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May 13, 1988, Vol 259, No. 18 >
ARTICLE | May 13, 1988

Health Status of Vietnam Veterans: Title and subTitle BreakI. Psychosocial Characteristics FREE

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JAMA. 1988;259(18):2701-2707. doi:10.1001/jama.1988.03720180027028
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The Vietnam Experience Study was a multidimensional assessment of the health of Vietnam veterans. From a random sample of enlisted men who entered the US Army from 1965 to 1971,7924 Vietnam and 7364 non-Vietnam veterans participated in a telephone interview; a random subsample of 2490 Vietnam and 1972 non-Vietnam veterans also underwent a comprehensive health examination, including a psychological evaluation. At the time of the study, the two groups of veterans were similar in terms of level of education, employment, income, marital status, and satisfaction with personal relationships. Certain psychological problems, however, were significantly more prevalent among Vietnam veterans than among non-Vietnam veterans. These included depression (4.5% of Vietnam veterans vs 2.3% of non-Vietnam veterans), anxiety (4.9% vs 3.2%), and alcohol abuse or dependence (13.7% vs 9.2%). About 15% of Vietnam veterans experienced combat-related posttraumatic stress disorder at some time during or after military service, and 2.2% had the disorder during the month before the examination.

(JAMA 1988;259:2701-2707)

REFERENCES

1 +
Boyle CA, Decoufle P, Delaney RJ, et al: Postservice Mortality Among Vietnam Veterans . Atlanta, Centers for Disease Control, 1987;.
2 +
Centers for Disease Control Vietnam Experience Study:  Postservice mortality among Vietnam veterans. JAMA 1987;;257:790-795.
3 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: I. Synopsis . Atlanta, Centers for Disease Control, in press.
4 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: II. Telephone Interview . Atlanta, Centers for Disease Control, in press.
5 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: III. Medical Examination . Atlanta, Centers for Disease Control, in press.
6 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: IV. Psychological and Neuropsychological Evaluation . Atlanta, Centers for Disease Control, in press.
7 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: V. Reproductive Outcomes and Child Health . Atlanta, Centers for Disease Control, in press.
8 +
Centers for Disease Control Vietnam Experience Study:  Health status of Vietnam veterans: II. Physical health. JAMA 1988;;259:2708-2714.
9 +
Centers for Disease Control Vietnam Experience Study:  Health status of Vietnam veterans: III. Reproductive outcomes and child health. JAMA 1988;;259:2715-2719.
10 +
Robins LN, Helzer JE, Cottler LB, et al: The Diagnostic Interview Schedule, Version III-A, Training Manual . St Louis, Veterans Administration, 1987;.
11 +
Diagnostic and Statistical Manual , ed 3. Washington, DC, American Psychiatric Association, 1980;.
12 +
Dahlstrom WG, Welsh GS, Dahlstrom LE: An MMPI Handbook: Clinical Interpretation, revised edition . Minneapolis, University of Minnesota Press, 1972;, vol 1.
13 +
Engelman L:  Stepwise logistic regression , in Dixon WJ, Brown MB, Engelman L, et al (eds): BMDP Statistical Software . Berkeley, University of California Press, 1983;, pp 330-344.
14 +
Wilcosky TC, Chambles LE:  A comparison of direct adjustment and regression adjustment of epidemiologic measures. J Chronic Dis 1985;;38:849-856.
15 +
Flanders WD, Rhodes PH:  Large sample confidence limits for regression standardized risks, risk ratios, and risk differences. J Chronic Dis 1987;;40:697-704.
16 +
Egendorf A, Kadushin C, Laufer RS, et al: Legacies of Vietnam: Comparative Adjustment of Veterans and Their Peers , publication V101. Washington, DC, Center for Policy Research Inc, 1981;, pp 134-630.
17 +
Helzer JE, Robins LN, Wish E, et al:  Depression in Vietnam veterans and civilian controls. Am J Psychiatry 1979;;136:526-529.
18 +
Blank AS:  Stresses of war: The example of Vietnam , in Goldberg L, Breznitz S (eds): Handbook of Stress: Theoretical and Clinical Aspects . New York, Free Press, 1982;, pp 631-643.
19 +
Laufer RS, Gallops MS, Frey-Wouters E:  War stress and trauma: The Vietnam veteran experience. J Health Soc Behav 1984;;25:65-85.
20 +
Robins LN, Davis DH, Goodwin DW:  Drug use by U.S. Army enlisted men in Vietnam: A follow-up on their return home. Am J Epidemiol 1974;;99:235-249.

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1 +
Boyle CA, Decoufle P, Delaney RJ, et al: Postservice Mortality Among Vietnam Veterans . Atlanta, Centers for Disease Control, 1987;.
2 +
Centers for Disease Control Vietnam Experience Study:  Postservice mortality among Vietnam veterans. JAMA 1987;;257:790-795.
3 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: I. Synopsis . Atlanta, Centers for Disease Control, in press.
4 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: II. Telephone Interview . Atlanta, Centers for Disease Control, in press.
5 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: III. Medical Examination . Atlanta, Centers for Disease Control, in press.
6 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: IV. Psychological and Neuropsychological Evaluation . Atlanta, Centers for Disease Control, in press.
7 +
Centers for Disease Control Vietnam Experience Study: Health Status of Vietnam Veterans: V. Reproductive Outcomes and Child Health . Atlanta, Centers for Disease Control, in press.
8 +
Centers for Disease Control Vietnam Experience Study:  Health status of Vietnam veterans: II. Physical health. JAMA 1988;;259:2708-2714.
9 +
Centers for Disease Control Vietnam Experience Study:  Health status of Vietnam veterans: III. Reproductive outcomes and child health. JAMA 1988;;259:2715-2719.
10 +
Robins LN, Helzer JE, Cottler LB, et al: The Diagnostic Interview Schedule, Version III-A, Training Manual . St Louis, Veterans Administration, 1987;.
11 +
Diagnostic and Statistical Manual , ed 3. Washington, DC, American Psychiatric Association, 1980;.
12 +
Dahlstrom WG, Welsh GS, Dahlstrom LE: An MMPI Handbook: Clinical Interpretation, revised edition . Minneapolis, University of Minnesota Press, 1972;, vol 1.
13 +
Engelman L:  Stepwise logistic regression , in Dixon WJ, Brown MB, Engelman L, et al (eds): BMDP Statistical Software . Berkeley, University of California Press, 1983;, pp 330-344.
14 +
Wilcosky TC, Chambles LE:  A comparison of direct adjustment and regression adjustment of epidemiologic measures. J Chronic Dis 1985;;38:849-856.
15 +
Flanders WD, Rhodes PH:  Large sample confidence limits for regression standardized risks, risk ratios, and risk differences. J Chronic Dis 1987;;40:697-704.
16 +
Egendorf A, Kadushin C, Laufer RS, et al: Legacies of Vietnam: Comparative Adjustment of Veterans and Their Peers , publication V101. Washington, DC, Center for Policy Research Inc, 1981;, pp 134-630.
17 +
Helzer JE, Robins LN, Wish E, et al:  Depression in Vietnam veterans and civilian controls. Am J Psychiatry 1979;;136:526-529.
18 +
Blank AS:  Stresses of war: The example of Vietnam , in Goldberg L, Breznitz S (eds): Handbook of Stress: Theoretical and Clinical Aspects . New York, Free Press, 1982;, pp 631-643.
19 +
Laufer RS, Gallops MS, Frey-Wouters E:  War stress and trauma: The Vietnam veteran experience. J Health Soc Behav 1984;;25:65-85.
20 +
Robins LN, Davis DH, Goodwin DW:  Drug use by U.S. Army enlisted men in Vietnam: A follow-up on their return home. Am J Epidemiol 1974;;99:235-249.

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