加拿大武装部队中自我报告的肌肉骨骼损伤的性别差异。

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS
ACS Applied Bio Materials Pub Date : 2023-10-01 Epub Date: 2023-06-13 DOI:10.1139/apnm-2023-0029
Danilo F da Silva, Chris M Edwards, Jessica L Puranda, Émilie Miller, Kevin Semeniuk, Kristi B Adamo
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引用次数: 0

摘要

最近的全面系统综述表明,在军事人群中,女性比男性更容易受到肌肉骨骼损伤(MSKi)。考虑到加拿大武装部队在未来几年增加女性代表性的目标,探索这些趋势至关重要。我们旨在确定CAF中生物学性别与MSKi之间的关系。对18-65岁的现役和前CAF成员进行了一项在线调查。MSKi(急性或重复性劳损[RSI])的性别差异分别使用双变量关联和二元逻辑回归进行分析,而61.4%的女性报告了急性损伤,而男性为63.7%(p=0.346)。女性更有可能报告总体RSI(调整后的比值比[aOR]:1.397;95%置信区间[CI]:1.068-1.829),RSI对日常活动的影响更大(aOR[95%CI]:2.979[2.093-4.239]),对职业发展/长度的影响也更大(aOR[95%CI]:1.448[1.066-1.968]),同样在女性中更普遍,据报道对日常活动有更大的影响(aOR[95%CI]:1.688[1.198-2.379])。这项研究强调了MSKi患病率和结果的性别差异。CAF样本中的女性报告RSI的可能性更大,RSI对日常活动和职业发展/长度的感知影响,以及急性损伤对日常活动的感知影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sex disparities in self-reported musculoskeletal injuries in the Canadian Armed Forces.

Recent comprehensive systematic reviews indicate that females are at greater risk of musculoskeletal injuries (MSKi) than males in military populations. Considering the Canadian Armed Forces (CAF) goal of increasing female representation in the next few years, exploring these trends is essential. We aimed to determine the association between biological sex and MSKi in the CAF. An online survey was conducted with active-duty and former CAF members aged 18-65 years. Sex disparities in MSKi (acute or repetitive strain [RSI]) were analyzed using bivariate associations and binary logistic regressions with significance level at p < 0.05. Analyses were stratified by military environment (i.e., Army, Navy, and Air Force). From the 1947 respondents whose biological sex was reported, 855 were females and 1092 were males. Rates of RSI sustained by females and males while serving were 76.2% and 70.5% (p = 0.011), respectively, whereas 61.4% of females reported acute injuries compared to 63.7% of males (p = 0.346). Females were more likely to report overall RSI (adjusted odds ratio [aOR]: 1.397; 95% confidence intervals [CI]: 1.068-1.829), RSI having a greater impact on daily activities (aOR [95%CI]: 2.979 [2.093-4.239]) and greater impact on career progress/length (aOR [95%CI]: 1.448 [1.066-1.968]). Acute injuries, also more prevalent in females, were reported to have a greater impact on daily activities (aOR [95%CI]: 1.688 [1.198-2.379]). This study highlights sex disparities in MSKi prevalence and outcomes. Females within the CAF sample presented greater likelihood of reporting RSI, perceived impact of RSI on daily activities and career progress/length, and perceived impact of acute injuries on daily activities.

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来源期刊
ACS Applied Bio Materials
ACS Applied Bio Materials Chemistry-Chemistry (all)
CiteScore
9.40
自引率
2.10%
发文量
464
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