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• W2324530462 abstract "In Brief Study Design. Matched case-control epidemiological study. Objective. To identify pre-enlistment, demographic, and service-related risk factors for back-related disability in enlisted US soldiers and Marines comparing those who were deployed with those who did not deploy during the service term. Summary of Background Data. Back conditions are a major cause of morbidity and lost work days in both the US working population and military. Back-related conditions are among the most prevalent causes of military disability discharge but little research has been conducted to identify risk factors for back-related disabilities in this population. Methods. Cases included enlisted Army and Marine Corps service members evaluated for back-related disability. Controls, frequency matched by year of military entrance and service, were selected from the enlisted service member population. Pre-enlistment demographic and medical characteristics, deployment, and ambulatory care data collected from existing military databases were used. Crude and adjusted odds of back-related disability were modeled using conditional logistic regression. Results. In adjusted models, service members who were overweight (odds ratio [OR]: 1.17; 95% confidence interval [95% CI]: 1.12–1.23) and obese (OR: 1.35; 95% CI: 1.26–1.44), between ages 25 and 29 years (OR: 1.23; 95% CI: 1.16–1.31), or 30 years or older (OR: 1.43; 95% CI: 1.34–1.52) at military entrance were at increased odds of a back-related disability. History of a back diagnosis at the pre-enlistment medical examination (OR: 1.94; 95% CI: 1.50–2.50) and deploying once (OR: 1.09; 95% CI: 1.05–1.14) were also associated with increased odds of a back-related disability. Conclusion. Enlisted soldiers and marines with back-related disabilities were more likely to be older, have a higher body mass index, have a history of pre-enlistment back conditions, and were deployed once, compared with controls without a back-related disability. Additional research is necessary to further examine the complex relationship between deployment to combat zones, onset of musculoskeletal symptoms, and back-related disability in soldiers and marines. Level of Evidence: 4 Back-related disability cases were more likely to be older, have a higher body mass index, have a history of pre-enlistment back conditions, and were deployed once, compared with controls. Additional research is necessary to examine the relationship between deployment to combat zones, onset of musculoskeletal symptoms, and back-related disability." @default.
• W2324530462 created "2016-06-24" @default.
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• W2324530462 date "2014-04-01" @default.
• W2324530462 modified "2023-09-27" @default.
• W2324530462 title "Risk Factors for Back-Related Disability in the US Army and Marine Corps" @default.
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• W2324530462 doi "https://doi.org/10.1097/brs.0000000000000272" @default.
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