退伍军人和非退伍军人的多种慢性病:美国,2015-2018年。

Peter Boersma, R. Cohen, C. Zelaya, E. Moy
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引用次数: 22

摘要

目的本报告描述了退伍军人和非退伍军人中多种(两种或多种)慢性病(MCC)的患病率,并根据体重指数检验了退伍军人身份的差异是否可以用社会人口构成、吸烟行为和体重状况的差异来解释。方法使用2015-2018年全国健康访谈调查的数据,按退伍军人身份和性别估计25岁及以上成年人MCC的患病率。估计(年龄分层和年龄调整)还按种族和西班牙裔、教育程度、贫困状况、吸烟状况和体重状况进行了说明。多变量逻辑回归模型根据年龄分层(65岁及65岁以上或以下)后的退伍军人状况以及对年龄和其他协变量的进一步调整来检验MCC的几率。结果在25岁及以上的成年人中,退伍军人中MCC的年龄调整患病率高于非女性(25岁至64岁的男性为22.2%,而非女性为17.0%;65岁及以上男性为66.9%,而非男性为61.9%;25岁至65岁的女性为25.4%,而非非女性为19.6%;65年及以上女性为74.1%,而非退伍军人为61.8%)。在按年龄分层并根据选定的社会人口特征进行调整后,退伍军人中MCC的患病率仍然高于非退伍军人。在对吸烟状况和体重状况进行进一步调整后,除65岁及以上的男性外,退伍军人状况下MCC患病率的差异有所减少,但仍具有统计学意义。
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Multiple Chronic Conditions Among Veterans and Nonveterans: United States, 2015-2018.
Objectives-This report describes the prevalence of multiple (two or more) chronic conditions (MCC) among veterans and nonveterans and examines whether differences by veteran status may be explained by differences in sociodemographic composition, smoking behavior, and weight status based on body mass index. Methods-Data from the 2015-2018 National Health Interview Survey were used to estimate the prevalence of MCC among adults aged 25 and over by veteran status and sex. Estimates (age-stratified and age-adjusted) were also presented by race and Hispanic origin, educational attainment, poverty status, smoking status, and weight status. Multivariate logistic regression models examined the odds of MCC by veteran status after age stratification (65 and over or under 65) and further adjustment for age and other covariates. Results-Among adults aged 25 and over, age-adjusted prevalence of MCC was higher among veterans compared with nonveterans for both men and women (22.2% compared with 17.0% for men aged 25-64, 66.9% compared with 61.9% for men aged 65 and over, 25.4% compared with 19.6% among women aged 25-64, and 74.1% compared with 61.8% among women aged 65 and over). Following stratification by age and adjustment for selected sociodemographic characteristics, the prevalence of MCC remained higher among veterans compared with nonveterans for both men and women. After further adjustment for smoking status and weight status, differences in the prevalence of MCC by veteran status were reduced but remained statistically significant, with the exception of men aged 65 and over.
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来源期刊
National health statistics reports
National health statistics reports Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.50
自引率
0.00%
发文量
13
期刊介绍: Notice: Effective January 2008 the title, National Health Statistics Reports (NHSR), replaces Advance Data from Vital and Health Statistics (AD). NHSRs will be numbered sequentially beginning with 1. The last AD report number is 395. These reports provide annual data summaries, present analyses of health topics, or present new information on methods or measurement issues.
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