Hunt Stephen C, Orsborn Mack, Checkoway Harvey, Biggs Mary L, McFall Miles, Takaro Tim K
VA Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA.
Mil Med. 2008 Jul;173(7):613-8. doi: 10.7205/milmed.173.7.613.
Incarceration-related predictors of later life disability in former prisoners of war (POWs) have not been previously described. The objective of this project was to identify aspects of POW incarceration which are associated with later life disability status.
Cross-sectional retrospective study of 328 former U.S. military personnel held as POWs (World War II and Korean and Vietnam Wars) who presented for evaluations at a Veterans Affairs medical center between January 1, 1997 and December 31, 2004 outcome measures were: (1) total number of later life disability conditions attributable to incarceration and (2) cumulative percentage later life disability attributable to these conditions.
We found significant associations between later life disability and POW experiences, including experiencing or witnessing torture, solitary confinement, forced marches, dysentry, pellagra, vitamin deficiencies, scabies, depression, and suicidal thoughts.
Conditions of captivity and health concerns or emotional distress during captivity may contribute to long-term adverse health outcomes as measured by later life disabilities in individuals incarcerated as POWs.
先前尚未描述过与战俘（POWs）晚年残疾相关的监禁相关预测因素。本项目的目的是确定战俘监禁中与晚年残疾状况相关的方面。
对1997年1月1日至2004年12月31日期间在退伍军人事务医疗中心接受评估的328名曾作为战俘（二战、朝鲜战争和越南战争）的美国前军事人员进行横断面回顾性研究，结果指标为：（1）因监禁导致的晚年残疾状况总数，以及（2）这些状况导致的晚年残疾累积百分比。
我们发现晚年残疾与战俘经历之间存在显著关联，包括经历或目睹酷刑、单独监禁、强行军、痢疾、糙皮病、维生素缺乏、疥疮、抑郁和自杀念头。
被俘条件以及被俘期间的健康问题或情绪困扰，可能导致被监禁为战俘的个体出现长期不良健康后果，如通过晚年残疾来衡量。
