A Population-Based Investigation of Health Outcomes in Active Duty Army Service Members Before and After Requirement For Full-Time Wear of Permethrin-Treated Uniforms (USARIEM #17-22H; MRDC #M-10683)
Abstract
The purpose of the research study titled, "A Population-based Investigation of Health Outcomes in Active Duty Army Service Members Before and After Requirement for Full-time Wear of Permethrin-treated Uniforms," was to examine longer-term health effects (24 months) of wearing permethrin-treated uniforms and evaluate the impact of physical workload on permethrin exposure and health conditions. The study utilized electronic medical encounter data from USARIEM's Soldier Performance, Health and Readiness (SPHERE) data repository (formerly known as the Total Army Injury and Health Outcome Database (TAIHOD) repository), under research protocol #17-22H/M-10683, to investigate the hypothesized relationship between permethrin exposure and increased longer-term (over a 2 year period) risk of select health outcomes (primarily dermatological, neurological, and renal) among the US Army Active Duty (AAD) population. To address the studys research hypotheses, multivariate Poisson regression analyses were conducted to compare outcomes among a group of Soldiers who entered military service between 1 July and 31 December 2010 (n=21,182), which was prior to the required routine wear of permethrin-treated uniforms, to outcomes recorded among a group of Soldiers who entered the service between 1 July and 31 December 2013 (n=29,556), after routine issuing of permethrin-treated uniforms was required. No significant adverse health outcomes were observed among those Soldiers who entered the service in 2013 and wore permethrin-treated uniforms regularly compared to those Soldiers who entered the service in 2010, prior to the requirement to wear permethrin treated uniforms. Significant differences in risk for certain medical health outcomes were found when comparing the two cohorts. However, those in the 2010 cohort (prior to permethrin wear) demonstrated higher risk.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 10, 2020
- Accession Number
- AD1113481
Entities
People
- Caitlin C. Haven
- Kristin J. Heaton
- Susan P. Proctor
Organizations
- United States Army Research Institute of Environmental Medicine