O'Toole Brian I, Catts Stanley V, Outram Sue, Pierse Katherine R, Cockburn Jill
University of Sydney ANZAC Research Institute, RGH Concord Hospital Road, Concord, NSW 2039, Australia.
Mil Med. 2010 Feb;175(2):88-95. doi: 10.7205/milmed-d-09-00071.
A prospective cohort study of a random sample of 1,000 Australian Army Vietnam veterans analyzed risk factors for postwar mortality using information from Army records and personal interview assessments of physical and mental health measured approximately 15 years earlier. This enabled examination of the role of combat, military service, and psychiatric status including post-traumatic stress disorder (PTSD) on postwar civilian mortality. Factors predicting mortality were identified using multivariate statistical methods including logistic and Cox regression. Mortality was associated principally with age, enlistment route (regular vs. national service conscripts), and conduct while in service in the whole cohort. Additional analysis using interview data revealed that mortality was predicted by age, smoking status, chronic diabetes, bronchitis and blood diseases, and treatment for cancer and heart disease. Psychiatric status including PTSD diagnosis was not associated with mortality. Veterans' mortality risk may be reduced by attention to smoking and alcohol both in-service and postservice.
一项对1000名澳大利亚陆军越战退伍军人的随机样本进行的前瞻性队列研究，利用陆军记录信息以及约15年前对身心健康进行的个人访谈评估，分析了战后死亡率的风险因素。这使得能够研究战斗、军事服役以及包括创伤后应激障碍（PTSD）在内的精神状态对战后平民死亡率的作用。使用包括逻辑回归和Cox回归在内的多变量统计方法确定了预测死亡率的因素。在整个队列中，死亡率主要与年龄、入伍途径（正规军与义务兵）以及服役期间的行为有关。使用访谈数据进行的进一步分析显示，年龄、吸烟状况、慢性糖尿病、支气管炎和血液疾病以及癌症和心脏病治疗可预测死亡率。包括PTSD诊断在内的精神状态与死亡率无关。通过在服役期间和退役后关注吸烟和饮酒，退伍军人的死亡风险可能会降低。
