Department of Epidemiology, University of North Carolina, Chapel Hill, 27514, USA.
Ann Epidemiol. 2010 Feb;20(2):143-50. doi: 10.1016/j.annepidem.2009.10.006.
To assess the long-term association of military combat stress with coronary heart disease (CHD) and ischemic stroke (IS).
The association between exposure to military combat and the occurrence of CHD and IS was assessed among 5,347 men in the Atherosclerosis Risk in Communities (ARIC) study. Outcomes were assessed an average of 36 years after entry into military service during the eras of World War II, the Korean War, and the Vietnam conflict.
Veterans were more likely to be older, white, and of higher socioeconomic status than non-veterans. No differences in CHD period prevalence rates were noted among the three exposure groups, overall or by era of service. Associations between combat and ischemic stroke period prevalence may be modified by father's education, although confidence intervals were wide and event rates small.
Overall, middle-aged veterans with distant combat exposure are not at increased cardiovascular risk compared to those without combat exposure.
评估军事战斗应激与冠心病（CHD）和缺血性脑卒中（IS）的长期关联。
在动脉粥样硬化风险社区（ARIC）研究中，评估了 5347 名男性暴露于军事战斗与 CHD 和 IS 发生之间的关联。在第二次世界大战、朝鲜战争和越南冲突期间入伍后的平均 36 年后评估了结果。
退伍军人比非退伍军人年龄更大、更白、社会经济地位更高。在三个暴露组中，总体或按服役时代，CHD 期间患病率均无差异。战斗与缺血性脑卒中期间患病率之间的关联可能受到父亲教育的影响，尽管置信区间较宽且事件发生率较小。
总体而言，与没有战斗经历的人相比，有遥远战斗经历的中年退伍军人的心血管风险并未增加。
