Wells Timothy S, Wang Linda Z, Spooner Christina N, Smith Tyler C, Hiliopoulos Katia M, Kamens Deborah R, Gray Gregory C, Sato Paul A
Department of Defense Center for Deployment Health Research, Naval Health Research Center, San Diego, CA, USA.
Matern Child Health J. 2006 Nov;10(6):501-10. doi: 10.1007/s10995-006-0122-y. Epub 2006 Jul 11.
Following the 1991 Gulf War, some veterans expressed concerns regarding their reproductive health. Our objective was to assess whether an association exists between deployment to the 1991 Gulf War and self-reported adverse pregnancy outcomes.
Using a modified Dillman technique with telephone follow-up, we conducted a survey via a postal questionnaire from February 1996-August 1997 to compare selected reproductive outcomes among 10,000 US veterans deployed to the 1991 Gulf War with those of 10,000 nondeployed Gulf War era veterans.
A total of 8742 individuals responded to the survey, a response rate of 51 percent. Using multivariable analyses, results showed no differences in number of reported pregnancies between Gulf War veterans and nondeployed veterans. Among 2233 female and 2159 male participants, there were no differences in birth weight of infants born to Gulf War veterans compared with nondeployed Gulf War era veterans. In multivariable models, male and female Gulf War veterans did not significantly differ in risk for ectopic pregnancies, stillbirths, or miscarriages when compared with nondeployed veterans of the same era.
These results do not suggest an association between service in the 1991 Gulf War and adverse reproductive outcomes for both male and female veterans during the 4 years after the war.
1991年海湾战争结束后，一些退伍军人对自己的生殖健康表示担忧。我们的目的是评估1991年海湾战争的服役经历与自我报告的不良妊娠结局之间是否存在关联。
我们采用改良的迪尔曼技术并进行电话随访，于1996年2月至1997年8月通过邮政问卷进行了一项调查，以比较10000名参加1991年海湾战争的美国退伍军人与10000名未参加海湾战争的同期退伍军人的特定生殖结局。
共有8742人回复了调查，回复率为51%。通过多变量分析，结果显示海湾战争退伍军人与未参战退伍军人报告的怀孕次数没有差异。在2233名女性和2159名男性参与者中，与未参战的海湾战争时期退伍军人相比，海湾战争退伍军人所生孩子的出生体重没有差异。在多变量模型中，与同期未参战退伍军人相比，海湾战争退伍军人无论男女，异位妊娠、死产或流产的风险均无显著差异。
这些结果并不表明1991年海湾战争的服役经历与战后4年内男女退伍军人的不良生殖结局之间存在关联。
