Résumé :
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[BDSP. Notice produite par INIST RR0x020s. Diffusion soumise à autorisation]. Objectives-To study the association between occupational factors specific to the Armed Forces (rank, functional roles, Service, regular or reservist status and deployment factors) and symptomatic health problems in Gulf veterans, after sociodemographic and lifestyle factors have been accounted for. Design-A postal cross sectional survey of randomly selected UK Gulf veterans was conducted six to seven years after the Gulf conflict. Physical ill health was measured using the Fatigue Questionnaire and a measure of the Centers for Disease Control and Prevention (CDC) multi-symptom syndrome. Psychological ill health was measured using the General Health Questionnaire and a post-traumatic stress measure. Setting-Population of servicemen who were serving in the UK Armed Forces during the Gulf conflict between 1 September 1990 and 30 June 1991. Participants-3297 Gulf veterans. Main results-In multivariate logistic regression, there was an inverse relation between higher rank and psychological and physical ill health (test of trend : General Health Questionnaire, p=0.004 ; post-traumatic stress, p=0.002 ; fatigue, p=0.015 ; CDC case, p=0.002). Having left the Armed Forces was associated with a two to three times increase in reporting ill health. (...)
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