Bell N S, Amoroso P J, Williams J O, Yore M M, Engel C C, Senier L, DeMattos A C, Wegman D H
SSDS, Inc., Natick, MA 01760-1041, USA.
Mil Med. 2000 Oct;165(10):762-72.
A total of 675,626 active duty Army soldiers who were known to be at risk for deployment to the Persian Gulf were followed from 1980 through the Persian Gulf War. Hospitalization histories for the entire cohort and Health Risk Appraisal surveys for a subset of 374 soldiers were used to evaluate prewar distress, health, and behaviors. Deployers were less likely to have had any prewar hospitalizations or hospitalization for a condition commonly reported among Gulf War veterans or to report experiences of depression/suicidal ideation. Deployers reported greater satisfaction with life and relationships but displayed greater tendencies toward risk-taking, such as drunk driving, speeding, and failure to wear safety belts. Deployed veterans were more likely to receive hazardous duty pay and to be hospitalized for an injury than nondeployed Gulf War-era veterans. If distress is a predictor of postwar morbidity, it is likely attributable to experiences occurring during or after the war and not related to prewar exposures or health status. Postwar excess injury risk may be explained in part by a propensity for greater risk-taking, which was evident before and persisted throughout the war.
从1980年到海湾战争期间，对总共675,626名已知有被部署到波斯湾风险的现役陆军士兵进行了跟踪。利用整个队列的住院病史以及对374名士兵子集进行的健康风险评估调查来评估战前的困扰、健康状况和行为。被部署者战前因海湾战争退伍军人中常见病症而住院或有任何战前住院经历的可能性较小，报告抑郁/自杀意念经历的可能性也较小。被部署者对生活和人际关系的满意度更高，但表现出更大的冒险倾向，如酒后驾车、超速和不系安全带。与未被部署的海湾战争时期退伍军人相比，被部署的退伍军人更有可能获得危险任务津贴，也更有可能因受伤而住院。如果困扰是战后发病的一个预测因素，那么它很可能归因于战争期间或战争之后发生的经历，而与战前暴露或健康状况无关。战后受伤风险过高可能部分是由于更大的冒险倾向，这种倾向在战前就很明显，并在整个战争期间持续存在。
