Health Status of Female and Male Gulf War and Gulf Era Veterans: A Population-Based Study

Dursa, Erin K.; Barth, Shannon K.; Porter, Ben; Schneiderman, Aaron

doi:10.1016/j.whi.2019.04.003

Cited by 30 publications

(30 citation statements)

References 46 publications

(47 reference statements)

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“…Women from this cohort will be resurveyed as part of the GWWC. The Ft. Devens cohort was one of the first studies to report a 1.8 times higher risk of GWI in women veterans [9].…”

Section: Methodsmentioning

confidence: 99%

“…Among the nearly 700,000 military personnel who served in the 1991 Gulf War, almost 7% (49,000) were women [7,8]. Military service and deployment affect women differently than men, underscoring the need for studies of the health of women veterans and their receipt of health care services across their lifespan [7,9]. Although in nearly three decades since the war, some studies have investigated the rates of GWI in female vs. male GW veterans, with results suggesting that GWI is more common in women GW veterans than their male counterparts [10,11], few studies have evaluated GWI and other medical conditions specifically as they affect women veterans of the 1991 Gulf War.…”

Section: Introductionmentioning

confidence: 99%

“…Studies that have investigated the mental health of veterans revealed that the proportions of females with major depressive disorder, post-traumatic stress disorder, and anxiety disorder were higher among Gulf War veterans (35%, 23.7% and 17.1% respectively), compared to Gulf War era veterans (27.1%, 12.3% and 17.0% respectively) [9,19].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Gulf War Women’s Health Cohort: Study Design and Protocol

Ansa

Sullivan

Krengel

et al. 2020

IJERPH

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Military service and deployment affect women differently than men, underscoring the need for studies of the health of women veterans and their receipt of health care services. Despite the large numbers of women who served during the 1990–1991 Gulf War, few studies have evaluated Gulf War illness (GWI) and other medical conditions specifically as they affect women veterans of the 1991 Gulf War. The objectives of the Gulf War Women’s Health Cohort study are: (1) to establish the Gulf War women’s cohort (GWWC), a large sample of women veterans who served in the 1990–1991 Gulf War and a comparison group of women who served in other locations during that period; and (2) to provide current, comprehensive data on the health status of women who served during the 1990–1991 Gulf War, and identify any specific conditions that affect Gulf War women veterans at excess rates. The study will utilize both existing datasets and newly collected data to examine the prevalence and patterns of Gulf War Illness symptoms, diagnosed medical conditions, reproductive health, birth outcomes and other health issues among women who served during the Gulf War. The Gulf War Women’s Health Cohort study will address the need for information about the comprehensive health of women veterans who were deployed to the Gulf War, and other wars during the Gulf War era.

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“…Women from this cohort will be resurveyed as part of the GWWC. The Ft. Devens cohort was one of the first studies to report a 1.8 times higher risk of GWI in women veterans [9].…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Gulf War Women’s Health Cohort: Study Design and Protocol

Ansa

Sullivan

Krengel

et al. 2020

IJERPH

View full text Add to dashboard Cite

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“…In a similar prevalence study amongst veterans returning to predominantly low-income minority New York city neighbourhoods, misuse of alcohol, prescription drugs or recreational drugs was found to be significantly greater than in the general population at 28%, 18%, and 32%, respectively [4]. An increased prevalence of noncommunicable diseases (NCDs) amongst victims of war injuries is also well-recognised [5]. These residual issues, attributable to the direct or indirect consequences of the conflict, have a serious impact on quality of life, criminal behaviour, social cohesiveness, productivity and wellbeing.…”

Section: Introductionmentioning

confidence: 94%

A Cross-Sectional Study of Prevalence and Spatial Patterns of Major Limb Loss in the Acholi Sub-Region of Uganda

Atim

Loum

Okello

et al. 2020

Preprint

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Background: Awareness of residual disabilities amongst people living in countries recovering from prolonged armed conflicts and their socio-economic consequences is increasing. Robust data on the prevalence of such disabilities are important for planning cost effective health services. This study outlines the first community-based prevalence study of Major Limb Loss (MLL) in the Acholi sub region of Northern Uganda. The generic lessons learnt are relevant to many other postconflict societies in Asia and Africa. Methods:A cross sectional survey using random cluster sampling was conducted across 8,000 households in eight districts, of which 7,864 were suitable for analysis. The households were sampled randomly using a high-resolution population model generated using a combination of census data and artificial intelligence. Data were collected using semi-structured questionnaires administered by trained staff, and results were statistically analysed to identify patterns.Results: Data obtained from 7,864 households demonstrated that 47.9% (3,763) of households contained people with disabilities, and 3.0%, (237) of households contained people living with MLL. Of those exhibiting disabilities, the most common types were physical disabilities affecting mobility and other conditions limiting vision or hearing. Our analysis suggests that MLL sufferers are disproportionately male, older and less well educated than the general population. Using the identified prevalence rate of MLL (0.6%) and an estimated population value for the Acholi Sub-Region of 1.9 million, we estimate that there are approximately 11,400 MLL sufferers in the region who require long-term rehabilitation services.Conclusions: This is the first large scale study on the prevalence of MLL following the Ugandan civil war -known for extreme forms of violence, cruelty and mutilation. Our study demonstrates the magnitude of the problem still faced by the affected people, almost 15 years after the end of large scale combat, and the relative paucity of rehabilitation services to meet their needs. Suitable alternative health policy frameworks are required to address these relatively invisible needs.

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“…Although a significant body of work has examined general health conditions and symptomatology prominent in the Gulf War Era population, few have examined these health issues by gender. Articles by Dursa et al (2019) and Brown et al (2019) fill this gap by exploring current health, health behaviors, and symptoms among aging Gulf War Era veterans, both VA users and nonusers. These articles represent two distinct cohorts: one is a follow-up survey of a cohort originally established in 1995 and the other is a newly developed biorepository cohort created between 2014 and 2016.…”

Section: Cohort Studiesmentioning

confidence: 99%