Births to Adolescents in the U.S. Military Healthcare System

Klein, David A.; Gildengorin, Ginny; Mosher, Peter; Adelman, William P.

doi:10.7205/milmed-d-09-00210

Cited by 5 publications

(3 citation statements)

References 14 publications

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“…Researchers from a variety of disciplines, including orthopaedic surgery, have utilized this database. 9,16,22,30 The purpose of this study was to utilize the M2 to identify all active-duty military personnel undergoing pectoralis major tendon repair after a rupture and define the incidence rate of this injury in our population. We secondarily sought to define demographic risk factors for a rupture, complication rates of tendon repair/reconstruction, and rates of return to unrestricted military duty after treatment.…”

Section: In-depthmentioning

confidence: 99%

Incidence Rate and Results of the Surgical Treatment of Pectoralis Major Tendon Ruptures in Active-Duty Military Personnel

et al. 2016

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Background: Pectoralis major tendon ruptures are commonly described as rare injuries affecting men between 20 and 40 years of age, with generally excellent results after surgical repair. However, this perception is based on a relatively small number of case series and prospective studies in the orthopaedic literature. Purpose: To determine the incidence of pectoralis major tendon ruptures in the active-duty military population and the demographic risk factors for a rupture and to describe the outcomes of surgical treatment. Study Design: Case control study; Level of evidence, 3. Methods: We utilized the Military Health System Data Repository (MDR) to identify all active-duty military personnel surgically treated for a pectoralis major tendon rupture between January 2012 and December 2014. Electronic medical records were searched for patients’ demographic information, injury characteristics, and postoperative complications and outcomes. Risk factors for a rupture were calculated using Poisson regression, based on population counts obtained from the MDR. Risk factors for a postoperative complication, the need for revision surgery, and the inability to continue with active duty were determined using univariate analysis and multivariate logistic regression. Results: A total of 291 patients met inclusion criteria. The mean patient age was 30.5 years, all patients were male, and the median follow-up period was 18 months. The incidence of injuries was 60 per 100,000 person-years over the study period. Risk factors for a rupture included service in the Army, junior officer or junior enlisted rank, and age between 25 and 34 years. White race and surgery occurring >6 weeks after injury were significant risk factors for a postoperative complication. Among the 214 patients with a minimum of 12 months’ clinical follow-up, 95.3% were able to return to military duty. Junior officer/enlisted status was a significant risk factor for failure to return to military duty. Conclusion: Among military personnel, Army soldiers and junior officer/enlisted rank were at highest risk of pectoralis major tendon ruptures, and junior personnel were at highest risk of being unable to return to duty after surgical treatment. Although increasing time from injury to surgery was not a risk factor for treatment failure or inability to return to duty, it did significantly increase the risk of a postoperative complication.

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Section: In-depthmentioning

confidence: 99%

Incidence Rate and Results of the Surgical Treatment of Pectoralis Major Tendon Ruptures in Active-Duty Military Personnel

et al. 2016

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“…1 Of the 100,000 births annually within the Department of Defense (DoD) universal health care system, about 3700 occur to adolescents ages 13-19 with health insurance by virtue of parental military affiliation. 6 These adolescents' risk profiles for pregnancy, birthing, and delivery type are poorly understood. 7 Prior study of the DoD suggests that CD rates among all military-affiliated young adults are lower than among young adults in the national population, 8 but it is unknown whether this is the case specifically of the dependent children of service members.…”

Section: Introductionmentioning

confidence: 99%

Adolescent Caesarean Delivery in the US Military Health Care System

Klein¹,

Gildengorin

Mosher

et al. 2012

Journal of Pediatric and Adolescent Gynecology

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“…Existing studies suggest that military-affiliated youth demonstrate resilience, but also high rates of sexually transmitted infection, stress, and substance use[ 2 , 9 – 16 ]. However, these adolescents appear to have a lower rate of pregnancy compared to their civilian peers[ 17 – 18 ]. The health of this population has direct implications for military readiness (e.g., their family member’s readiness), and the strength of future military recruitment, because military dependent adolescents tend to enlist in the Armed Services at a higher rate than adolescents not affiliated with the military[ 19 ].…”

Section: Introductionmentioning

confidence: 99%

All Military Adolescents Are Not the Same: Sexuality and Substance Use among Adolescents in the U.S. Military Healthcare System

et al. 2015

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Data examining sexuality and substance use among active duty and military-dependent youth is limited; however, these psychosocial factors have military implications. Adolescents and young adults aged 12–23 were recruited from an active-duty trainee clinic (n = 225) and a military pediatric clinic (n = 223). Active duty participants were more likely to be older, male, White, previous tobacco users, and report a history of sexual activity and less contraception use at their most recent intercourse, compared to the dependent group. Over 10% of all participants indicated attraction to members of the same gender or both genders. In logistic regression analysis, non-White participants were less likely to use contraception compared to White participants. Adolescents and young adults seen in military clinics frequently engage in high-risk behavior. Clinicians who care for military youth should assess their patient’s psychosocial history. Further study of this population is warranted to identify factors that may influence risk and resilience.

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Births to Adolescents in the U.S. Military Healthcare System

Cited by 5 publications

References 14 publications

Incidence Rate and Results of the Surgical Treatment of Pectoralis Major Tendon Ruptures in Active-Duty Military Personnel

Incidence Rate and Results of the Surgical Treatment of Pectoralis Major Tendon Ruptures in Active-Duty Military Personnel

Adolescent Caesarean Delivery in the US Military Health Care System

All Military Adolescents Are Not the Same: Sexuality and Substance Use among Adolescents in the U.S. Military Healthcare System

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