伊拉克和阿富汗战争退伍军人中毒性暴露与慢性多症状疾病之间的关联
The Association Between Toxic Exposures and Chronic Multisymptom Illness in Veterans of the Wars of Iraq and Afghanistan.
作者信息
DeBeer Bryann B, Davidson Dena, Meyer Eric C, Kimbrel Nathan A, Gulliver Suzy B, Morissette Sandra B
机构信息
Department of Veterans Affairs, VISN 17 Center of Excellence for Research on Returning War Veterans, Waco (Drs DeBeer, Davidson, Meyer); Texas A&M University, College Station, Texas (Drs DeBeer, Davidson, Meyer, Gulliver); Durham Veterans Affairs Medical Center (Dr Kimbrel); VA Mid-Atlantic Mental Illness Research, Education, and Clinical Center, Durham, North Carolina (Dr Kimbrel); Duke University School of Medicine, Durham, North Carolina (Dr Kimbrel); Warriors Research Institute, Baylor, Scott & White Healthcare System, Waco (Dr Gulliver); and The University of Texas at San Antonio, San Antonio, Texas (Dr Morissette).
出版信息
J Occup Environ Med. 2017 Jan;59(1):54-60. doi: 10.1097/JOM.0000000000000922.
OBJECTIVE
The purpose of this study was to determine if post-9/11 veterans deployed to the Iraq and Afghanistan conflicts experienced toxic exposures and whether they are related to symptoms of chronic multisymptom illness (CMI).
METHODS
Data from 224 post-9/11 veterans who self-reported exposure to hazards in theater were analyzed using hierarchical regression.
RESULTS
Of the sample, 97.2% endorsed experiencing one or more potentially toxic exposure. In a regression model, toxic exposures and CMI symptoms were significantly associated above and beyond covariates. Follow-up analyses revealed that pesticide exposures, but not smoke inhalation was associated with CMI symptoms.
CONCLUSIONS
These findings suggest that toxic exposures were common among military personnel deployed to the most recent conflicts, and appear to be associated with CMI symptoms. Additional research on the impact of toxic exposures on returning Iraq and Afghanistan Veterans' health is needed.
目的
本研究旨在确定9·11事件后被部署到伊拉克和阿富汗冲突地区的退伍军人是否经历过有毒物质暴露，以及这些暴露是否与慢性多症状疾病（CMI）的症状有关。
方法
使用分层回归分析了224名9·11事件后自我报告在战区接触过危险物质的退伍军人的数据。
结果
在样本中，97.2%的人认可经历过一种或多种潜在的有毒物质暴露。在一个回归模型中，除协变量外，有毒物质暴露与CMI症状显著相关。后续分析表明，农药暴露而非吸入烟雾与CMI症状有关。
结论
这些发现表明，有毒物质暴露在被部署到最近冲突地区的军事人员中很常见，并且似乎与CMI症状有关。需要对有毒物质暴露对返回的伊拉克和阿富汗退伍军人健康的影响进行更多研究。
Zotero 插件