1990-1991年海湾战争女性退伍军人、1990-1991年海湾战争女性退伍军人和美国普通人群女性的长期健康结果比较

IF 2.8 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Womens Health Issues Pub Date : 2023-11-01 DOI:10.1016/j.whi.2023.06.006
Erin K. Dursa PhD, MPH , Guichan Cao MS , William J. Culpepper PhD, MA , Aaron Schneiderman PhD, MPH, RN
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引用次数: 0

摘要

简介:本研究的目的是对海湾战争女性退伍军人和海湾时代女性退伍军人进行近20年的随访,并将她们的健康状况与美国普通人群中的女性进行比较。方法:我们使用了1274名女性海湾战争退伍军人和海湾战争时期退伍军人的健康调查数据,这些人参与了海湾战争纵向研究,对所有三波都有反应。美国女性人口数据来自1999-2000年、2005-2006年和2011-2014年国家健康与营养检查调查(NHANES)。使用广义估计方程(GEEs)比较海湾战争和海湾时代女性退伍军人疾病随时间的报告。计算了三个调查时间点海湾战争女性退伍军人和NHANES女性人群之间的患病率差异,以及海湾战争女性退伍军人和NHANES女性人群之间的患病率差异。结果:在1990-1991年海湾战争中服役的女性退伍军人的健康状况比在同一时期服役但没有服役的女性退伍军人差。在NHANES样本中,女性退伍军人报告的高血压、中风和糖尿病患病率低于女性。据报道,女性退伍军人患关节炎、慢性阻塞性肺病和皮肤癌的比例也高于NHANES样本中的女性。结论:本研究首次描述了海湾战争时期女性和海湾时代女性退伍军人的健康状况,并将其与NHANES平民人群中的女性健康状况进行了比较。这表明了对女性退伍军人进行流行病学研究的价值,以及发展跨性别纵向队列的重要性。
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Comparison of Health Outcomes Over Time Among Women 1990–1991 Gulf War Veterans, Women 1990–1991 Gulf Era Veterans, and Women in the U.S. General Population

Introduction

The aim of this study is to examine health over almost 20 years of follow-up among women Gulf War veterans and women Gulf Era veterans and compare their health to that of women in the U.S. general population.

Methods

We used data from a health survey of 1,274 women Gulf War veteran and Gulf Era veteran participants of the Gulf War Longitudinal Study who responded to all three waves. Data on the U.S. population of women came from the 1999–2000, 2005–2006, and 2011–2014 National Health and Nutrition Examination Survey (NHANES). Generalized estimating equations (GEEs) were used to compare the report of disease over time in women Gulf War and Gulf Era veterans. Differences in prevalence at the three survey timepoints were calculated between women Gulf War veterans and the NHANES women population, and women Gulf War Era veterans and the NHANES women population.

Results

Women veterans who deployed to the 1990–1991 Gulf War report poorer health than women veterans who served during the same time but did not deploy. Women veterans reported a lower prevalence of hypertension, stroke, and diabetes than women in the NHANES sample. Women veterans also reported a higher prevalence of arthritis, chronic obstructive pulmonary disease, and skin cancer than women in the NHANES sample.

Conclusions

This study is the first to characterize the health of a population-based cohort of women Gulf War and women Gulf Era veterans over time and compare it with women's health in a civilian NHANES population. This demonstrates the value of epidemiological research on women veterans and the importance of developing longitudinal cohorts across genders.

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来源期刊
CiteScore
4.50
自引率
6.20%
发文量
97
审稿时长
32 days
期刊介绍: Women"s Health Issues (WHI) is a peer-reviewed, bimonthly, multidisciplinary journal that publishes research and review manuscripts related to women"s health care and policy. As the official journal of the Jacobs Institute of Women"s Health, it is dedicated to improving the health and health care of all women throughout the lifespan and in diverse communities. The journal seeks to inform health services researchers, health care and public health professionals, social scientists, policymakers, and others concerned with women"s health.
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