Gender-based Differences among 1990–1991 Gulf War Era Veterans: Demographics, Lifestyle Behaviors, and Health Conditions
Autor: | Christina D. Williams, Marcus R. Johnson, Karen M. Goldstein, Mackenzie C. Brown, Dawn Provenzale, Elizabeth J. Gifford, Kellie J. Sims |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
Adult
Male Health (social science) Cross-sectional study Health Behavior MEDLINE Pilot Projects Gulf war Article Cohort Studies 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Maternity and Midwifery Health care Prevalence Medicine Humans 030212 general & internal medicine Sex Distribution Life Style Aged Veterans business.industry Depression Public Health Environmental and Occupational Health Obstetrics and Gynecology Odds ratio Health Status Disparities Middle Aged Confidence interval humanities United States Gulf War United States Department of Veterans Affairs Cross-Sectional Studies Cohort Female Self Report business 030217 neurology & neurosurgery Stress Psychological Cohort study Demography |
Zdroj: | Womens Health Issues |
Popis: | OBJECTIVE: The 1990–1991 Gulf War employed more women servicemembers than any prior conflict. Gender-based differences among veterans of this era have yet to be explored. This study is among the first and most recent to stratify Gulf War veteran demographics, lifestyle factors, and self-reported diagnoses by gender. METHODS: Data from the cross-sectional Gulf War Era Cohort and Biorepository pilot study (n = 1,318; collected between 2014 and 2016), including users and nonusers of the Veterans Health Administration, were used to calculate demographics and adjusted odds ratios. RESULTS: Women veterans were oversampled and comprised approximately 23% of the sample. Women reported similar rates of Veterans Health Administration use (44%) and deployment (67%) as men (46% and 72%, respectively). Women were less likely than men to report frequent alcohol use (adjusted odds ratio [aOR], 0.59; 95% confidence interval [CI], 0.43–0.81; p = .0009) or have a history of smoking (aOR, 0.65; 95% CI, 0.49–0.84; p = .0014). Among common health conditions, women were more likely than men to report a diagnosis of osteoporosis (aOR, 4.24; 95% CI, 2.39–7.51; p < .0001), bipolar disorder (aOR, 2.15; 95% CI, 1.15–4.04; p = .0167), depression (aOR, 2.39; 95% CI, 1.81–3.16; p < .0001), irritable bowel syndrome (aOR, 2.10; 95% CI, 1.43–3.09; p = .0002), migraines (aOR, 2.96; 95% CI, 2.18–4.01; p < .0001), asthma (aOR, 1.86; 95% CI, 1.29–2.67; p = .0008), and thyroid problems (aOR, 4.60; 95% CI, 3.14–6.73; p < .0001). Women were less likely than men to report hypertension (aOR, 0.55; 95% CI, 0.41–0.72; p < .0001), tinnitus (aOR, 0.46; 95% CI, 0.33–0.63; p < .0001), and diabetes (aOR, 0.44; 95% CI, 0.28–0.69; p = .0003). CONCLUSIONS: Health differences exist between female and male veterans from the 1990–1991 Gulf War. Gender-specific analyses are needed to better understand the unique health care needs of Gulf War Era veterans and direct future research. |
Databáze: | OpenAIRE |
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