Gulf War Veterans' Health: Medical Evaluation of a U.S. Cohort

  1. Seth A. Eisen, MD;
  2. Han K. Kang, DrPH;
  3. Frances M. Murphy, MD;
  4. Melvin S. Blanchard, MD;
  5. Domenic J. Reda, PhD;
  6. William G. Henderson, PhD;
  7. Rosemary Toomey, PhD;
  8. Leila W. Jackson, PhD;
  9. Renee Alpern, MS;
  10. Becky J. Parks, MD;
  11. Nancy Klimas, MD;
  12. Coleen Hall, MS;
  13. Hon S. Pak, MD;
  14. Joyce Hunter, MSN;
  15. Joel Karlinsky, MD;
  16. Michael J. Battistone, MD;
  17. Michael J. Lyons, PhD; and
  18. and the Gulf War Study Participating Investigators*
  1. From Veterans Affairs Medical Center, Washington University School of Medicine, and Saint Louis University, St. Louis, Missouri; Veterans Health Administration, Environmental Epidemiology Service, U.S. Department of Veterans Affairs, and Uniformed Services University of the Health Sciences, Washington, DC; Cooperative Studies Program Coordinating Center, Hines Veterans Affairs Hospital, Hines, Illinois; Brockton Veterans Affairs Medical Center, Brockton, Massachusetts; Harvard Medical School, Massachusetts Mental Health Center, Harvard Institute of Psychiatric Epidemiology and Genetics, Veterans Affairs Medical Center, and Boston University School of Medicine, Boston, Massachusetts; Miami Veterans Affairs Medical Center and University of Miami, Miami, Florida; Brooke Army Medical Center, Fort Sam Houston, Texas; and Veterans Affairs Salt Lake City Health Care System and University of Utah Health Sciences Center, Salt Lake City, Utah.
    1. Figure. *Cohort obtained from the U.S. Department of Defense Manpower Data Center, Monterey, California. Deployed cohort included all deployed troops, and nondeployed cohort was approximately half of all nondeployed troops in service between September 1990 and May 1991. † Stratified random sampling applied to the U.S. Department of Defense cohort to adequately represent women, reservists, and National Guard members. ‡ Stratified random sampling applied to participants in the 1995 study to select by geographic proximity to 1 of 16 participating Veterans Affairs Medical Centers. § We initially invited 2084 veterans to participate. To achieve examined groups of equal size, we invited an additional 799 veterans to participate in the fourth solicitation wave of 50 veterans per site.
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        Figure. *Cohort obtained from the U.S. Department of Defense Manpower Data Center, Monterey, California. Deployed cohort included all deployed troops, and nondeployed cohort was approximately half of all nondeployed troops in service between September 1990 and May 1991. † Stratified random sampling applied to the U.S. Department of Defense cohort to adequately represent women, reservists, and National Guard members. ‡ Stratified random sampling applied to participants in the 1995 study to select by geographic proximity to 1 of 16 participating Veterans Affairs Medical Centers. § We initially invited 2084 veterans to participate. To achieve examined groups of equal size, we invited an additional 799 veterans to participate in the fourth solicitation wave of 50 veterans per site. Sample selection flowchart.

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