Page W F, Miller R N
Medical Follow-Up Agency, Institute of Medicine, National Academy of Sciences, Washington, DC 20418, USA.
Mil Med. 2000 Oct;165(10):781-5.
In our earlier, 30-year follow-up of American prisoners of war (POWs) of World War II and the Korean conflict, we found evidence of increased cirrhosis mortality. Using federal records, we have now extended our follow-up to 50 years (42 years for Korean conflict veterans) and have used proportional hazards analysis to compare the mortality experience of POWs with that of controls. Compared with their controls, World War II POWs had a 32% higher risk of cirrhosis mortality (statistically significant), and mortality risk was higher in the first 30 years of follow-up and also among those aged 51 years and older. Korean POWs had roughly the same risk of cirrhosis mortality as their controls. Neither self-reported data on alcohol consumption nor supplemental morbidity data satisfactorily explained the differences in risk between POWs and controls, although there was evidence that POWs tended to have higher rates of hepatitis, helminthiasis, and nutritional deprivation.
在我们早期对二战和朝鲜冲突中的美国战俘进行的30年随访中，我们发现了肝硬化死亡率增加的证据。利用联邦记录，我们现在已将随访延长至50年（朝鲜冲突退伍军人随访42年），并使用比例风险分析来比较战俘与对照组的死亡经历。与对照组相比，二战战俘肝硬化死亡风险高32%（具有统计学显著性），且在随访的前30年以及51岁及以上人群中死亡风险更高。朝鲜战俘的肝硬化死亡风险与对照组大致相同。尽管有证据表明战俘往往有更高的肝炎、蠕虫病和营养缺乏发生率，但无论是自我报告的饮酒数据还是补充的发病数据，都无法令人满意地解释战俘与对照组之间的风险差异。
