1999-2018 年美国成年人中的慢性肾病和兵役情况。

Scott Reule, Kristine Ensrud, Jaeden Danko, Donal Sexton, Laura Siegle, Areef Ishani, Craig Solid, Robert Foley
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引用次数: 0

摘要

背景:尽管美国成年人慢性肾脏病(CKD)的管理发生了很大变化,但目前尚不确定慢性肾脏病的负担、风险因素和时间趋势是否与服兵役前相似:这项观察性研究利用全国健康与营养调查数据,在 1999 年至 2018 年间对美国成年人的可普及样本进行了量化,以确定 CKD 与服兵役之间的关联:CKD和服兵役的频率(标准误差[SE])分别为15.2%(0.3)和11.5%(0.3)。与总体人群相比,曾患多发性硬化症的人群中患有慢性肾脏病的比例(SE)明显更高(22.7% [0.7] vs 15.2% [0.3];P < .001)。在军队服役人群中,患有慢性肾脏病的比例(SE)因年代而异:1999 年至 2002 年,18.9% (1.1);2003 年至 2006 年,24.9% (1.5);2007 年至 2010 年,22.3% (1.5);2011 年至 2014 年,24.3% (1.7);2015 年至 2018 年,24.0% (1.8) (P = .02)。在对年龄、性别、种族和民族进行调整后,曾服兵役者患慢性肾脏病的可能性更高(P < .05)(调整后的几率比为 1.17;95% CI 为 1.06-1.28)。在 40 至 64 岁年龄组、≥ 65 岁年龄组、女性和家庭贫困人群中,有兵役和没有兵役的人群患慢性肾脏病的调整后相关性不同(P < .05 vs 变量特定参考类别):结论:服兵役与美国成年人患慢性肾脏病的可能性较高有关。无论是有服兵役史还是没有服兵役史,许多亚群的 CKD 风险因素都有所不同。未来的研究需要更好地确定服兵役是否是导致慢性肾脏病的独特风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Chronic Kidney Disease and Military Service in US Adults, 1999-2018.

Background: Although the management of chronic kidney disease (CKD) has changed considerably in US adults, it is uncertain whether the burden, risk factors, and temporal trends of CKD are similar regarding prior military service.

Methods: This observational study used National Health and Nutrition Examination Survey data to quantify the association between CKD and military service in a generalizable sample of US adults between 1999 and 2018.

Results: The respective frequencies (standard error [SE]) of CKD and military service were 15.2% (0.3) and 11.5% (0.3). The proportion (SE) with CKD was significantly higher among those with prior MS vs the overall population (22.7% [0.7] vs 15.2% [0.3]; P < .001). Within the military service population, the proportion (SE) with CKD differed by era: 1999 to 2002, 18.9% (1.1); 2003 to 2006, 24.9% (1.5); 2007 to 2010, 22.3% (1.5); 2011 to 2014, 24.3% (1.7); and 2015 to 2018, 24.0% (1.8) (P = .02). Following adjustment for age, sex, and race and ethnicity, prior military service was associated (P < .05) with a higher likelihood of CKD (adjusted odds ratio, 1.17; 95% CI 1.06-1.28). Adjusted associations of CKD differed in groups with and without military service for the 40 to 64 years age group, ≥ 65 years age group, female sex, and family poverty (P < .05 vs variable-specific reference category).

Conclusions: Military service is associated with a higher likelihood of CKD in US adults. Risk factors for CKD differed among many subgroups both with and without military service history. Future research is needed to better determine whether military service constitutes a unique risk factor for CKD.

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