Visintainer P F, Barone M, McGee H, Peterson E L
Graduate School of Health Sciences, New York Medical College, Valhalla, New York 10595, USA.
J Occup Environ Med. 1995 Apr;37(4):423-8. doi: 10.1097/00043764-199504000-00013.
This study examines the proportion of deaths from major diseases among Michigan Vietnam veterans. The distribution of deaths among Michigan Vietnam veterans was compared to deaths among veterans serving elsewhere for 1974-1989 to generate a proportionate mortality ratio (PMR). PMRs were estimated overall and for Black versus non-Black veterans. Overall, Vietnam veterans had significantly elevated PMRs for infectious and parasitic diseases and endocrine disease and lower PMRs for all malignant neoplasms combined. Vietnam veterans overall and non-Black specifically had elevated PMRs for non-Hodgkin's lymphoma. Black Vietnam veterans had elevated PMRs for cancer of the digestive organs, peritoneum, and pancreas. The elevated PMR for non-Hodgkin's lymphoma is consistent with results of individuals exposed to phenoxy herbicides. Results suggest that future studies should examine risks among racial groups separately.
本研究调查了密歇根州越战退伍军人中因重大疾病死亡的比例。将密歇根州越战退伍军人的死亡分布与1974年至1989年在其他地方服役的退伍军人的死亡情况进行比较，以得出比例死亡率（PMR）。总体上以及按黑人退伍军人与非黑人退伍军人分别估算了PMR。总体而言，越战退伍军人因传染病和寄生虫病以及内分泌疾病导致的PMR显著升高，而所有恶性肿瘤合并导致的PMR则较低。总体上的越战退伍军人，特别是非黑人越战退伍军人，非霍奇金淋巴瘤的PMR升高。黑人越战退伍军人消化器官、腹膜和胰腺癌的PMR升高。非霍奇金淋巴瘤的PMR升高与接触苯氧基除草剂的个体结果一致。结果表明，未来的研究应分别考察不同种族群体中的风险。
