Health Study 2005:
Australian Veterans of the Korean War

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TABLE OF CONTENTS

DEFINITIONS
ABBREVIATIONS
ACKNOWLEDGMENTS
EXECUTIVE SUMMARY

1. INTRODUCTION

2. OVERVIEW OF AUSTRALIA’S INVOLVEMENT IN THE KOREAN WAR

2.1 Military activities
2.1.1 Royal Australian Navy (Navy)
2.1.2 Australian Army (Army)
2.1.3 Royal Australian Air Force (Air Force)
2.2 Civilian groups
2.3 Health and environmental threats
2.3.1 Temperatures
2.3.2 Rainfall
2.3.3 Specific infectious disease risks
2.3.4 Other environmental and chemical threats

3. VETERANS’ HEALTH LITERATURE

4. THE AUSTRALIAN KOREAN WAR VETERANS’ HEALTH STUDY

4.1 The research team
4.2 Scientific Advisory Committee
4.3 Veterans Consultative Committee.
4.4 Study aims
4.5 Research questions
4.6 Study design
4.7 Pilot study
4.8 Study populations
4.8.1 The Korean War veteran study group
4.8.2 The comparison population
4.8.3 Determination of study group sizes
4.9 Contact strategy and recruitment procedures
4.9.1 DVA-based contact and recruitment team
4.9.2 Contact strategy
4.9.3 Recruitment outcomes
4.9.4 Recruitment tracking
4.9.5 Methods to maximise participation
4.10 Data collection
4.10.1 Participant questionnaire
4.10.2 Voluntary Refuser Notification Form
4.10.3 Korean War deployment data from the DVA Korean War Nominal Roll
4.11 Data quality, confidentiality and storage
4.11.1 Pre testing of study materials to ensure maximal participation and maximal data quality
4.11.2 Missing questionnaire data
4.11.3 Data entry and cleaning
4.11.4 Methods to ensure privacy of study data
4.11.5 Storage of data
4.12 Statistical analysis
4.12.1 Weighting of comparison group results
4.12.2 Comparison of Korean War veterans and the comparison group
4.12.3 Investigation for any association between Korean War deployment characteristics and health in Korean War veterans
4.12.4 Covariates
4.12.5 Interpreting tables in the results chapters
4.13 Ethics Committees

5. RECRUITMENT RESULTS

5.1 Korean War veterans
5.1.1 Reasons for non-participation in the Korean War veteran group
5.2 Population sample
5.2.1 Reasons for non-participation in the population sample
5.3 Investigation of possible participation bias
5.3.1 Comparison of participants and non-participants on demographic variables
5.3.2 Comparison of participants and study refusers on health information provided on the Voluntary Refusal Notification Form
5.4 Participation by proxy
5.5 Identification of the eligible comparison group from the population sample participants
5.6 Questionnaire data completeness and quality

6. PARTICIPANT RESULTS: KOREAN WAR VETERANS VERSUS COMPARISON GROUP

6.1 Age distribution, and application of weighting factor to comparison group
participants
6.2 Additional demographic measures
6.3 Military service experience
6.3.1 Korean War service experience and exposures
6.3.2 Other military service
6.4 Health behaviours: smoking and alcohol consumption
6.5 Psychological disorders: Anxiety, Depression and Posttraumatic Stress Disorder
6.6 Life satisfaction and quality of life
6.7 Hospitalisations and self-reported current medical conditions

7. PARTICIPANT RESULTS: KOREAN WAR VETERANS BY DEPLOYMENT CHARACTERISTICS

7.1 Deployment characteristics and PTSD, anxiety and depression outcomes
7.2 Deployment characteristics and alcohol related outcomes
7.3 Deployment characteristics and life satisfaction and quality of life

8. SUMMARY AND DISCUSSION

REFERENCES

APPENDICES

APPENDIX A - PROJECT STAFF
APPENDIX B - MEMBERSHIP OF THE SCIENTIFIC ADVISORY COMMITTEE
APPENDIX C - MEMBERSHIP OF THE CONSULTATIVE COMMITTEE
APPENDIX D - KOREAN WAR VETERANS’ INVITATION LETTERS
APPENDIX E - KOREAN WAR VETERANS’ HEALTH STUDY EXPLANATORY STATEMENT.
APPENDIX F - KOREAN WAR VETERANS’ HEALTH STUDY PARTICIPANT QUESTIONNAIRE
APPENDIX G - POPULATION SAMPLE’S INVITATION LETTERS
APPENDIX H - SURVEY OF MEN’S HEALTH AND AGEING EXPLANATORY STATEMENT
APPENDIX I - SURVEY OF MENS’ HEALTH AND AGEING PARTICIPANT QUESTIONNAIRE
APPENDIX J - REFUSER NOTIFICATION FORM
APPENDIX K - OTHER MAJOR MILITARY CONFLICTS OR OPERATIONS
APPENDIX L - ETHICS COMMITTEE APPROVAL LETTERS
APPENDIX M - AUSTRALIAN KOREAN WAR VETERANS’ PILOT HEALTH STUDY