Health-related quality of life in Gulf War era military personnel

Margaret D. Voelker, Kenneth G. Saag, David A. Schwartz, Elizabeth Chrischilles, William R. Clarke, Robert F. Woolson, Bradley Doebbeling

Research output: Contribution to journalArticle

58 Citations (Scopus)

Abstract

The Gulf War's impact on veterans' health-related quality of life (HRQL) remains unclear. The authors examined the HRQL War Theater compared with those not deployed. In 1995-1996, a structured, population-based telephone survey was conducted 5 years postconflict among a cohort originally from Iowa on active duty during the conflict. The sample included 4,886 eligible subjects stratified by deployment and military status and proportionately distributed within five substrata. The Medical Outcome Study Short Form-36 (SF-36) assessed HRQL, and multivariable linear regression identified pre- and perideployment risk factors. A total of 3,695 respondents (76%) participated. Nondeployed participants reported excellent health more often than deployed participants (31% vs. 21%, p <0.01). SF-36 scores for deployed participants were poorer than those for nondeployed controls across all health domains. Modifiable factors such as smoking and military preparedness, and other factors such as predeployment physical and mental health morbidity, were independent risk factors for poorer HRQL after deployment. Deployed veterans reported slightly poorer HRQL even after the authors adjusted for other risk factors. Further investigation of factors influencing postdeployment HRQL is needed. Routine collection of health information by using standardized instruments pre- and perideployment should be implemented.

Original languageEnglish (US)
Pages (from-to)899-907
Number of pages9
JournalAmerican Journal of Epidemiology
Volume155
Issue number10
DOIs
StatePublished - May 15 2002
Externally publishedYes

Fingerprint

Gulf War
Military Personnel
Quality of Life
Health
Veterans Health
Veterans
Telephone
Linear Models
Mental Health
Smoking
Outcome Assessment (Health Care)
Morbidity
Population

Keywords

  • Health status
  • Health surveys
  • Military personnel
  • Models, statistical
  • Persian Gulf syndrome
  • Quality of life
  • Risk factors

ASJC Scopus subject areas

  • Epidemiology

Cite this

Voelker, M. D., Saag, K. G., Schwartz, D. A., Chrischilles, E., Clarke, W. R., Woolson, R. F., & Doebbeling, B. (2002). Health-related quality of life in Gulf War era military personnel. American Journal of Epidemiology, 155(10), 899-907. https://doi.org/10.1093/aje/155.10.899

Health-related quality of life in Gulf War era military personnel. / Voelker, Margaret D.; Saag, Kenneth G.; Schwartz, David A.; Chrischilles, Elizabeth; Clarke, William R.; Woolson, Robert F.; Doebbeling, Bradley.

In: American Journal of Epidemiology, Vol. 155, No. 10, 15.05.2002, p. 899-907.

Research output: Contribution to journalArticle

Voelker, MD, Saag, KG, Schwartz, DA, Chrischilles, E, Clarke, WR, Woolson, RF & Doebbeling, B 2002, 'Health-related quality of life in Gulf War era military personnel', American Journal of Epidemiology, vol. 155, no. 10, pp. 899-907. https://doi.org/10.1093/aje/155.10.899
Voelker MD, Saag KG, Schwartz DA, Chrischilles E, Clarke WR, Woolson RF et al. Health-related quality of life in Gulf War era military personnel. American Journal of Epidemiology. 2002 May 15;155(10):899-907. https://doi.org/10.1093/aje/155.10.899
Voelker, Margaret D. ; Saag, Kenneth G. ; Schwartz, David A. ; Chrischilles, Elizabeth ; Clarke, William R. ; Woolson, Robert F. ; Doebbeling, Bradley. / Health-related quality of life in Gulf War era military personnel. In: American Journal of Epidemiology. 2002 ; Vol. 155, No. 10. pp. 899-907.
@article{455c97e5cace4f7bafd9f73f9e3866ff,
title = "Health-related quality of life in Gulf War era military personnel",
abstract = "The Gulf War's impact on veterans' health-related quality of life (HRQL) remains unclear. The authors examined the HRQL War Theater compared with those not deployed. In 1995-1996, a structured, population-based telephone survey was conducted 5 years postconflict among a cohort originally from Iowa on active duty during the conflict. The sample included 4,886 eligible subjects stratified by deployment and military status and proportionately distributed within five substrata. The Medical Outcome Study Short Form-36 (SF-36) assessed HRQL, and multivariable linear regression identified pre- and perideployment risk factors. A total of 3,695 respondents (76{\%}) participated. Nondeployed participants reported excellent health more often than deployed participants (31{\%} vs. 21{\%}, p <0.01). SF-36 scores for deployed participants were poorer than those for nondeployed controls across all health domains. Modifiable factors such as smoking and military preparedness, and other factors such as predeployment physical and mental health morbidity, were independent risk factors for poorer HRQL after deployment. Deployed veterans reported slightly poorer HRQL even after the authors adjusted for other risk factors. Further investigation of factors influencing postdeployment HRQL is needed. Routine collection of health information by using standardized instruments pre- and perideployment should be implemented.",
keywords = "Health status, Health surveys, Military personnel, Models, statistical, Persian Gulf syndrome, Quality of life, Risk factors",
author = "Voelker, {Margaret D.} and Saag, {Kenneth G.} and Schwartz, {David A.} and Elizabeth Chrischilles and Clarke, {William R.} and Woolson, {Robert F.} and Bradley Doebbeling",
year = "2002",
month = "5",
day = "15",
doi = "10.1093/aje/155.10.899",
language = "English (US)",
volume = "155",
pages = "899--907",
journal = "American Journal of Epidemiology",
issn = "0002-9262",
publisher = "Oxford University Press",
number = "10",

}

TY - JOUR

T1 - Health-related quality of life in Gulf War era military personnel

AU - Voelker, Margaret D.

AU - Saag, Kenneth G.

AU - Schwartz, David A.

AU - Chrischilles, Elizabeth

AU - Clarke, William R.

AU - Woolson, Robert F.

AU - Doebbeling, Bradley

PY - 2002/5/15

Y1 - 2002/5/15

N2 - The Gulf War's impact on veterans' health-related quality of life (HRQL) remains unclear. The authors examined the HRQL War Theater compared with those not deployed. In 1995-1996, a structured, population-based telephone survey was conducted 5 years postconflict among a cohort originally from Iowa on active duty during the conflict. The sample included 4,886 eligible subjects stratified by deployment and military status and proportionately distributed within five substrata. The Medical Outcome Study Short Form-36 (SF-36) assessed HRQL, and multivariable linear regression identified pre- and perideployment risk factors. A total of 3,695 respondents (76%) participated. Nondeployed participants reported excellent health more often than deployed participants (31% vs. 21%, p <0.01). SF-36 scores for deployed participants were poorer than those for nondeployed controls across all health domains. Modifiable factors such as smoking and military preparedness, and other factors such as predeployment physical and mental health morbidity, were independent risk factors for poorer HRQL after deployment. Deployed veterans reported slightly poorer HRQL even after the authors adjusted for other risk factors. Further investigation of factors influencing postdeployment HRQL is needed. Routine collection of health information by using standardized instruments pre- and perideployment should be implemented.

AB - The Gulf War's impact on veterans' health-related quality of life (HRQL) remains unclear. The authors examined the HRQL War Theater compared with those not deployed. In 1995-1996, a structured, population-based telephone survey was conducted 5 years postconflict among a cohort originally from Iowa on active duty during the conflict. The sample included 4,886 eligible subjects stratified by deployment and military status and proportionately distributed within five substrata. The Medical Outcome Study Short Form-36 (SF-36) assessed HRQL, and multivariable linear regression identified pre- and perideployment risk factors. A total of 3,695 respondents (76%) participated. Nondeployed participants reported excellent health more often than deployed participants (31% vs. 21%, p <0.01). SF-36 scores for deployed participants were poorer than those for nondeployed controls across all health domains. Modifiable factors such as smoking and military preparedness, and other factors such as predeployment physical and mental health morbidity, were independent risk factors for poorer HRQL after deployment. Deployed veterans reported slightly poorer HRQL even after the authors adjusted for other risk factors. Further investigation of factors influencing postdeployment HRQL is needed. Routine collection of health information by using standardized instruments pre- and perideployment should be implemented.

KW - Health status

KW - Health surveys

KW - Military personnel

KW - Models, statistical

KW - Persian Gulf syndrome

KW - Quality of life

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=0037093022&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037093022&partnerID=8YFLogxK

U2 - 10.1093/aje/155.10.899

DO - 10.1093/aje/155.10.899

M3 - Article

C2 - 11994229

AN - SCOPUS:0037093022

VL - 155

SP - 899

EP - 907

JO - American Journal of Epidemiology

JF - American Journal of Epidemiology

SN - 0002-9262

IS - 10

ER -