イギリスの湾岸戦争の退役軍人の死亡率
G J Macfarlane1, E Thomas, N Cherry
1Unit of Chronic Disease Epidemiology, School of Epidemiology and Health Sciences, University of Manchester, UK. G.Macfarlane@man.ac.uk
Lancet (London, England)
|July 13, 2000
まとめ
湾岸戦争の退役軍人は,派遣されていない人材と比較して死亡率が非常に小さく,統計的に有意ではない増加を経験しました. 過剰な死亡は,主に病気ではなく事故によるもので,他の退役軍人のグループで見られるパターンと一致しています.
科学分野:
- 軍事医学は軍事医学でした.
- エピデミオロジー エピデミオロジー
- 公衆衛生は公衆衛生である.
背景:
- 湾岸戦争の退役軍人は,配備されていない人材と比較して,現在の健康状態の悪い割合が高いと報告しています.
- 湾岸戦争の退役軍人の潜在的に高い死亡率について懸念があります.
研究 の 目的:
- イギリスの湾岸戦争の退役軍人の死亡率を調査する.
- 配備された軍人と配備されていない軍人の間の死亡リスクを比較するために.
主な方法:
- イギリスの53,462人の湾岸戦争の退役軍人 (湾岸コホート) の遡及的なコホート研究.
- 配備されていないスタッフのマッチングされた比較コホート (Eraコホート).
- 1991年4月1日から1999年3月31日まで,国家統計局のデータを用いて追跡調査.
主要な成果:
- 合計395人の死亡が湾岸コホートと378人の死亡がエラコホートで記録された (MRR 1.05,95%CI 0.91-1.21).
- 外部原因 (事故) による死亡率が高かったのは,湾岸コーホート (MRR 1.18 [0.98-1.42]) であった.
- 湾岸コホートでは,疾患関連の原因による死亡率が低いことが観察されました (MRR 0.87 [0.67-1.11]).
結論:
- 紛争後8年,湾岸戦争の退役軍人は,統計的に有意ではない非常に小さな過剰死亡率を示しました.
- 過剰な死亡率は主に病気ではなく事故に関連していた.
- このパターンは,米国の湾岸戦争の退役軍人や他の紛争の退役軍人の調査結果と一致しています.
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