Smith Tyler C, Corbeil Thomas E, Ryan Margaret A K, Heller Jack M, Gray Gregory C
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA 92186-5122, USA.
Am J Epidemiol. 2004 Jun 1;159(11):1064-76. doi: 10.1093/aje/kwh152.
The postwar morbidity of Gulf War veterans has been closely examined. However, data have not been available to evaluate morbidity suffered during the 1991 Gulf War. In this report, the authors examine archived records of hospitalizations in US military facilities in the Kuwaiti theater of operations or those medically evacuated to facilities in Europe. Using multivariable logistic regression modeling, the authors determined that service personnel at greatest odds for "in-theater" hospitalization were enlisted, female, White, Reservist, Army, and health care workers. No increase in odds was observed for oil well fire smoke exposure or possible exposure to the nerve agent hazard areas. Although these data may be incomplete, they represent the best-known data reflecting in-theater hospitalizations during the Gulf War of 1991 and show remarkable similarities in risk factors to those for postwar hospitalization.
海湾战争退伍军人战后的发病率已得到密切研究。然而,尚无数据可用于评估1991年海湾战争期间所遭受的发病率。在本报告中,作者查阅了科威特战区美军设施或被医疗后送至欧洲设施的住院存档记录。通过多变量逻辑回归模型,作者确定,“战区内”住院几率最高的服务人员为应征入伍者、女性、白人、预备役军人、陆军人员以及医护人员。未观察到油井火灾烟雾暴露或可能暴露于神经毒剂危险区域导致的住院几率增加。尽管这些数据可能不完整,但它们代表了反映1991年海湾战争期间战区内住院情况的最知名数据,并且在风险因素方面与战后住院情况显示出显著相似性。