AMSARA: Accession Medical Standards Analysis and Research Activity 1999 Annual Report
WALTER REED ARMY INST OF RESEARCH WASHINGTON DC DIV OF PREVENTIVE MEDICINE
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The Accession Medical Standards and Research Activity AMSARA has completed its third year of providing the DoD with evidence-based evaluations of accession standards. Included in this report are three completed studies related to accession standards. The first is a retrospective review of the impact of waiving for a variety of back conditions. Attrition from all causes is not unusually high for individuals waived for back conditions entering the Navy and Marines. Another completed study comparing recruits waived for skin conditions to matched controls demonstrated these recruits are statistically more likely to experience some medical event. Additional studies on hospitalizations revealed enlisted females have 15 more hospitalizations excluding childbirth and its complications during the first 12 months of duty. The first phase of attrition modeling demonstrated that being a female is independently associated with a significantly higher rate of attrition. Being white, having dependents, having a medical disqualification at MEPS and being married are all independent risk factors for attrition. Descriptive data on applicants to the US military, the recruits entering active duty service, EPTS discharges, early hospitalizations and disability discharges are also included. In addition, ongoing studies and new initiatives are described.
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- Medicine and Medical Research