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AJPH First Look, published online ahead of print Oct 30, 2007
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American Journal of Public Health, 10.2105/AJPH.2006.104299


Research and Practice

Health Services Use Among Gulf War Veterans and Gulf War–Era Nondeployed Veterans: A Large Population-Based Survey

Drew A. Helmer 1, Mindy E. Flanagan 2, Robert F. Woolson 3, Bradley N. Doebbeling 2*

1 VA-New Jersey Health Care System
2 Roudebush VAMC
3 College of Medicine Medical University of South Carolina

* To whom correspondence should be addressed. E-mail: bdoebbel{at}iupui.edu.


   Abstract

We sought to analyze the self-reported hospitalization, emergency department visits, and outpatient visits of Persian Gulf War (deployed; n=1896) and Persian Gulf War–era (nondeployed; n=1799) military personnel 5 years postconflict to determine whether these groups had different rates of health care use. Compared with personnel who had not been deployed, personnel who had been deployed were more likely to have visited an emergency department (25% vs 21%; odds ratio [OR]=1.24; 95% confidence interval [CI] = 1.06, 1.51]). Among these groups, the National Guard and Reserve personnel were more likely to have been hospitalized than were the regular military personnel (OR=1.65; 95% CI=1.21, 2.26).

Key Words: Health Care Facilities/Services, Access to Care, Occupational Health, Socioeconomic Factors







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