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The role of sexual assault on the risk of PTSD among Gulf War veterans.
Ann Epidemiol. 2005 Mar; 15(3):191-5.AE

Abstract

PURPOSE

The 1991 Gulf War was the first major military deployment where female troops were integrated into almost every military unit, except for combat ground units. We evaluated the impact of reported sexual trauma during this deployment on the risk of post-traumatic stress disorder (PTSD) after the war.

METHODS

A nested case-control analysis was conducted using the data collected in a population-based health survey of 30,000 Gulf War era veterans. A total of 1381 Gulf War veterans with current PTSD were compared with 10,060 Gulf veteran controls without PTSD for self-reported in-theater experiences of sexual harassment/assault and combat exposure.

RESULTS

The adjusted odds ratio (aOR) for PTSD associated with a report of sexual assault was 5.41 (95% confidence interval [CI], 3.19-9.17) in female veterans and 6.21 (95% CI, 2.26-17.04) in male veterans. The aOR for PTSD associated with "high" combat exposure was also statistically significant (aOR, 4.03 [95% CI, 1.97-8.23] for females; aOR, 4.45 [95% CI, 3.54-5.60] for males).

CONCLUSION

Notwithstanding a possibility of recall bias of combat and sexual trauma, for both men and women, sexual trauma as well as combat exposure appear to be strong risk factors for PTSD.

Authors+Show Affiliations

Veterans Health Administration, Department of Veterans Affairs, Washington, DC 20420, USA. han.kang@hq.med.va.govNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15723763

Citation

Kang, Han, et al. "The Role of Sexual Assault On the Risk of PTSD Among Gulf War Veterans." Annals of Epidemiology, vol. 15, no. 3, 2005, pp. 191-5.
Kang H, Dalager N, Mahan C, et al. The role of sexual assault on the risk of PTSD among Gulf War veterans. Ann Epidemiol. 2005;15(3):191-5.
Kang, H., Dalager, N., Mahan, C., & Ishii, E. (2005). The role of sexual assault on the risk of PTSD among Gulf War veterans. Annals of Epidemiology, 15(3), 191-5.
Kang H, et al. The Role of Sexual Assault On the Risk of PTSD Among Gulf War Veterans. Ann Epidemiol. 2005;15(3):191-5. PubMed PMID: 15723763.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The role of sexual assault on the risk of PTSD among Gulf War veterans. AU - Kang,Han, AU - Dalager,Nancy, AU - Mahan,Clare, AU - Ishii,Erick, PY - 2003/12/11/received PY - 2004/05/25/accepted PY - 2005/2/23/pubmed PY - 2005/6/10/medline PY - 2005/2/23/entrez SP - 191 EP - 5 JF - Annals of epidemiology JO - Ann Epidemiol VL - 15 IS - 3 N2 - PURPOSE: The 1991 Gulf War was the first major military deployment where female troops were integrated into almost every military unit, except for combat ground units. We evaluated the impact of reported sexual trauma during this deployment on the risk of post-traumatic stress disorder (PTSD) after the war. METHODS: A nested case-control analysis was conducted using the data collected in a population-based health survey of 30,000 Gulf War era veterans. A total of 1381 Gulf War veterans with current PTSD were compared with 10,060 Gulf veteran controls without PTSD for self-reported in-theater experiences of sexual harassment/assault and combat exposure. RESULTS: The adjusted odds ratio (aOR) for PTSD associated with a report of sexual assault was 5.41 (95% confidence interval [CI], 3.19-9.17) in female veterans and 6.21 (95% CI, 2.26-17.04) in male veterans. The aOR for PTSD associated with "high" combat exposure was also statistically significant (aOR, 4.03 [95% CI, 1.97-8.23] for females; aOR, 4.45 [95% CI, 3.54-5.60] for males). CONCLUSION: Notwithstanding a possibility of recall bias of combat and sexual trauma, for both men and women, sexual trauma as well as combat exposure appear to be strong risk factors for PTSD. SN - 1047-2797 UR - https://www.unboundmedicine.com/medline/citation/15723763/The_role_of_sexual_assault_on_the_risk_of_PTSD_among_Gulf_War_veterans_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1047-2797(04)00096-1 DB - PRIME DP - Unbound Medicine ER -