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首页> 外文期刊>Journal of women’s health >Sex Differences in Veterans' Cardiovascular Health
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Sex Differences in Veterans' Cardiovascular Health

机译：退伍军人心血管健康的性别差异

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Background: In the U.S. civilian population, sex differences have been identified in cardiovascular health; these differences have been used to inform care. Our objective is to determine if the same sex differences are present in Veterans who use the Department of Veterans Affairs (VA) Health Care System given the additional stressors associated with military service. Materials and Methods: Cardiovascular disease (CVD) risk factors and conditions among women and men Veterans using VA in fiscal year (FY) 2014 were identified through the presence of International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM) codes in VA administrative records. ICD-9-CM codes were grouped into conditions; prevalence was examined by gender overall, by age, and by race/ethnicity. Results: Within the FY 2014 cohort of VA Veteran patients included in this analysis, 7.1% (n = 412,901) were women and 92.9% were men (n = 5,376,749). Compared with men, women in this cohort were younger and more ethnically diverse. Overall, women were less likely to have traditional CVD risk factors, but more likely to have a nontraditional CVD risk factor (depression) compared with men. Women had higher odds of chest pain/angina (adjusted odds ratio [AOR] 1.03, confidence interval [95% CI] 1.02-1.05), palpitations (AOR 2.04; 95% CI 1.98-2.10), and valvular disease (AOR 1.05; 95% CI 1.02-1.08), but lower odds of coronary artery disease (AOR 0.29; 95% CI 0.29-0.30), acute MI (AOR 0.46; 95% CI 0.43-0.49), and heart failure (AOR 0.55; 95% CI 0.53-0.56) compared with men, overall. Conclusions: In age-adjusted comparisons, sex differences in the prevalence of CVD risk factors and conditions among the VA Veteran patient population was similar in that seen in the civilian population with a few exceptions.
机译：背景：在美国平民人口中，在心血管健康中鉴定了性差异;这些差异已被用来为关心提供信息。我们的目标是确定使用退伍军人事务部（VA）医疗保健系统的退伍军人是否存在同样的性别差异，因为与军事服务相关的额外压力源。材料和方法：通过存在国际疾病，第九修订，临床改进（ICD-9-CM），在2014年使用VA（FY）妇女和男性退伍军人的危险因素和条件VA管理记录中的代码。 ICD-9-CM代码被分组到条件下;患病率被性别总体，年龄和种族/种族审查。结果：在本分析中的2014财年群体VA VE老兵患者中，7.1％（n = 412,901）是女性，92.9％是男性（n = 5,376,749）。与男性相比，这个队列中的女性更年轻，更方便地多样化。总体而言，女性不太可能具有传统的CVD风险因素，但与男性相比，更有可能具有非传统CVD危险因素（抑郁症）。女性胸痛/心绞痛的几率较高（调整的赔率比[AOR] 1.03，置信区间[95％CI] 1.02-1.05），心悸（AOR 2.04; 95％CI 1.98-2.10）和瓣膜疾病（AOR 1.05; 95％CI 1.02-1.08），但冠状动脉疾病的几率较低（AOR 0.29; 95％CI 0.29-0.30），急性MI（AOR 0.46; 95％CI 0.43-0.49）和心力衰竭（AOR 0.55; 95％ CI 0.53-0.56）与人总体相比。结论：在年龄调整的比较中，VA资深患者人群中CVD危险因素和条件普遍存在的性别差异在平民中有一些例外情况。

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