Epidemiology of viral hepatitis among US Navy and Marine Corps personnel, 1984-85.

Dembert, Mark L.; Shaffer, Richard A.; Baugh, N L; Berg, Sophie; Zajdowicz, Thad

doi:10.2105/ajph.77.11.1446

Am J Public Health

1987

DOI: 10.2105/ajph.77.11.1446

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Epidemiology of viral hepatitis among US Navy and Marine Corps personnel, 1984-85.

Mark L. Dembert

Richard A. Shaffer²,

N L Baugh³

et al.

Abstract: Six hundred and twenty-nine cases of viral hepatitis (A, B, and NonA-NonB) were reported among a total of 768,832 United States Navy and Marine Corps personnel during 1984 and 1985 via a passive surveillance system. Cumulative incidence for all three hepatitis types was higher than those reported for the general population at the same time. Hepatitis B was the most common diagnosis within all sex, rank, and race/ethnic description categories. Enlisted medical personnel (hospital corpsmen) had a disproportionat… Show more

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“…Rank was categorized into three classes: junior enlisted (service grades E0 -E4), senior enlisted (service grades E5-E9), and officers (grades O1-O10, WO1-W05). Rank is often used as a surrogate for socioeconomic status in epidemiologic studies of military populations and was hypothesized to be associated with diabetes in this study (12)(13)(14). This study was reviewed and approved by the Human Use Committee at the Walter Reed Army Institute of Research.…”

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confidence: 99%

Weighing in on Type 2 Diabetes in the Military

Paris

Bedno²,

Krauss³

et al. 2001

Diabetes Care

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OBJECTIVES -Current incidence trends in type 2 diabetes portend a significant public health burden and have largely been attributed to similar trends in overweight and physical inactivity. Medical surveillance of the U.S. military indicates that the incidence of all types of diabetes is similar to that in the civilian population (1.9 vs. 1.6 cases per 1,000 person-years) despite weight and fitness standards. Differences in the common determinants of diabetes have not been studied in the military population, which may provide novel clues to the increasing incidence of diabetes in the U.S. RESEARCH DESIGN AND METHODS-A case-control study, 4-to-1 matched for age, sex, entry date, time in service, and service component (e.g., Army, Navy), was used to describe the association of race/ethnicity, socioeconomic status, and BMI and blood pressure at entry into military service with the subsequent development of type 2 diabetes.RESULTS -Increased BMI (adjusted odds ratio, 3.0 for the Ն30 kg/m 2 vs. Յ20 kg/m 2 categories and 2.0 for the 25.0 -29.9 kg/m 2 category, compared with the reference category), African-American (adjusted odds ratio, 2.0) and Hispanic origin (adjusted odds ratio, 1.6) compared with white race and rank (adjusted odds ratio for junior enlisted versus officers, 4.1) were all associated with type 2 diabetes.CONCLUSIONS -Individuals with type 2 diabetes in the U.S. military have risk factors similar to the general U.S. population. Because diabetes is a preventable disease, it is of concern that it is occurring in this population of younger and presumably more fit individuals. This has significant implications for the prevention of diabetes in both military and civilian populations.

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mentioning

confidence: 99%

Weighing in on Type 2 Diabetes in the Military

Paris

Bedno²,

Krauss³

et al. 2001

Diabetes Care

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The military and hepatitis B

Bancroft¹,

Kelley²,

Takafuji³

1990

Vaccine

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Epidemiology of viral hepatitis among US Navy and Marine Corps personnel, 1984-85.

Cited by 2 publications

References 13 publications

Weighing in on Type 2 Diabetes in the Military

Weighing in on Type 2 Diabetes in the Military

The military and hepatitis B

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