This uncontrolled observational study examined the injury and medical discharge outcomes in 318 female and 1,634 male recruits as a result of changes to the Australian Army recruit physical training program.
Changes included cessation of road runs, introduction of 400-to 800-m interval training, reduction in test run distance from 5 to 2.4 km, standardization of route marches, and the introduction of deep-water running.
There was a 46.6% reduction in the rate of total injury presentation (X2=14.31, p=0.0002) after the change.
The annual rate of male medical discharges decreased 40.8% from 81.1/1,000 recruits in 1994/1995 to 47.0/1,000 recruits in 1995/1996 (X2=26.33, p=0.0001).
Female rates increased 58.3% from 104/1,000 recruits to 164.2/1,000 recruits (X2=6.09, p=0.014).
The decrease in the male medical discharge rate resulted in an estimated saving of $1,267,805 Australian.
Bone scans were reduced by 50%, resulting in an estimated annual saving of $61,539 Australian.
The disparity between male and female injury rates is a concern.
The merits of mixed-gender physical training should be reviewed in the light of these observations, and the establishment of initial entry fitness standards for recruit training may need to be considered.
Mots-clés Pascal : Traumatisme, Homme, Sexe, Militaire, Prévention, Réduction, Hospitalisation, Programme sanitaire, Intervention, Entraînement physique, Australie, Océanie, Epidémiologie, Résultat, Analyse coût
Mots-clés Pascal anglais : Trauma, Human, Sex, Military, Prevention, Reduction, Hospitalization, Sanitary program, Operation, Physical training, Australia, Oceania, Epidemiology, Result, Cost analysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0482474
Code Inist : 002B16N. Création : 22/03/2000.