百万退伍军人计划中退伍军人的军事和职业暴露调查自述:一项描述性研究。

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Joanne E Sordillo, Andrew Dey, Yuk-Lam Ho, Nicole Kosik, Kelly Harrington, Lauren Costa, Sumitra Muralidhar, Elizabeth Hauser, John Michael Gaziano, Kelly Cho, Stacey Whitbourne
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引用次数: 0

摘要

目标:我们旨在描述退伍军人事务部百万退伍军人计划(MVP)中退伍军人自我报告的军事和职业暴露特征,包括橙剂、化学/生物战剂、溶剂、燃料、杀虫剂、金属和烧伤坑:MVP 是一个正在进行中的纵向队列和大型生物库,包含 100 多万美国退伍军人。超过 50 万名 MVP 参与者在基线调查中报告了军事接触情况,超过 30 万名参与者在生活方式调查中报告了职业接触情况。我们按服役年代、具体部署行动(1990-1991 年海湾战争、持久自由行动/伊拉克自由行动 (OEF/OIF))、战区服役和职业类别确定了选定的自我报告职业暴露频率。我们还探讨了不同性别和种族的自我报告接触情况的差异:结果:报告接触过橙剂的主要是越战时期的退伍军人。与非战斗部署者和未部署者相比,部署到战区的海湾战争和 OEF/OIF 退伍军人更有可能报告接触过焚烧坑、化学/生物武器、炭疽疫苗接种和摄入吡啶斯的明溴化物药片。与战斗有关的职业类别(步兵、战斗工兵和直升机驾驶员)自我报告的暴露比例往往最高,而与医疗保健有关的职业类别(牙医、医生和职业治疗师)报告的暴露次数往往要少得多。自我报告的暴露情况也因种族和性别而异:我们的研究结果表明,在 MVP 中,自我报告的暴露分布因服役年代、人口统计、部署、战斗经历和军事职业而异。总体而言,研究结果的模式与之前针对美国退伍军人的人群研究结果一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Military and occupational exposures among Veterans in the Million Veteran Program by survey self-report: a descriptive study.

Objective: We aimed to characterise self-reported military and occupational exposures including Agent Orange, chemical/biological warfare agents, solvents, fuels, pesticides, metals and burn pits among Veterans in the Department of Veterans Affairs Million Veteran Program (MVP).

Methods: MVP is an ongoing longitudinal cohort and mega-biobank of over one million US Veterans. Over 500 000 MVP participants reported military exposures on the baseline survey, and over 300 000 reported occupational exposures on the lifestyle survey. We determined frequencies of selected self-reported occupational exposures by service era, specific deployment operation (1990-1991 Gulf War, Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF)), service in a combat zone and occupational categories. We also explored differences in self-reported exposures by sex and race.

Results: Agent Orange exposure was mainly reported by Vietnam-era Veterans. Gulf War and OEF/OIF Veterans deployed to a combat zone were more likely to report exposures to burn pits, chemical/biological weapons, anthrax vaccination and pyridostigmine bromide pill intake as compared with non-combat deployers and those not deployed. Occupational categories related to combat (infantry, combat engineer and helicopter pilot) often had the highest percentages of self-reported exposures, whereas those in healthcare-related occupations (dentists, physicians and occupational therapists) tended to report exposures much less often. Self-reported exposures also varied by race and sex.

Conclusions: Our results demonstrate that the distribution of self-reported exposures varied by service era, demographics, deployment, combat experience and military occupation in MVP. Overall, the pattern of findings was consistent with previous population-based studies of US military Veterans.

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来源期刊
Occupational and Environmental Medicine
Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.30
自引率
2.00%
发文量
98
审稿时长
2 months
期刊介绍: Occupational and Environmental Medicine is an international peer reviewed journal covering current developments in occupational and environmental health worldwide. Occupational and Environmental Medicine publishes high-quality research relating to the full range of chemical, physical, ergonomic, biological and psychosocial hazards in the workplace and to environmental contaminants and their health effects. The journal welcomes research aimed at improving the evidence-based practice of occupational and environmental research; including the development and application of novel biological and statistical techniques in addition to evaluation of interventions in controlling occupational and environmental risks.
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