Risk of selected cardiovascular diseases and posttraumatic stress disorder among former World War II prisoners of war
Risk of selected cardiovascular diseases and posttraumatic stress disorder among former World War II prisoners of war
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DOI：
10.1016/j.annepidem.2005.03.004
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发表时间：
2006-05-01
影响因子：
5.6
通讯作者：
Taylor, Judith W.
中科院分区：
文献类型：
--
作者：
Kang, Han K.;Bullman, Tim A.;Taylor, Judith W.
目的：美国二战战俘（POWs）在被拘留期间遭受精神和身体上的剥夺。长期的健康后果的拘留进行了研究，心血管疾病和创伤后应激障碍（PTSD）的风险增加。方法：本研究评估了10年（1991-2000年）的医疗保健利用数据从退伍军人事务部（VA）和非VA医疗保健提供者为19,442前二战战俘和9728非战俘控制。疾病的风险近似的比值比调整种族和age.RESULTS：总的来说，前战俘有统计学显着增加的风险PTSD，和那些POWs与PTSD也有统计学显着增加的风险心血管疾病，包括高血压和慢性缺血性心脏病相比，无论是非POWs和POWs没有PTSD。在前二战战俘中，心血管疾病的风险与PTSD有关。
PURPOSE: American World War II (WWII) prisoners of war (POWs) suffered both mental and physical deprivation while interned. The long-term health consequences of the internment were studied for an increased risk of cardiovascular diseases and posttraumatic stress disorder (PTSD).METHODS: This study evaluated healthcare utilization data for 10 years (1991-2000) from Veterans Affairs (VA) and non-VA healthcare providers for 19,442 former WWII POWs and 9728 non-POW controls. The risk of diseases was approximated by odds ratios adjusted for race and age.RESULTS: Collectively, former POWs had statistically significant increased risk of PTSD, and those POWs with PTSD also had statistically significant increased risks of cardiovascular diseases including hypertension and chronic ischemic heart disease when compared to both non-POWs and POWs without PTSD.CONCLUSIONS: Among former WWII POWs, risk of cardiovascular disease is related to having PTSD.