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与其他部署行动中报告的接触情况相比,1991年海湾战争中澳大利亚男性海湾战争退伍军人报告的接触情况有何不同?

What was different about exposures reported by male Australian Gulf War veterans for the 1991 Persian Gulf War, compared with exposures reported for other deployments?

作者信息

Glass Deborah C, Sim Malcolm R, Kelsall Helen L, Ikin Jill F, McKenzie Dean, Forbes Andrew, Ittak Peter

机构信息

Monash University, Department of Epidemiology and Preventive Medicine, Central and Eastern Clinical School, Alfred Hospital, Melbourne, Victoria 3004, Australia.

出版信息

Mil Med. 2006 Jul;171(7):632-8. doi: 10.7205/milmed.171.7.632.

Abstract

This study identified chemical and environmental exposures specifically associated with the 1991 Persian Gulf War. Exposures were self-reported in a postal questionnaire, in the period of 2000-2002, by 1,424 Australian male Persian Gulf War veterans in relation to their 1991 Persian Gulf War deployment and by 625 Persian Gulf War veterans and 514 members of a military comparison group in relation to other active deployments. Six of 28 investigated exposures were experienced more frequently during the Persian Gulf War than during other deployments; these were exposure to smoke (odds ratio [OR], 4.4; 95% confidence interval, 3.0-6.6), exposure to dust (OR, 3.7; 95% confidence interval, 2.6-5.3), exposure to chemical warfare agents (OR, 3.9; 95% confidence interval, 2.1-7.9), use of respiratory protective equipment (OR, 13.6; 95% confidence interval, 7.6-26.8), use of nuclear, chemical, and biological protective suits (OR, 8.9; 95% confidence interval, 5.4-15.4), and entering/inspecting enemy equipment (OR, 3.1; 95% confidence interval, 2.1-4.8). Other chemical and environmental exposures were not specific to the Persian Gulf War deployment but were also reported in relation to other deployments. The number of exposures reported was related to service type and number of deployments but not to age or rank.

摘要

本研究确定了与1991年海湾战争具体相关的化学和环境暴露情况。在2000年至2002年期间,1424名参加过1991年海湾战争的澳大利亚男性退伍军人通过邮政调查问卷自行报告了与他们1991年海湾战争部署相关的暴露情况,625名参加过海湾战争的退伍军人以及514名军事对照组成员报告了与其他现役部署相关的暴露情况。在28种被调查的暴露情况中,有6种在海湾战争期间比在其他部署期间更频繁地出现;这些暴露包括接触烟雾(优势比[OR],4.4;95%置信区间,3.0 - 6.6)、接触灰尘(OR,3.7;95%置信区间,2.6 - 5.3)、接触化学战剂(OR,3.9;95%置信区间,2.1 - 7.9)、使用呼吸防护设备(OR,13.6;95%置信区间,7.6 - 26.8)、使用核、化学和生物防护服(OR,8.9;95%置信区间,5.4 - 15.4)以及进入/检查敌方装备(OR,3.1;95%置信区间,2.1 - 4.8)。其他化学和环境暴露并非海湾战争部署所特有,但在其他部署中也有报告。报告的暴露次数与服役类型和部署次数有关,但与年龄或军衔无关。

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