Health symptoms reported by Persian Gulf War veterans two years after return.

The role of actual or perceived events has considerable importance for individual well-being. Although the Persian Gulf War (PGW) has raised questions about the presence of hazardous environmental exposures, few, if any confirmed exposure data are available. Yet, a substantial number of PGW veterans report health problems since their return from that war. The present study was conducted to investigate possible associations between opportunities for exposure and increased rates of health symptom reporting. First, we examined descriptive data on types and rates of health symptoms reported by a cohort of Gulf War veterans. Then, using proxies for three wartime experiences, we examined associations between health symptoms reports and different Persian Gulf exposure scenarios (reported exposure to poison gas or germ warfare, being in a transportation unit, or high levels of combat exposure), adjusting for the effects of background characteristics (e.g., gender, psychological distress). Findings suggest that reported exposure to poison gas or germ warfare is related to higher symptom reporting by this cohort of New England area veterans. Limitations in the study design and the challenges involved in studying PGW veterans' illnesses are discussed.

Health status of Persian Gulf War veterans: self-reported symptoms, environmental exposures and the effect of stress.

BACKGROUND: Most US troops returned home from the Persian Gulf War (PGW) by Spring 1991 and many began reporting increased health symptoms and medical problems soon after. This investigation examines the relationships between several Gulf-service environmental exposures and health symptom reporting, and the role of traumatic psychological stress on the exposure-health symptom relationships. METHODS: Stratified, random samples of two cohorts of PGW veterans, from the New England area (n = 220) and from the New Orleans area (n = 71), were selected from larger cohorts being followed longitudinally since arrival home from the Gulf. A group of PGW-era veterans deployed to Germany (n = 50) served as a comparison group. The study protocol included questionnaires, a neuropsychological test battery, an environmental interview, and psychological diagnostic interviews. This report focuses on self-reported health symptoms and exposures of participants who completed a 52-item health symptom checklist and a checklist of environmental exposures. RESULTS: The prevalence of reported symptoms was greater in both Persian Gulf-deployed cohorts compared to the Germany cohort. Analyses of the body-system symptom scores (BSS), weighted to account for sampling design, and adjusted by age, sex, and education, indicated that Persian Gulf-deployed veterans were more likely to report neurological, pulmonary, gastrointestinal, cardiac, dermatological, musculoskeletal, psychological and neuropsychological system symptoms than Germany veterans. Using a priori hypotheses about the toxicant effects of exposure to specific toxicants, the relationships between self-reported exposures and body-system symptom groupings were examined through multiple regression analyses, controlling for war-zone exposure and post-traumatic stress disorder (PTSD). Self-reported exposures to pesticides, debris from Scuds, chemical and biological warfare (CBW) agents, and smoke from tent heaters each were significantly related to increased reporting of specific predicted BSS groupings. CONCLUSIONS: Veterans deployed to the Persian Gulf have higher self-reported prevalence of health symptoms compared to PGW veterans who were deployed only as far as Germany. Several Gulf-service environmental exposures are associated with increased health symptom reporting involving predicted body-systems, after adjusting for war-zone stressor exposures and PTSD.