Kang H K, Bullman T A, Macfarlane G J, Gray G C
The Environmental Epidemiology Service, Department of Veterans Affairs, Washington, DC 20036, USA.
Occup Environ Med. 2002 Dec;59(12):794-9. doi: 10.1136/oem.59.12.794.
Mortality data on Gulf War veterans was reviewed as a means of evaluating the long term consequences of the war. Studies were located from searches of Medline, Proceedings of the Conference on Federally Sponsored Gulf War Veterans' Illnesses Research, Proceedings of the American Public Health Association Annual Meetings, Annual Reports to Congress, and personal contacts with knowledgeable investigators. Data on study design, methods, and results were obtained from published studies of both US and UK veterans who served in the Persian Gulf. The methodology and results of studies are summarised and evaluated. Additional research recommendations based on reviewed studies are presented. It is concluded that in both US and UK studies, mortality from external causes was higher, while mortality from all illnesses was lower among Gulf War veterans in comparison to those of non-Gulf War veterans. Increased mortality from external causes is consistent with patterns of postwar mortality observed in veterans of previous wars. Further follow up of Gulf War veterans and their controls is warranted for evaluating the mortality risk from diseases with longer latency periods.
对海湾战争退伍军人的死亡率数据进行了审查，以此作为评估战争长期后果的一种方式。通过检索医学文献数据库（Medline）、联邦政府资助的海湾战争退伍军人疾病研究会议论文集、美国公共卫生协会年会论文集、提交给国会的年度报告以及与知识渊博的研究人员进行个人联系来查找相关研究。关于研究设计、方法和结果的数据来自对在波斯湾服役的美国和英国退伍军人的已发表研究。对各项研究的方法和结果进行了总结与评估。基于所审查的研究提出了进一步的研究建议。得出的结论是，在美国和英国的研究中，与非海湾战争退伍军人相比，海湾战争退伍军人的外部原因导致的死亡率较高，而所有疾病导致的死亡率较低。外部原因导致的死亡率上升与以往战争退伍军人战后死亡率模式一致。有必要对海湾战争退伍军人及其对照人群进行进一步随访，以评估潜伏期较长疾病的死亡风险。
