TY  - JOUR
PY  - 2014//
TI  - Risk factors for accident death in the u.s. Army, 2004-2009
JO  - American journal of preventive medicine
A1  - Lewandowski-Romps, Lisa
A1  - Peterson, Christopher
A1  - Berglund, Patricia A.
A1  - Collins, Stacey
A1  - Cox, Kenneth
A1  - Hauret, Keith
A1  - Jones, Bruce
A1  - Kessler, Ronald C.
A1  - Mitchell, Colter
A1  - Park, Nansook
A1  - Schoenbaum, Michael
A1  - Stein, Murray B.
A1  - Ursano, Robert J.
A1  - Heeringa, Steven G.
SP  - 745
EP  - 753
VL  - 47
IS  - 6
N2  - BACKGROUND: Accidents are one of the leading causes of death among U.S. active-duty Army soldiers. Evidence-based approaches to injury prevention could be strengthened by adding person-level characteristics (e.g., demographics) to risk models tested on diverse soldier samples studied over time. <br><br>PURPOSE: To identify person-level risk indicators of accident deaths in Regular Army soldiers during a time frame of intense military operations, and to discriminate risk of not-line-of-duty from line-of-duty accident deaths. <br><br>METHODS: Administrative data acquired from multiple Army/Department of Defense sources for active duty Army soldiers during 2004-2009 were analyzed in 2013. Logistic regression modeling was used to identify person-level sociodemographic, service-related, occupational, and mental health predictors of accident deaths. <br><br>RESULTS: Delayed rank progression or demotion and being male, unmarried, in a combat arms specialty, and of low rank/service length increased odds of accident death for enlisted soldiers. Unique to officers was high risk associated with aviation specialties. Accident death risk decreased over time for currently deployed, enlisted soldiers and increased for those never deployed. Mental health diagnosis was associated with risk only for previous and never-deployed, enlisted soldiers. Models did not discriminate not-line-of-duty from line-of-duty accident deaths. <br><br>CONCLUSIONS: Adding more refined person-level and situational risk indicators to current models could enhance understanding of accident death risk specific to soldier rank and deployment status. Stable predictors could help identify high risk of accident deaths in future cohorts of Regular Army soldiers.<p /> <p>Language: en</p>
LA  - en
SN  - 0749-3797
UR  - http://dx.doi.org/10.1016/j.amepre.2014.07.052
ID  - ref1
ER  -