Factors associated with civilian mortality in Australian Vietnam veterans three decades after the war.

A prospective cohort study of a random sample of 1,000 Australian Army Vietnam veterans analyzed risk factors for postwar mortality using information from Army records and personal interview assessments of physical and mental health measured approximately 15 years earlier. This enabled examination o...

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Publicado en:Military Medicine Vol. 175; no. 2; pp. 88 - 96
Autores principales: O'Toole BI, Catts SV, Outram S, Pierse KR, Cockburn J, O'Toole, Brian I, Catts, Stanley V, Outram, Sue, Pierse, Katherine R, Cockburn, Jill
Formato: research Journal Article
Publicado: Oxford University Press / USA Feb2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Factors associated with civilian mortality in Australian Vietnam veterans three decades after the war.
      aug:
        au:
          O'Toole BI
          Catts SV
          Outram S
          Pierse KR
          Cockburn J
          O'Toole, Brian I
          Catts, Stanley V
          Outram, Sue
          Pierse, Katherine R
          Cockburn, Jill
        affil: University of Sydney ANZAC Research Institute, RGH Concord Hospital Road, Concord, NSW 2039, Australia
      sug:
        subj:
          Military Personnel Statistics and Numerical Data
          Mortality History
          Stress Disorders, Post-Traumatic Mortality
          Veterans Statistics and Numerical Data
          War
          Adaptation, Psychological
          Aged
          Aged, 80 and Over
          Australia
          Confidence Intervals
          Health Status
          History
          Human
          Logistic Regression
          Male
          Mental Health
          Middle Age
          Psychiatry
          Mortality Trends
          Multivariate Analysis
          Cox Proportional Hazards Model
          Prospective Studies
          Psychometrics
          Risk Factors
          Stress Disorders, Post-Traumatic Epidemiology
          Stress, Psychological
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Male
      ab: A prospective cohort study of a random sample of 1,000 Australian Army Vietnam veterans analyzed risk factors for postwar mortality using information from Army records and personal interview assessments of physical and mental health measured approximately 15 years earlier. This enabled examination of the role of combat, military service, and psychiatric status including post-traumatic stress disorder (PTSD) on postwar civilian mortality. Factors predicting mortality were identified using multivariate statistical methods including logistic and Cox regression. Mortality was associated principally with age, enlistment route (regular vs. national service conscripts), and conduct while in service in the whole cohort. Additional analysis using interview data revealed that mortality was predicted by age, smoking status, chronic diabetes, bronchitis and blood diseases, and treatment for cancer and heart disease. Psychiatric status including PTSD diagnosis was not associated with mortality. Veterans' mortality risk may be reduced by attention to smoking and alcohol both in-service and postservice.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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