War across the life course: examining the impact of exposure to conflict on a comprehensive inventory of health measures in an aging Vietnamese population.
War across the life course: examining the impact of exposure to conflict on a comprehensive inventory of health measures in an aging Vietnamese population.
复制标题
生命历程中的战争：研究冲突对老龄化越南人口健康措施综合清单的影响。
DOI：
10.1093/ije/dyaa247
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发表时间：
2021
影响因子：
7.7
通讯作者：
Toan,TranKhanh
中科院分区：
文献类型：
--
作者：
Zimmer,Zachary;Fraser,Kathryn;Korinek,Kim;Akbulut-Yuksel,Mevlude;Young,YvetteMarie;Toan,TranKhanh
背景大多数证据表明，战争和其他创伤事件的暴露继续对整个生命过程中的健康产生负面影响。然而，关于战争暴露对健康影响的现有研究主要集中在高收入国家被派往其他地方参加战斗的退伍军人的短期影响。然而，大多数战争都发生在中低收入国家，那里的许多人现在或即将步入老年。因此，目前的负担，暴露于战争中忽视了一个重要的全球population.MethodsThe越南健康与老龄化研究（VHAS）是一个纵向研究，旨在研究历史暴露于高度紧张的事件在美国战争期间。2018年5月至8月期间，在越南北方进行了两种数据收集模式，涉及2447名60岁以上的人。使用这第一波数据，我们产生了战争暴露的指数化措施，并分析了它们与一组12个健康结果的关联，考虑了混杂变量。（死亡和受伤，紧张的生活条件，害怕死亡和/或受伤）在早期生活中与晚年的健康状况恶化有关，在大量的健康结果中，如诊断的健康状况，精神痛苦，躯体症状，身体功能，创伤后应激反应症状和慢性pain.ConclusionsFindings支持健康的生命历程理论，并指出战争对健康的长期影响，需要详细的关注。
BackgroundThe majority of evidence indicates that exposure to war and other traumatic events continue to have negative impacts on health across the life course. However, existing research on health effects of war exposure primarily concentrates on short-term impacts among veterans in high-income countries sent elsewhere to battle. Yet, most wars situate in lower- and middle-income countries, where many are now or will soon be entering old age. Consequently, the current burden of exposure to war has ignored an important global population.MethodsThe Vietnam Health and Aging Study (VHAS) is a longitudinal study designed to examine historical exposure to highly stressful events during the American War. Two modes of data collection, involving a sample of 2447 individuals aged 60+ years in northern Vietnam, took place between May and August 2018. Using this first wave of data, we generate indexed measures of war exposure and analyze their associations with a set of 12 health outcomes, accounting for confounding variables.ResultsResults indicate that greater exposure to three types of war exposure (death and injury, stressful living conditions, and fearing death and/or injury) in earlier life is associated with worse health in later-life across a large number of health outcomes, such as number of diagnosed health conditions, mental distress, somatic symptoms, physical functioning, post-traumatic stress symptoms and chronic pain.ConclusionsFindings support a life course theory of health and point to long-term effects of war on health that require detailed attention.