Is Experience as a Prisoner of War a Risk Factor for Accelerated Age-Related Illness and Disability?
| Autor: | H. Creasey, M R Sulway, Anthony F. Jorm, Owen F. Dent, Gerald A. Broe, C Tennant |
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| Rok vydání: | 1999 |
| Předmět: |
Male
Warfare medicine.medical_specialty Activities of daily living Health Status Physical examination Risk Factors Surveys and Questionnaires Activities of Daily Living Prevalence medicine Humans Dementia Disabled Persons Prospective Studies Risk factor Psychiatry Prospective cohort study Geriatric Assessment Depression (differential diagnoses) Aged Retrospective Studies Veterans medicine.diagnostic_test business.industry Prisoners Retrospective cohort study medicine.disease Chronic Disease New South Wales Geriatrics and Gerontology business Cohort study |
| Zdroj: | Journal of the American Geriatrics Society. 47:60-64 |
| ISSN: | 0002-8614 |
| DOI: | 10.1111/j.1532-5415.1999.tb01901.x |
| Popis: | OBJECTIVE: To determine whether the experience of internment as a Prisoner of War (POW) during World War II was associated with a higher prevalence of chronic disease and diminished functional performance in later life. DESIGN: A retrospective and prospective cohort design. SETTING: Concord Repatriation General Hospital, Sydney, Australia. PARTICIPANTS: A random sample of 101 Australian, male, ex-prisoners of the Japanese and a comparison group of 107 non-POW combatants from the same theatre of war. MEASUREMENTS: Outcome variables were self-perceived health status, hospital admissions and length of stay, number of prescription medications used, number of somatic symptoms reported, number and types of medical diagnoses, a neurology of aging clinical examination, and the Instrumental Activities of Daily Living (IADL) and Physical Self Maintenance Scales (PSMS). RESULTS: Prisoners of War reported more somatic symptoms (mean 7.2 vs 5.4, P = .002) than non-POWs, had more diagnoses (mean 9.4 vs 7.7 P < .001), and used a greater number of different medications (mean 4.5 vs 3.4, P = .001). There were no differences in hospital admissions or length of stay. Among 15 broad categories of diagnosis, differences were confined to gastrointestinal disorders (POWs 63% vs non-POWs 49%, P = .032), musculoskeletal disorders (POWs 76% vs non-POWs 60%, P = .011), and cognitive disorders (excluding head injury, dementia, and stroke) (POWs 31% vs non-POWs 15%, P = .006). Of the 36 signs in the neurology of aging examination, POWs had a significantly higher proportion of seven extrapyramidal signs and six signs relating to ataxia. POWs were more likely to be impaired on the IADL scale than were non-POWs (33% vs 17%, P = .012) but not significantly more likely to be impaired on the PSMS. CONCLUSIONS: There were few differences between POWs and controls, and those differences were relatively small. Our findings do not support a major role for a catastrophic life stress in the development of chronic illness and disability in later life. However it is possible that the POW experience played a part in premature, abnormal, or unsuccessful aging in some individuals. |
| Databáze: | OpenAIRE |
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