Progress toward Healthy People 2000 objectives among US military personnel

被引:16
作者
Bray, RM
Olmsted, KLR
Williams, J
Sanchez, RP
Hartzell, M
机构
[1] RTI Int, Res Triangle Pk, NC 27709 USA
[2] Pacific Inst Res & Evaluat, Chapel Hill, NC 27514 USA
[3] Hlth Program Anal & Evaluat Directorate, Off Assistant Secretary Def Hlth Affairs, Falls Church, VA 22041 USA
[4] Hlth Program Anal & Evaluat Directorate, TRICARE Management Act, Falls Church, VA 22041 USA
关键词
military personnel; Healthy People 2000; health behaviors; epidemiology; surveys; demographics;
D O I
10.1016/j.ypmed.2006.01.009
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 [公共卫生与预防医学]; 120402 [社会医学与卫生事业管理];
摘要
Objective. Examine progress toward Healthy People 2000 objectives among active-duty military personnel and identify subgroups at risk for not meeting objectives. Methods. Comprehensive Department of Defense surveys were completed in 1995, 1998, and 2002. Target behaviors were analyzed for achievement of objectives and demographic factors for their relationship to unmet objectives. Results. The military met 7 of 15 objectives assessed in 2002. Achieved objectives, such as drug use, exercise, and safety equipment use, were generally behaviors monitored by military requirements. Unmet risk behavior and health maintenance objectives were related to military demographics, civilian trends, and societal norms. Smoking was more likely not met by enlisted (OR = 2.7, CI = 2.0-3.9), male, white, less educated, younger, single, Army, and Navy personnel. Overweight was more likely not met by male (OR = 3.4, CI = 3.0-4.0), African American, Hispanic, more educated, aged 35 or older, married, enlisted, and Navy personnel. Health maintenance goals were more likely not met by enlisted (OR = 1.5, CI: 1. 1-2.2), male, nonwhite, less educated, younger, single, Navy, and Marine personnel. Conclusions. Objectives are more likely met when regulatory mechanisms encourage compliance. Future studies are needed to understand mechanisms accounting for achievement of objectives. Next steps for unmet objectives are to target interventions for high-risk groups. (c) 2006 Elsevier Inc. All rights reserved.
引用
收藏
页码:390 / 396
页数:7
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