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首页> 外文期刊>Annals of epidemiology >An evaluation of the effect of military service on mortality: quantifying the healthy soldier effect.
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An evaluation of the effect of military service on mortality: quantifying the healthy soldier effect.

机译：兵役对死亡率的影响评估：量化健康士兵的影响。

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PURPOSE: The healthy soldier effect denotes the proposition that military populations are likely to be healthier than other populations. A systematic review was conducted which aimed to quantify the magnitude of the healthy soldier effect. METHODS: Studies containing mortality rates of military personnel were identified from multiple electronic databases. Studies were included in the meta-analyses if they reported all-cause, cancer, or external-cause mortality in a military population and compared the rates to the general population. Fifty-nine studies were initially identified and 12 were included in the meta-analyses. RESULTS: The overall meta-standardized mortality ratios (SMRs) for all-cause mortality for deployed veterans was 0.76 (95% confidence interval [CI]: 0.65-0.89) and 0.73 (95% CI: 0.56-1.97) for non-deployed veterans based on a mean follow-up of 7.0 and 2.4 years, respectively; for cancer mortality, the SMRs were 0.78 (95% CI: 0.63-0.98) for deployed veterans and 0.75 (95% CI: 0.50-1.14) for non-deployed veterans based on 6.7 and 3.1 years follow-up, respectively; for external-cause mortality, the SMRs were 0.90 (95% CI: 0.72-1.13) for deployed veterans and 0.80 (95% CI: 0.63-1.01) for non-deployed veterans based on 4.8 and 2.0 years follow-up, respectively. CONCLUSION: Military personnel do display a healthy soldier effect that decreases their risk of mortality compared to the general population. The overall healthy soldier effect estimated ranges from 10% to 25%, depending on the cause of death studied and the period of follow-up.
机译：目的：健康的士兵效应表明，军事人口可能比其他人口更健康。进行了系统的评估，旨在量化健康士兵效应的大小。方法：从多个电子数据库中确定了包含军事人员死亡率的研究。如果荟萃分析报告了军事人群的全因，癌症或外因死亡率，并将其与普通人群的发生率进行了比较，则该研究包括在荟萃分析中。最初确定了59项研究，其中12项纳入荟萃分析。结果：已部署退伍军人的全因死亡率的整体meta标准化死亡率（SMR）为0.76（95％置信区间[CI]：0.65-0.89）和0.73（95％CI：0.56-1.97）退伍军人，平均随访时间分别为7.0年和2.4年;对于癌症死亡率，根据6.7年和3.1年的随访，已部署退伍军人的SMR分别为0.78（95％CI：0.63-0.98），未部署退伍军人的SMR分别为0.75（95％CI：0.50-1.14）;对于外部原因死亡率，根据4.8年和2.0年的随访，已部署退伍军人的SMR为0.90（95％CI：0.72-1.13），未部署退伍军人的SMR分别为0.80（95％CI：0.63-1.01）。结论：军事人员确实表现出健康的士兵效应，与普通人群相比，降低了他们的死亡风险。估计的总体士兵健康影响范围为10％到25％，具体取决于研究的死亡原因和随访时间。

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