Accession Number:

ADA409567

Title:

The Natural History and Risk Factors of Musculoskeletal Conditions Resulting in Disability Among US Army Personnel

Descriptive Note:

Journal article

Corporate Author:

ARMY RESEARCH INST OF ENVIRONMENTAL MEDICINE NATICK MA MILITARY PERFORMANCEDIV

Report Date:

2002-01-01

Pagination or Media Count:

16.0

Abstract:

We describe the natural history of 13 musculoskeletal conditions requiring hospitalization and identify demographic, behavioral, psychosocial, occupational, and clinical characteristics most strongly associated with disability discharge from the Army. Subjects included 15,268 active-duty personnel hospitalized for a common musculoskeletal condition between the years 1989-1996 who were retrospectively followed through 199. Back conditions had the greatest 5-year cumulative risk of disability 21, 19, and 17 for intervertebral disc displacement, intervertebral disc degeneration, and nonspecific low back pain, respectively. Cox proportional hazards models identified the following risk factors for disability among males lower pay grade, musculoskeletal diagnosis, shorter length of service, older age, occupational category lower job satisfaction, recurrent musculoskeletal hospitalizations, more cigarette smoking, greater work stress, and heavier physical demands. Among females, fewer covariates reached statistical significance, although lower education level was significant in more than one model. Modifiable risk factors related to work job satisfaction, work stress, physical demands, occupation and health behaviors sinioking suggest possible targets for intervention.

Subject Categories:

  • Humanities and History
  • Anatomy and Physiology
  • Medicine and Medical Research
  • Military Forces and Organizations

Distribution Statement:

APPROVED FOR PUBLIC RELEASE