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首页> 外文期刊>Occupational and environmental medicine >Health and exposures of United Kingdom Gulf war veterans. Part I: The pattern and extent of ill health.
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Health and exposures of United Kingdom Gulf war veterans. Part I: The pattern and extent of ill health.

机译：英国海湾退伍军人的健康状况和接触情况。第一部分：疾病的模式和程度。

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OBJECTIVES: To assess the health of United Kingdom Gulf war veterans, to compare their health to that of similar personnel not deployed, to describe patterns of ill health in both groups, and to estimate their extent. METHODS: Main Gulf (n=4795) and validation Gulf (n=4793) cohorts were randomly selected within strata from the population deployed to the Gulf and a non-Gulf cohort (n=4790) from those who were not sent. Seven years after the war subjects completed a questionnaire about their health in the past month, including 95 symptom questions and two manikins on which to shade areas of pain or numbness and tingling. Responses were subjected to a principal component analysis with rotation and to a cluster analysis within each cohort. Mean symptom score was used as a measure of severity. Areas shaded on the manikins were coded to indicate widespread pain and possible toxic neuropathy. RESULTS: A response of 85.5% was achieved. Those who had been to the Gulf were more troubled by every symptom with a mean severity score (3.0) substantially greater than in the non-Gulf cohort (1.7). Seven factors were extracted accounting for 48% of the variance. The scores on five factors (labelled psychological, peripheral, respiratory, gastrointestinal, and concentration) were significantly worse in those who had been to the Gulf. Symptoms suggestive of peripheral neuropathy were found more often (12.5%) in the Gulf than the non-Gulf (6.8%) cohorts. Widespread pain was also found more often (12.2% Gulf; 6.5% non-Gulf). Those who had been to the Gulf were found disproportionately (23.8%) in three clusters with high mean severity scores; only 9.8% of non-Gulf respondents were in these clusters. There was no evidence of an important excess in the use of alcohol, tobacco, or referral to hospital specialists by those who had been to the Gulf. For the same level of reported ill health those who had been to the Gulf were less likely to be referred to specialists than non-Gulf veterans. CONCLUSION: 7 Years after the war, the Gulf war veterans were more troubled about their health than those who had not been sent, with a substantial subgroup reporting a pattern of symptoms suggestive of a significant decline in health.
机译：目的：评估联合王国海湾退伍军人的健康状况，将其健康状况与未部署的类似人员的健康状况进行比较，描述两组人群的健康状况，并评估其程度。方法：从部署到海湾地区的人群中随机选择主要海湾地区（n = 4795）和验证海湾地区（n = 4793）队列，并从未派遣人群中随机选择非海湾地区队列（n = 4790）。战争结束七年后，受试者在上个月完成了有关其健康状况的调查表，其中包括95个症状问题和两个人体模型，以遮盖疼痛或麻木和刺痛感。对响应进行轮换主成分分析，并在每个队列中进行聚类分析。平均症状评分被用作严重程度的量度。人体模型上阴影区域的编码表示广泛的疼痛和可能的毒性神经病。结果：达到85.5％的响应。那些曾经到过海湾地区的人，每一种症状的平均严重程度得分（3.0）都比非海湾地区的人群（1.7）大得多。提取了七个因素，占方差的48％。在去过海湾的人中，五个因素（标记为心理，外周，呼吸，胃肠道和注意力）的得分明显较差。在海湾地区，提示周围神经病变的症状比非海湾地区（6.8％）人群更为常见。还发现更广泛的疼痛（海湾地区为12.2％;非海湾地区为6.5％）。那些去过墨西哥湾的人在平均严重程度得分高的三个聚类中不成比例地（23.8％）被发现。非海湾地区受访者中只有9.8％处于这些群体中。没有证据表明去过海湾的人大量使用酒精，烟草或转介医院专家。对于相同水平的生病报告，去过海湾的人比非海湾退伍军人更不容易被推荐到专家那里。结论：战争爆发7年后，海湾战争退伍军人比没有被遣散的退伍军人的健康问题更为困扰，大量亚组报告说有某种症状表明健康状况大大下降。

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