High injury rates among female Army trainees A function of gender?

Bell, Nicole S.; Mangione, Thomas W.; Hemenway, David; Amoroso, Paul J.; Jones, Bruce H.

doi:10.1016/s0749-3797(99)00173-7

Cited by 179 publications

(160 citation statements)

References 11 publications

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“…While pain is a significant problem for both sexes in the VA, female Veterans may have additional risk factors for the development of chronic pain, such as higher rates of injury during initial training [22] as well as higher rates of depression [23] and military sexual trauma [24]. These factors and others may affect the optimal approach to pain care among females and the development of sex-specific pain programs.…”

Section: Introductionmentioning

confidence: 99%

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

2016

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Abstract-The improved management of pain among the growing number of female Veterans receiving care through the Veterans Health Administration has been established as a priority, but studies suggest that females may respond differently to pain treatment. This study explored differences between female and male Veterans engaged in a Chronic Pain Rehabilitation Program and determined how female and male Veterans change following participation. Veterans (N = 324) in a 3 wk inpatient program completed self-report measures at admission, discharge, and 3 mo follow-up. Participants were 21% female (n = 67) and 79% male (n = 257). Compared with males, females were younger and less likely to be white or married/partnered. Females reported shorter pain duration and were more likely to have primary head or limb pain. At admission, fewer females were prescribed opioids than males and at lower doses. After opioid cessation in the program, however, there were no significant differences in use between the sexes at follow-up. Improvements in a range of domains were sustained at follow-up for both sexes, but females did not maintain gains in pain intensity or sleep while males reported more painrelated fear at discharge and follow-up. This study adds to the literature on sex-specific variations in chronic pain and implications for treatment.

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Section: Introductionmentioning

confidence: 99%

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

2016

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“…[1][2][3][4][5][6][7] These injuries are predominantly of the lower extremities (e.g., strains, sprains, blisters, stress fractures), and most are related to the intense physical activity involved with training. Repeated microtrauma due to repetitive activity and sudden increases in physical activity may result in overuse injuries.…”

Section: Introductionmentioning

confidence: 99%

Effect of rest from running on overuse injuries in Army basic training

Popovich

Gardner

Potter

et al. 2000

American Journal of Preventive Medicine

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“…Data on racial differences in injury rates are similarly lacking among military personnel. In a study of injuries reported among members of a basic training class, blacks have about a 30% lower risk than whites after controlling for gender, age and physical fitness measures (12). The observed racial differences in injury rates were even more marked in analyses stratified by gender.…”

Section: Discussionmentioning

confidence: 91%

Knee-Related Injuries and Disabilties in the U.S. Army, 1980-1997

Sulsky¹,

Mundt²,

Bigelow³

et al. 2000

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Objectives: This report identifies predictors of occupational knee injury and knee-related disability; demonstrates that a series of case-control comparisons can be used to identify differences in the determinants of these outcomes; and demonstrates that data collected for administrative purposes represent a cost-effective resource for epidemiologic research. Methods: Using the Total Army Injury and Health Outcomes Database (TAIHOD), we conducted separate case-control comparisons of occupational knee injury and knee-related disability discharge from active duty service. Results: Among men and women, non-whites were at about 30% lower risk than whites for both outcomes. There was increasing risk of both injury and disability with increasing age for women, and for disability among men. Duration of service (positive) and pay grade (negative) were associated with both outcomes for men and women. Other risk factors differed for men and women by outcome, and the final models included different parameters for each gender. Exploratory analyses suggested interactions between demographic and occupational factors. Conclusions: The differences between the final injury and disability models underscores the utility of separate case-control comparisons to identify risk factors for related outcomes. This study demonstrates the usefulness of large linked databases in epidemiologic research of occupational injury and disability.

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High injury rates among female Army trainees A function of gender?

Cited by 179 publications

References 11 publications

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

Sex differences between Veterans participating in interdisciplinary chronic pain rehabilitation

Effect of rest from running on overuse injuries in Army basic training

Knee-Related Injuries and Disabilties in the U.S. Army, 1980-1997

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