Bell Nicole S, Amoroso Paul J, Williams Jeffrey O, Yore Michelle M, Engel Charles C, Senier Laura, DeMattos Annette C, Wegman David H
,SSDS, Inc., Natick, MA, USA.
Mil Med. 2010 Apr;175(4):227-37. doi: 10.7205/milmed-d-10-00046.
A total of 675,626 active duty Army soldiers who were known to be at risk for deployment to the Persian Gulf were followed from 1980 through the Persian Gulf War. Hospitalization histories for the entire cohort and Health Risk Appraisal surveys for a subset of 374 soldiers were used to evaluate prewar distress, health, and behaviors. Deployers were less likely to have had any prewar hospitalizations or hospitalization for a condition commonly reported among Gulf War veterans or to report experiences of depression/suicidal ideation. Deployers reported greater satisfaction with life and relationships but displayed greater tendencies toward risk taking, such as drunk driving, speeding, and failure to wear safety belts. Deployed veterans were more likely to receive hazardous duty pay and to be hospitalized for an injury than nondeployed Gulf War-era veterans. If distress is a predictor of postwar morbidity, it is likely attributable to experiences occurring during or after the war and not related to prewar exposures or health status. Postwar excess injury risk may be explained in part by a propensity for greater risk taking, which was evident before and persisted throughout the war.
从1980年到海湾战争期间，对总共675,626名已知有被部署到波斯湾风险的现役陆军士兵进行了跟踪。利用整个队列的住院病史以及对374名士兵子集进行的健康风险评估调查，来评估战前的痛苦、健康状况和行为。被部署者战前因海湾战争退伍军人中常见疾病而住院或任何住院的可能性较小，报告抑郁/自杀意念经历的可能性也较小。被部署者对生活和人际关系的满意度更高，但表现出更大的冒险倾向，如酒后驾车、超速和不系安全带。与未被部署的海湾战争时期退伍军人相比，被部署的退伍军人更有可能获得危险任务津贴，并且因受伤而住院的可能性更大。如果痛苦是战后发病的一个预测因素，那么它很可能归因于战争期间或之后发生的经历，而与战前暴露或健康状况无关。战后受伤风险增加可能部分是由于更大的冒险倾向，这种倾向在战前就很明显，并且在整个战争期间一直存在。
