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D N Cowan

Publications and source records attributed to D N Cowan.

29 records · Page 2Linked to original sources

Human immunodeficiency virus infection among members of the reserve components of the US Army: prevalence, incidence, and demographic characteristics. The Walter Reed Retrovirus Research Group.

Since routine testing began, 677,463 members of the Reserve Components of the US Army have been tested for antibody to human immunodeficiency virus (HIV). Of these, 1063 were positive, for a crude prevalence of 1.57/1000 tested. Prevalence varied greatly among different groups as defined by sex, ethnicity, marital status, age, and geographic location. Multivariate analysis indicated that prevalence was higher among men, blacks, and unmarried men and peaked at ages 30-34. The crude incidence density was 0.20/1000 person-years, and multivariate analysis of incidence revealed patterns similar to those for prevalence. Comparison of prevalence and incidence data provides evidence that an increasing proportion of infection is occurring among women and in nonmetropolitan and small urban areas.

Acquired Immunodeficiency Syndrome↗

Behavioral risk factors for HIV infection among homosexual men at a Boston community health center.

Social and behavioral factors associated with human immunodeficiency virus (HIV) infection were analyzed using cross-sectional data from homosexual and bisexual male clients of a Boston community health center. Partners from California, and a previous period of greater sexual activity (a "high period"), were independently associated with positive HIV antibody status, as were the frequency of receptive anogenital contact, both during the "high period" and during the last six months.

Acquired Immunodeficiency Syndrome↗

Risk factors for hepatitis B virus infection in US Army soldiers in Europe.

Cross-sectional and case-control studies were conducted in a US Army unit which had experienced a protracted outbreak of viral hepatitis. Serological, demographic, and exposure data were collected. The cross-sectional study found that there was no association between the prevalence of hepatitis B virus (HBV) infection and ethnicity, education, and rank. There was an association with age and duration of assignment to the unit. Having social contact with an identified hepatitis patient and the sharing of personal hygiene items with a case were significant risk factors for HBV infection. Through the use of anonymous questionnaires, the case-control study evaluated various behavioural factors. Univariate analysis indicated moderate but not significant increases in risk associated with a history of multiple sex partners and a history of disciplinary problems while in the military. Six drug-use related risk factors were significantly associated with HBV infection on univariate analysis. When evaluated with multivariate analysis, the only risk factor that was significantly associated with HBV infection was injection of drugs while assigned to the study unit. Two sources of misclassification bias were identified, both of which acted to underestimate the true risk associated with identified risk factors.

Behavior↗

Intrinsic risk factors for exercise-related injuries among male and female army trainees.

Physical training-related injuries are common among army recruits and other vigorously active populations, but little is known about their causation. To identify intrinsic risk factors, we prospectively measured 391 army trainees. For 8 weeks of basic training, 124 men and 186 women (79.3%) were studied. They answered questionnaires on past activities and sports participation, and were measured for height, weight, and body fat percentage; 71% of the subjects took an initial army physical training test. Women had a significantly higher incidence of time-loss injuries than men, 44.6% compared with 29.0%. During training, more time-loss injuries occurred among the 50% of the men who were slower on the mile run, 29.0% versus 0.0%. Slower women were likewise at greater risk than faster ones, 38.2% versus 18.5%. Men with histories of inactivity and with higher body mass index were at greater injury risk than other men, as were the shortest women. We conclude that female gender and low aerobic fitness measured by run times are risk factors for training injuries in army trainees, and that other factors such as prior activity levels and stature may affect men and women differently.

Adult↗

Docs for guns.

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Firearms↗