims to assess the prevalence and scope of DNBI in Ukraine.

Methods: We conducted qualitative key informant interviews with Ukrainian military and civilian health care workers from June 2023-February 2024 using an expanded version of the Global Trauma System Evaluation Tool which had components focusing on DNBI. Thematic content analysis was used to derive key themes related to DNBI from interviews.

Results: We conducted 36 key informant interviews. Respondents described the wide range of DNBI that Ukrainian soldiers are experiencing. Infectious disease, cold weather injuries, musculoskeletal injuries, sexual assault, and mental health emerged as prevalent concerns. Respondents described the critical shortage of resources and the high burden on military hospitals as barriers to the delivery of adequate care for DNBI.

Conclusions: DNBI in Ukraine are directly related to the physical environment and the age and fitness of the military population. The troop shortage has resulted in soldiers with chronic illnesses returning to duty, while the physical environment limits prevention measures for weather-related injuries and infectious diseases. The complex healthcare challenges created by these factors highlight the importance of a military health system with the capacity to provide service members with the full spectrum of care beyond combat injuries.

自俄罗斯入侵以来对乌克兰疾病和非战斗伤害的定性评估。
背景:疾病和非战斗伤害(DNBI)通常比战斗伤害造成的军事伤亡更多。2022年2月俄罗斯入侵乌克兰,严重限制了在战斗受伤以外病人护理需求不断增加的地区获得护理的机会。征兵规模的扩大导致军事人口年龄较大,容易受到肌肉骨骼损伤,而堑壕战和严酷的冬季为寒冷天气造成伤害和传染病创造了有利条件。本研究旨在评估乌克兰DNBI的患病率和范围。方法:从2023年6月至2024年2月,我们使用扩展版的全球创伤系统评估工具对乌克兰军事和民用卫生保健工作者进行了定性关键信息提供者访谈,该工具的组成部分侧重于DNBI。主题内容分析用于从访谈中得出与DNBI相关的关键主题。结果:对36名关键举报人进行了访谈。受访者描述了乌克兰士兵正在经历的大范围DNBI。传染病、寒冷天气伤害、肌肉骨骼伤害、性侵犯和精神健康成为普遍关注的问题。答复者说,资源严重短缺和军队医院的沉重负担阻碍了为非传染性疾病患者提供适当的护理。结论:乌克兰军人DNBI与体质环境、年龄和体质有直接关系。部队短缺导致患有慢性疾病的士兵返回岗位,而物理环境限制了预防与天气有关的伤害和传染病的措施。这些因素造成的复杂医疗保健挑战突出了军事卫生系统的重要性,该系统有能力为服务人员提供除战斗伤害之外的全方位护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Conflict and Health
Conflict and Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.10
自引率
5.60%
发文量
57
审稿时长
18 weeks
期刊介绍: Conflict and Health is a highly-accessed, open access journal providing a global platform to disseminate insightful and impactful studies documenting the public health impacts and responses related to armed conflict, humanitarian crises, and forced migration.
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