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Exertional rhabdomyolysis among active component members of the U.S. Armed Forces, 2019-2023. 2019-2023 年美国武装部队现役成员中的劳累性横纹肌溶解症。
MSMR Pub Date : 2024-04-20
{"title":"Exertional rhabdomyolysis among active component members of the U.S. Armed Forces, 2019-2023.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A largely preventable condition, exertional rhabdomyolysis persists as an occupational hazard of military training and operations, especially in high heat environments among individuals exerting themselves to their physical endurance limits. During the 5-year surveillance period of this study, unadjusted incidence rates of exertional rhabdomyolysis per 100,000 person-years among U.S. active component service members fluctuated, reaching a low of 38.0 cases in 2020 and peaking at 40.5 cases in 2023. The rate in 2020 constituted a decline of 3.8% from the rate in 2019 (39.5 cases). Beginning in 2020, incidence rates per 100,000 person-years gradually increased, by 1.8% in 2021 (38.7 cases), 5.3% in 2022 (40.0 cases), and 6.6% in 2023 (40.5 cases). Consistent with prior reports, subgroup-specific crude rates in 2023 were highest among men, those less than 20 years old, non-Hispanic Black service members, Marine Corps or Army members, and those in combat-specific and 'other' occupations. Recruits experienced the highest rates of exertional rhabdomyolysis during each year, with incidence rates 6 to 10 times greater than all other service members.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 4","pages":"9-14"},"PeriodicalIF":0.0,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11107841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899952","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
Mid-season influenza vaccine effectiveness estimates among DOD populations: a composite of data presented at VRBPAC-the Vaccines and Related Biological Products Advisory Committee-2024 meeting on influenza vaccine strain selection for the 2024-2025 influenza season. 国防部人群季中流感疫苗有效性估计：在 VRBPAC--疫苗及相关生物制品咨询委员会--2024 年关于 2024-2025 年流感季节流感疫苗菌株选择的会议上提交的综合数据。
MSMR Pub Date : 2024-03-20
Angelia A Eick-Cost, Jeffrey W Thervil, Zheng Hu, Laurie S DeMarcus
{"title":"Mid-season influenza vaccine effectiveness estimates among DOD populations: a composite of data presented at VRBPAC-the Vaccines and Related Biological Products Advisory Committee-2024 meeting on influenza vaccine strain selection for the 2024-2025 influenza season.","authors":"Angelia A Eick-Cost, Jeffrey W Thervil, Zheng Hu, Laurie S DeMarcus","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"20-23"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855478","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
A comparison of the rate of HIV incidence in the active component U.S. military with the U.S. population in 2021. 2021 年美国现役军人与美国人口艾滋病发病率的比较。
MSMR Pub Date : 2024-03-20
James D Mancuso, Sithembile L Mabila
{"title":"A comparison of the rate of HIV incidence in the active component U.S. military with the U.S. population in 2021.","authors":"James D Mancuso, Sithembile L Mabila","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"18-19"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872208","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
HIV pre-exposure prophylaxis (PrEP) prescriptions within the active component of the U.S. military, 2023. 2023 年美军现役人员的艾滋病毒暴露前预防 (PrEP) 处方。
MSMR Pub Date : 2024-03-20
Angelia A Eick-Cost, Sithembile L Mabila, Saixia Ying
{"title":"HIV pre-exposure prophylaxis (PrEP) prescriptions within the active component of the U.S. military, 2023.","authors":"Angelia A Eick-Cost, Sithembile L Mabila, Saixia Ying","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869368","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
Tobacco and nicotine use among active component U.S. military service members: a comparison of 2018 estimates from the Health Related Behaviors Survey and the Periodic Health Assessment. 美国现役军人中的烟草和尼古丁使用情况：健康相关行为调查和定期健康评估的 2018 年估计值比较。
MSMR Pub Date : 2024-03-20
James D Mancuso, Anwar E Ahmed, Kristen R Rossi
{"title":"Tobacco and nicotine use among active component U.S. military service members: a comparison of 2018 estimates from the Health Related Behaviors Survey and the Periodic Health Assessment.","authors":"James D Mancuso, Anwar E Ahmed, Kristen R Rossi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study compared estimates of the prevalence of and risk factors for tobacco and nicotine use obtained from the 2018 Health Related Behaviors Survey (HRBS) and Periodic Health Assessment (PHA) survey. The HRBS and the PHA are important Department of Defense sources of data on health behavior collected from U.S. military service members. While their collection methods differ, some survey questions are similar, which provides an opportunity to compare survey estimates. Active duty service members consistently reported a much lower prevalence of all types of tobacco and nicotine use on the PHA compared to the HRBS: cigarettes (11.1% vs. 18.4%), e-cigarettes (7.3% vs. 16.2%), chewing tobacco (9.7% vs. 13.4%), any tobacco or nicotine use (25.3% vs. 37.8%), and use of 2 or more tobacco or nicotine products (5.8% vs. 17.4%). Associations between tobacco and nicotine use as well as demographic and other behavioral variables were fairly similar, including age, sex, education, race and ethnicity, rank, and alcohol use. The associations with service branch, body mass index, and sleep were inconsistent. This results of this study suggest that the PHA can provide timely information on trends in military tobacco and nicotine use over time, but much higher estimates from the confidential, voluntary HRBS reported in this study suggest that the command-directed PHA may substantially underestimate the prevalence of all types of tobacco and nicotine use.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"2-12"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869901","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
Coverage of HIV pre-exposure prophylaxis (PrEP) within the active duty U.S. military, 2023. 2023 年美国现役军人中艾滋病毒暴露前预防 (PrEP) 的覆盖范围。
MSMR Pub Date : 2024-03-20
James D Mancuso, Anwar E Ahmed
{"title":"Coverage of HIV pre-exposure prophylaxis (PrEP) within the active duty U.S. military, 2023.","authors":"James D Mancuso, Anwar E Ahmed","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Estimates of HIV pre-exposure prophylaxis (PrEP) coverage in the U.S. military, defined as the proportion of the persons taking HIV PrEP out of the estimated number of persons who had indications for it, have never been published. The objective of this study was to provide an estimate of HIV PrEP coverage comparable to U.S. civilian estimates. The population with indications for HIV PrEP was obtained from the Department of Defense 2018 Health Related Behaviors Survey, a stratified random sample of members of all military service branches. The military PrEP coverage estimate of 31.6% in 2023 was lower than the national U.S. estimate of 36.0% in 2022. Among the military population of men who have sex with men (MSM), an estimated 24.6% of service members had indications for PrEP, similar to the national estimate of 24.7%. MSM comprised 66% of all military service members with HIV PrEP indications, compared to 40% in the U.S. general population. The U.S. military should continue deliberate, sustained, and effective actions to address sexual health inequities among MSM, aligned and coordinated with societal efforts including improved coverage of HIV PrEP to prevent HIV transmission.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 3","pages":"13-16"},"PeriodicalIF":0.0,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11023701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140865351","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
A summary of the U.S. Marine Recruit Assessment Program (RAP) procedures and survey from 2003 to 2021 2003 年至 2021 年美国海军陆战队新兵评估计划 (RAP) 程序和调查摘要
MSMR Pub Date : 2024-02-20
Zeina G Khodr, Jennifer McAnany, Yohannes G Haile, Vanessa G Perez, Patricia Rohrbeck
{"title":"A summary of the U.S. Marine Recruit Assessment Program (RAP) procedures and survey from 2003 to 2021","authors":"Zeina G Khodr, Jennifer McAnany, Yohannes G Haile, Vanessa G Perez, Patricia Rohrbeck","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Recruit Assessment Program (RAP) is a cross-sectional, baseline survey of U.S. Marine recruits administered at Marine Corps Recruit Depot, San Diego. This report presents RAP study procedures and survey content that was administered to 229,015 participants between 2003 and 2021. Self-reported data were collected on recruit demographics, physical and mental health, adverse life experiences, lifestyle and risky behaviors, and substance use. In 2013, the survey was updated to remove questions with other linkable and reliable sources and those with low completion rates and low relevance to Marine health research; the removal of these items allowed for the addition of instrument measures for major depression, post-traumatic stress disorder, anger, and resilience with no significant change to overall survey length. Average completion rates are approximately 95%. Multiple studies have shown the utility of RAP data collected thus far as a robust data repository of pre-service health and behavioral measures.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 2","pages":"2-8"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10957181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102556","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
Letter to the editor: TRADOC policy does not list sickle cell trait as a risk factor for cold injury. 致编辑的信：TRADOC 政策未将镰状细胞性状列为冷伤的风险因素。
MSMR Pub Date : 2024-02-20
Afton D Seeley, John W Castellani
{"title":"Letter to the editor: TRADOC policy does not list sickle cell trait as a risk factor for cold injury.","authors":"Afton D Seeley, John W Castellani","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 2","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959452/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102559","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
Demographics of the Space Force active component, U.S. Armed Forces, November 2023. 2023 年 11 月美国武装部队太空部队现役人员人口统计。
MSMR Pub Date : 2024-02-20
Shauna L Stahlman, Thomas G Wilkerson
{"title":"Demographics of the Space Force active component, U.S. Armed Forces, November 2023.","authors":"Shauna L Stahlman, Thomas G Wilkerson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 2","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102557","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
Incidence and health care burden of uterine fibroids among female service members in the active component of the U.S. Armed Forces, 2011-2022. 2011-2022 年美国武装部队现役女军人中子宫肌瘤的发病率和医疗负担。
MSMR Pub Date : 2024-02-20
Chiping Nieh, Sithembile L Mabila
{"title":"Incidence and health care burden of uterine fibroids among female service members in the active component of the U.S. Armed Forces, 2011-2022.","authors":"Chiping Nieh, Sithembile L Mabila","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Uterine fibroids are the most common benign tumors of the uterus among women of reproductive age, disproportionally affecting non-Hispanic Black women compared to other races and ethnicities. This report is an update of a 2011 MSMR report that examined uterine fibroids among female active component service members in the U.S. Armed Forces from 2001 to 2010. Incident uterine fibroids were identified for this report from inpatient and outpatient medical encounter data from 2011 to 2022. Health care burden was estimated utilizing uterine fibroid-related inpatient and outpatient diagnostic and procedure codes. Crude incidence rates and incidence rate ratios were calculated to compare rate differences between subpopulations. A total of 16,046 new uterine fibroid cases were identified, with an incidence rate of 63.5 cases per 10,000 person-years (95% confidence interval: 62.5-64.5). The highest incidence rates were observed among service women 40 years and older, non-Hispanic Black women, and those who served in the Army. Health care burden analysis showed that, even with increases in medical encounters and individuals affected, the numbers of hospital bed days declined over time. The decline in uterine fibroid-related hospital bed days could be attributed to early diagnoses and minimally-invasive treatments. Continued promotion of uterine fibroid awareness can potentially help further reduce uterine fibroid-related impacts on military readiness.</p>","PeriodicalId":38856,"journal":{"name":"MSMR","volume":"31 2","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10959453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102558","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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