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Australian Gulf War Veterans' Health Study 2003

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Table of contents

Volume 1

Preliminaries

Letters of submission

Authors

Acknowledgements



Executive summary

Introduction

Study aims

Methods

Recruitment, demographics and non-Gulf War exposures

Gulf War and other exposures

Summary of health findings

Strengths and limitations of the study

Recommendations

List of abbreviations

1.      Introduction

2.      Australian involvement in the Gulf War

2.1     The Gulf Region      

2.2     Australian Deployment in the Gulf War 

3.     Review of literature on exposures during the Gulf War

3.1     Introduction

3.2     Smoke from oil well fires (SMOIL)

3.3     Particulate matter 

3.4     Psychological stressors

3.5     Immunisations and other prophylactic medications 

3.6     Pyridostigmine bromide

3.7     Pesticide use 

3.8     Biological and chemical weapons 

3.9     Interactions between pesticides, PB and chemical warfare agents 

3.10    Depleted uranium  

3.11    Infectious disease agents 

3.12    Other exposures 

3.13    Multi-exposures and recall bias

3.14    Summary 

4.       Review of health studies

4.1      Scope of review of health studies literature 

4.2      History of Gulf War veterans’ health research

4.3      Symptoms

4.4      Factor analysis 

4.5      Medical conditions 

4.6      Demographics and lifestyle factors

4.7      Psychological health 

4.8      Respiratory health 

4.9      Infectious diseases 

4.10    Immunisations 

4.11    Chronic fatigue and immunological markers

4.12    Neurological symptoms

4.13    Musculoskeletal   

4.14    Skin  

4.15    Gastrointestinal conditions  

4.16    DU related health problems 

4.17    Reproductive outcomes  

4.18    Cancer

4.19    Hospitalisations, medical care utilisation due to illness, functional impairment and limitation of work 

4.20    Mortality 

4.21    Self-referral evaluation programs 

4.22    Summary 

5.      Cross-sectional study methods

5.1     Aims and objectives  

5.2     Study design   

5.3     Study population      

5.4     Sample size   

5.5     Contact strategy and recruitment procedures 

5.6     Data collection instrumentation and measures 

6.     Recruitment

6.1     Recruitment categories 

6.2     Recruitment results    

6.3     Comparison of study participants and non-participants.

6.4     Investigation of possible participation bias      

6.5     Discussion    

6.6     Technical Supplement – Details of the imputation procedure for non-participation    

7.     Demographic, socioeconomic and lifestyle factors

7.1      Aims   

7.2      Research questions   

7.3      Methods and materials 

7.4      Results

7.5      Discussion      

8.     Reported Gulf War and other exposures

8.1      Aims   

8.2      Research questions    

8.3      Results

8.4      Discussion    


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Volume 2

9.      General health

9.1      Aim

9.2      Research questions      

9.3      Definitions of general health outcomes  

9.4      Results

9.5      Discussion      

10.     Laboratory investigations

10.1     Aim    

10.2     Research questions  

10.3     Definitions    

10.4     Results

10.5     Discussion    

11.     Psychological health

11.1     Aim      

11.2     Research questions 

11.3     Methods and materials 

11.4     Results

11.5     Discussion      

12.     Respiratory health

12.1     Aims   

12.2     Research questions      

12.3     Definitions of respiratory health outcomes    

12.4     Gulf War exposure measures   

12.5     Results

12.6     Discussion    

13.     Neurological health

13.1     Aim    

13.2     Research questions      

13.3     Definition of neurological health outcomes   

13.4     Results

13.5     Discussion   

14.     Chronic fatigue syndrome

14.1     Aim      

14.2     Research questions    

14.3     Definitions and classification of fatigue 

14.4     Results

14.5     Discussion    

15.     Health of female Gulf War veterans

15.1     Aim   

15.2     Research questions   

15.3     Results

15.4     Discussion      

16.     Reproductive health outcomes

16.1     Aim   

16.2     Research questions  

16.3     Methods and materials 

16.4     Results

16.5     Discussion      

17.     Cohort study of mortality and cancer

17.1     Aim   

17.2     Research questions    

17.3     Methods    

17.4     Results

17.5     Discussion      

18.     Factor analysis of self-reported symptoms

18.1     Aim      

18.2     Research questions   

18.3     Methods      

18.4     Results

18.5     Discussion      

19.     Overall findings, discussion and recommendations

19.1     Introduction and research questions    

19.2     Main findings  

19.3     Discussion      

19.4     Strengths and limitations of the study    

19.5     Further research      

19.6     Recommendations  


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Volume 3 Appendixes (PDF files)

Appendix 1     Mailout materials

Appendix 2     Telephone questionnaire for non-participants

Appendix 3     Appointment confirmation package

Appendix 4     Postal questionnaire

Appendix 5     Medical Examination Data Collection Booklet

Appendix 6     MVS reference intervals and testing methodology

Appendix 7     Ethics Committees’ Approvals

References


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