Long-term disability associated with war-related experience among Vietnam veterans: retrospective cohort study

Medical Care
Philip M ClarkeJoshua A Salomon

Abstract

Recent combat operations have involved large numbers of personnel. Long-term health effects of military deployment remain largely unknown. To examine patterns and trends in long-term disability among combat veterans and to relate disability to aspects of wartime experience. A total of 60,228 Australian military personnel deployed between 1962 and 1975 during the Vietnam War, and 82,877 military personnel who were not deployed overseas. Accepted physician-assessed disability claims were evaluated over follow-up periods up to 50 years after deployment, and compared with age-matched controls. Multivariable analysis was used to examine differences by service branch, rank, age, and deployment duration. The steepest rise in disability incidence was observed among Vietnam veterans starting in the 1990s, around 20-30 years after deployment for most veterans. After 1994, when Statements of Principles were introduced to guide evaluation of disability claims, the hazard ratio for disability incidence was 1.53 (95% confidence interval, 1.32-1.77) compared with the prior period. By January 2011, after an average follow-up of 42.5 years, 69.7% (95% confidence interval, 69.4%-70.1%) of veterans had at least 1 war-related disability. Many vete...Continue Reading

References

Jan 1, 1989·Social Science & Medicine·W Hall
May 25, 2005·International Journal of Epidemiology·Matthew Hotopf, Simon Wessely
Jun 9, 2005·Annals of Internal Medicine·Seth A EisenUNKNOWN Gulf War Study Participating Investigators
Feb 8, 2006·Archives of General Psychiatry·Judith PizarroJoAnn Prause
May 12, 2006·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Charles C EngelKen Scott
Nov 15, 2007·JAMA : the Journal of the American Medical Association·Charles S MillikenCharles W Hoge
Oct 18, 2008·Annual Review of Public Health·Barry S Levy, Victor W Sidel
Sep 30, 2009·Journal of Occupational and Environmental Medicine·Tyler C Smith, UNKNOWN Millennium Cohort Study Team
Jan 15, 2010·The New England Journal of Medicine·Alyssa J MansfieldCharles C Engel
Jul 6, 2011·Archives of Pediatrics & Adolescent Medicine·Alyssa J MansfieldBradley N Gaynes
Jul 29, 2011·American Journal of Epidemiology·Bo LiCharles C Engel

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Citations

Jun 9, 2016·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Murray WeeksMark A Zamorski
Dec 30, 2017·BMC Psychiatry·Candice OsterSharon Lawn
Sep 27, 2015·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Alexander C McFarlane
Jan 9, 2019·Social Psychiatry and Psychiatric Epidemiology·Lars Ravnborg NissenSøren Bo Andersen
May 15, 2020·Preventing Chronic Disease·Justin T McDaniel

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