MSMR Pub Date : 2024-11-20

Sithembile L Mabila, Jessica H Murray, Shauna L Stahlman, Edward A Sheriff, Alexis A McQuistan

引用次数: 0

Surveillance snapshot: percent of male and female cadets with radiographically-confirmed bone stress injuries during basic cadet training, U.S. Air Force Academy, 2022-2024. 监视快照：2022-2024年，美国空军学院，在基本学员训练期间，经x光检查证实骨应力损伤的男女学员百分比。

MSMR Pub Date : 2024-11-20

Matthew J Hogan, Ellie M Prinster, Bridget K Caulkins, Nathan J Deming, Bryant J Webber

引用次数: 0

Trends of ischemic heart disease and cerebrovascular disease in active component female service members, 2014-2023. 2014-2023年现役女兵缺血性心脑血管病趋势

MSMR Pub Date : 2024-11-20

Valentina Donici, Shauna L Stahlman, Michael T Fan, Richard S Langton

{"title":"Trends of ischemic heart disease and cerebrovascular disease in active component female service members, 2014-2023.","authors":"Valentina Donici, Shauna L Stahlman, Michael T Fan, Richard S Langton","doi":"","DOIUrl":"","url":null,"abstract":"This study summarizes trends from 2014 through 2023 in the incidence of ischemic heart disease and cerebrovascular heart disease among U.S. active component female service members and identifies potential military-specific risk factors for these conditions. Female-specific risk factors, such as mental health, for ischemic heart and cerebrovascular diseases have only recently been recognized. Crude incidence rates were assessed for each outcome and Poisson regression was used to calculate adjusted incidence rates, controlling for multiple covariates. After adjustment, non-Hispanic Black active component U.S. service women had higher rates for both ischemic heart disease and cerebrovascular disease compared to non-Hispanic White service women (IRR=1.68 and 1.24, respectively). A prior diagnosis of depressive or anxiety disorder resulted in a 90% increased rate of ischemic heart disease and 70% increased rate of cerebrovascular disease. Air Force members had a 55% increased rate of ischemic heart disease. This study identifies both military-specific and demographic risk factors for these 2 cardiovascular diseases and demonstrates potential opportunity for early age preventive care, even among a relatively young and healthy population. Among active component U.S. service women, incidence of ischemic heart disease increased between 2014 (31.2 per 100,000 person-years) and 2019 (54.7 per 100,000 p-yrs), while incidence of cerebrovascular disease decreased during that period and increased between 2019 (28.5 per 100,000 p-yrs) and 2023 (46.4 per 100,000 p-yrs). Older age, non-Hispanic Black race and ethnicity, and prior depressive or anxiety disorder diagnosis were identified as potential risk factors for both outcomes.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 11","pages":"14-19"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of hepatitis A and B antibodies among enlisted accessions, Joint Base San Antonio-Lackland, 2023. 2023 年圣安东尼奥-拉克兰联合基地入伍人员中甲型和乙型肝炎抗体的流行率。

MSMR Pub Date : 2024-10-20

Devin C Kelly, Susan J Ching, Theresa Casey, Angela Osuna, Ga On Jung, Erin L Winkler, David R Sayers

引用次数: 0

Guest editorial: health policy analysis on improving HIV PrEP implementation to help end the HIV epidemic in the U.S. military. 特邀社论：关于改进 HIV PrEP 实施工作以帮助在美军中终止 HIV 流行的卫生政策分析。

MSMR Pub Date : 2024-10-20

James D Mancuso, Jason Blaylock, Scott Robinson, Brian Agan

{"title":"Guest editorial: health policy analysis on improving HIV PrEP implementation to help end the HIV epidemic in the U.S. military.","authors":"James D Mancuso, Jason Blaylock, Scott Robinson, Brian Agan","doi":"","DOIUrl":"","url":null,"abstract":"Use of HIV pre-exposure prophylaxis (PrEP) among U.S. military service members at high risk for HIV infection remains suboptimal, resulting in preventable new HIV infections and decreased medical readiness among service members. PrEP coverage should be increased to the greatest extent possible to prevent HIV infection and support the Military Health System (MHS) quadruple aim. This policy analysis employed the Centers for Disease Control and Prevention (CDC)'s Policy Analytical Framework to develop several policy options based upon the evidence summary and interventions described. Evaluation criteria based on the CDC's Policy Analytical Framework incorporated all elements of the Military Health System (MHS)'s quadruple aim, including impact on population health and readiness, impact on the experience of care, and value in terms of cost-effectiveness. An additional criterion of feasibility was also added to account for cultural, societal, and political factors influencing this policy decision. This policy analysis suggests that HIV PrEP coverage in the MHS remains suboptimal, while several available interventions could result in substantial increases in PrEP coverage that would, in turn, result in further reductions in new service member HIV infections and increased medical readiness.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 10","pages":"11-16"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Routine screening for antibodies to human immunodeficiency virus in the U.S. Armed Forces, active and reserve components, January 2019-June 2024. 2019 年 1 月至 2024 年 6 月美国武装部队现役和预备役人员人体免疫缺陷病毒抗体常规筛查。

MSMR Pub Date : 2024-10-20

{"title":"Routine screening for antibodies to human immunodeficiency virus in the U.S. Armed Forces, active and reserve components, January 2019-June 2024.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"Summaries of HIV seropositivity for members of the U.S. military have been published with MSMR since 1995. The current report summarizes numbers and trends of newly identified HIV-antibody seropositivity from January 1, 2019 through June 30, 2024 among military members of 5 services under the active and reserve components of the U.S. Armed Forces, in addition to the Army and Air Force National Guard. From January 2023 through June 2024, approximately 1.8 million service members (active component, Guard, and reserve) were tested for antibodies to HIV, and 403 (0.22 per 1,000 tested) were identified as HIV-antibody positive. Of the 403 new HIV infections that were identified during this period, only 10 (2.5%) were among female service members. The HIV-antibody seropositivity rates first reported in MSMR 3 decades ago remain comparable to rates presented in 2023, under scoring a continued value of HIV testing programs. The cost-effectiveness of HIV testing strategies, differentiated by universal or indications-based testing following military accession, may be instructive to further understand the value of current screening efforts in different clinical settings.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 10","pages":"2-10"},"PeriodicalIF":0.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Incidence of alopecia and hair loss among female active component service members, 2010-2022. 2010-2022 年现役女军人脱发发病率。

MSMR Pub Date : 2024-09-20

Alexis A McQuistan, Thomas Wilkerson, Sithembile L Mabila

{"title":"Incidence of alopecia and hair loss among female active component service members, 2010-2022.","authors":"Alexis A McQuistan, Thomas Wilkerson, Sithembile L Mabila","doi":"","DOIUrl":"","url":null,"abstract":"This study aimed to determine the incidence of hair loss among U.S. active component service women, describe the types of hair loss, and summarize potential racial and ethnic disparities of hair loss among service women over the last 12 years. Estimates of traction alopecia among service members have been difficult, as there are no specific diagnosis codes for traction alopecia in the International Classification of Diseases, 9th and 10th revisions (ICD-9/ICD-10). A prior study on the prevalence of alopecia among female active component service women between 2010 and 2019 reported that 2.7% had traction alopecia diagnoses. That estimate may not be accurate, as the previous study used the ICD-9 code 704.01 (alopecia areata) and ICD-10 code Q84.0 (congenital alopecia), which are not fully representative of traction alopecia cases in administrative health records. This study used ICD-9/ICD-10 diagnostic codes 704.0 (ICD-9), L63, L64, L65, and L66 (ICD-10) to define cases of alopecia. The study population included female active component service members in the U.S. Army, Navy, Air Force, and Marine Corps between January 1, 2010 and December 31, 2022. The overall incidence rate of alopecia was 804.4 per 100,000 person-years. Non-Hispanic Black and Hispanic female active component service members had the highest incidence rates among all races and ethnicities, at 1,138.7 and 1,013.6 per 100,000 person-years, respectively. Non-Hispanic Black female active component service members were more than twice as likely to be diagnosed with alopecia compared to non-Hispanic White female active component service members.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 9","pages":"12-15"},"PeriodicalIF":0.0,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11488793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characteristics of mpox cases diagnosed in Military Health System beneficiaries, May 2022-April 2024 2022 年 5 月至 2024 年 4 月军队卫生系统受益人中确诊的麻风病例特征

MSMR Pub Date : 2024-09-20

Maura Metcalf-Kelly, Matthew Garrison, Ralph Stidham

引用次数: 0

Lymphatic filariasis in soldiers exposed in INDOPACOM. 在 INDOPACOM 接触过的士兵中发现淋巴丝虫病。

MSMR Pub Date : 2024-08-20

G Dennis Shanks, James K Smith

引用次数: 0

Incidence and risk factors for hip fractures among U.S. Armed Forces active component women compared to men, 2018-2022. 2018-2022 年美国武装部队现役女兵与男兵相比髋部骨折的发生率和风险因素。

MSMR Pub Date : 2024-08-20

Patricia A Vu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells

{"title":"Incidence and risk factors for hip fractures among U.S. Armed Forces active component women compared to men, 2018-2022.","authors":"Patricia A Vu, Shauna L Stahlman, Michael T Fan, Natalie Y Wells","doi":"","DOIUrl":"","url":null,"abstract":"Women, who comprise approximately 18% of the U.S. Armed Forces, suffer disproportionately higher rates of musculoskeletal injuries among active component service members. Using a retrospective study design, this study calculated incidence rates and rate ratios for acute hip fractures and hip stress fractures from January 1, 2018 through September 30, 2022 among female and male active component U.S. military members. Women who were younger than age 20 years, in recruit training, serving in the Army or Marine Corps, engaged in combat-related occupations, and with body mass indexes in the underweight or normal weight categories had the highest rates of both types of fractures. Women who had progressed beyond the recruit training phase had a higher female-to-male rate ratios of hip stress fractures than recruits. Despite an overall decline during the surveillance period, rates of acute hip fracture and hip stress fracture were higher among women than men. Changes in training and fitness policies may have contributed to the hip fracture rate declines among women. Continued efforts are needed to further reduce injuries among women.","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 8","pages":"8-13"},"PeriodicalIF":0.0,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11413133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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