Breslin P, Kang H K, Lee Y, Burt V, Shepard B M
VA Office of Environmental Epidemiology, Washington, DC 20006-3868.
J Occup Med. 1988 May;30(5):412-9. doi: 10.1097/00043764-198805000-00007.
The patterns of mortality among 24,235 US Army and Marine Corps Vietnam veterans were compared with that of 26,685 non-Vietnam veterans using standardized proportional mortality ratios. The veterans were a random sample of deceased Vietnam-era veterans identified in a Veterans Administration computerized benefit file. Military service information was obtained from military personnel records, and cause of death information from death certificates. Statistically significant excess deaths were observed among Army Vietnam veterans for motor vehicle accidents, non-motor vehicle accidents, and accidental poisonings. Similar findings have been reported in other studies of Vietnam veterans. Suicides were not elevated among Vietnam veterans. The Marine Corps Vietnam veterans appeared to have an increased mortality from lung cancer and non-Hodgkin's lymphoma. Although exposure to several environmental factors may be speculated, this study did not investigate possible etiologic factors for these elevated malignancies.
利用标准化比例死亡比，对24235名美国陆军和海军陆战队越战退伍军人的死亡模式与26685名非越战退伍军人的死亡模式进行了比较。这些退伍军人是从退伍军人管理局计算机化福利档案中识别出的越战时期死亡退伍军人的随机样本。军事服役信息从军事人员记录中获取，死亡原因信息从死亡证明中获取。在陆军越战退伍军人中，观察到机动车事故、非机动车事故和意外中毒导致的死亡人数有统计学意义的超额增加。在其他关于越战退伍军人的研究中也报告了类似的发现。越战退伍军人的自杀率并未升高。海军陆战队越战退伍军人的肺癌和非霍奇金淋巴瘤死亡率似乎有所增加。尽管可以推测接触了多种环境因素，但本研究并未调查这些恶性肿瘤发病率升高的可能病因。
