The Australian Gulf War Veterans’ Follow Up Health Study 2015 (Follow Up Study) is a follow up to the original Australian Gulf War Veterans’ Health Study 2003 (the 2003 study), also commissioned by DVA, to assess Gulf War veterans’ health and wellbeing 20 years after deployment.

The Follow Up Study is a longitudinal cohort study conducted from 2010 to 2015.  It compares the physical, psychological and social health and military related exposures of Australian Defence Force veterans of the First Gulf War against a military comparison group and the 2003 study.  A mortality and cancer study component of the Follow Up Study involved the entire Gulf War and military comparison groups, comprising a total of 4,793 people.

At follow up Gulf War veterans were found to be resilient. They were likely to have accessed disability and health services, which may suggest that the Gulf War cohort is seeking help when they need it.  At follow up there was a reduction in smoking, with one half of those who reported being a smoker in the 2003 study no longer smoking.

The Follow Up Study found Gulf War veteran participants were more likely than the military comparison group to suffer from a number of conditions, including posttraumatic stress disorder, alcohol disorder, chronic fatigue, irritable bowel syndrome and chronic multisymptom illness.

There were no statistically significant differences in cancer and mortality rates between Gulf War veterans and the military comparison group.

As part of the Australian Gulf War Veterans' Health Study (published in 2003), serum samples were collected from consenting participants, for long-term storage and future potential research. In 2005, a Serum Management Committee (the Committee) was established to provide oversight of the stored samples.

In Australian-first research, the Department of Veterans’ Affairs (DVA) commissioned Phoenix Australia – Centre for Posttraumatic Mental Health to examine the rates of intimate partner violence among current- and ex-serving Australian Defence Force (ADF) personnel, using data collected in 2015 from a large-scale study of current (at the time) and recently (then) transitioned ADF personnel and their families.

For the purposes of this research, the Transition and Wellbeing Research Programme data was used to:

• examine the rates of intimate partner violence within the Australian veteran community;
• identify vulnerable groups; and
• provide an understanding of the implications of intimate partner violence on help-seeking and service utilisation.

Findings from the study suggest an elevated number of veteran families having experienced IPV, identifying them as a vulnerable cohort. 

Future application

The findings highlight opportunities for continued action to address intimate partner violence in the veteran community, a national priority for the Australian Government and the DVA.

The research will inform and enhance work already underway, including DVA’s Family and Domestic Violence Strategy 2020-2025, the National Plan to End Violence Against Women and Children 2022-2032, and the Defence Strategy for Preventing and Responding to Family and Domestic Violence 2023-2028.

How can we support you

If you, or someone you know, is at risk of violence, call Open Arms – Veterans & Families Counselling on 1800 011 046. In an emergency, call triple zero (000).

The Vietnam Veterans Family Study (VVFS) is the most significant research program ever undertaken by the Australian Government into the health of the families of Australia’s Vietnam veterans. The four volumes, released in 2014, examine the effect of Vietnam War service on the physical, mental and social health of the sons and daughters of Vietnam veterans. 

Over 27,000 people participated in the studies, including Vietnam veterans, partners and their children. Defence Force personnel of the same era who did not deploy to Vietnam, and their families, participated in the study as a control group.

A further report, titled Spouses and Partners of Vietnam Veterans – Findings from the Vietnam Veterans Family Study, was commissioned following consultation with the veteran community through the Ex-Service Organisation Round Table (ESORT). Feedback from stakeholders highlighted the importance of including spouses and partners in the VVFS analysis. 

Information about the consultation process, ESORT’s recommendations, and the Government Response can be found below.

• ESORT Feedback Paper (PDF 784 KB)
  ESORT Feedback Paper (DOCX 604 KB)
• Government Response to the Vietnam Veterans Family Study

Findings

The VVFS found that the majority of sons and daughters born to Vietnam veterans are leading healthy and productive lives. However, analysis found that the families of Australia’s Vietnam veterans are more likely to have considerable emotional, physical, and social issues when compared to families of those who served in that era but did not deploy to Vietnam.

When examining mortality amongst the children of Vietnam veterans, the research found that the children of Vietnam veterans and Vietnam-era personnel had lower mortality rates when compared to the general Australian population and that there were no significant differences in deaths from cancer. Sons of Vietnam veterans deployed had a higher mortality rate compared with Vietnam-era personnel from late teenage years to adulthood, largely due to external causes which include car accidents, misadventure and suicide.

To see the full reports released in 2014 please follow these links:

• Volume 1: Introduction and Summary of the Studies of Vietnam Veteran Families (PDF 614 KB)
  Volume 1: Introduction and Summary of the Studies of Vietnam Veteran Families (DOCX 2.92 MB)
• Volume 2: A Study of Health and Social Issues in Vietnam Veteran Sons and Daughters (PDF 748 KB)
  Volume 2: A Study of Health and Social Issues in Vietnam Veteran Sons and Daughters (DOCX 2.30 MB)
• Volume 3: A Study of Mortality Patterns of Vietnam Veteran Families (PDF 901 KB)
  Volume 3: A Study of Mortality Patterns of Vietnam Veteran Families (DOCX 2.84 MB)
• Volume 4: Supplementary Studies of Vietnam Veteran Families' Experiences (PDF 2.09 MB)
  Volume 4: Supplementary Studies of Vietnam Veteran Families' Experiences (DOCX 7.41 MB)

The report Spouses and Partners of Vietnam Veterans – Findings from the Vietnam Veterans Family Study confirms the long-term impact of Vietnam War service on family members. The two main areas that partners were faring less well in were mental health and couple relationships, though significant results were also found for perceptions of general physical health, perceptions of family relationships and socio-economic disadvantage.

The study confirms that veteran partners should continue to be considered in the design of early intervention supports to help reduce the long term impact of military service on families.

• Spouses and Partners of Vietnam Veterans – Findings from the Vietnam Veterans Family Study
• Spouses and Partners of Vietnam Veterans – Summary of findings from the Vietnam Veterans Family Study

Support services

The research shows that operational service affects more than just the person who serves. It can also impact on family members which is why DVA has services to help families adjust and cope. Studies such as these help inform support programs and services.

For veterans and their families, support is available through Open Arms — Veterans & Families Counselling. Open Arms provides 24 hour, free and confidential counselling and support to veterans and their families. For more information, call 1800 011 046 or visit the Open Arms website.

Families can find out about support available from DVA on the website.

More information about mental health support is also available here.

Further information

For further information, see also:

• Media backgrounder (PDF 167 KB)
  Media backgrounder (DOCX 79 KB)
• Ministerial media release — Important research studies released
• Government response to the Vietnam Veterans Family Study 2014 (PDF 113 KB)

The series of studies, commissioned by the Repatriation Commission, was undertaken in response to a recommendation of the 1997 Mortality of Vietnam Veterans: The Veteran Cohort Study, which was to monitor the mortality of Vietnam veterans and repeat the study after 2000.

The first three reports in a series of studies of mortality and cancer incidence in Australian Vietnam veterans were released on September 5th 2006. 

The reports were produced by the Department of Veterans’ Affairs with the assistance of the Australian Institute of Health and Welfare.

A fourth report in the series was released on 26 September 2007.

Each of the four completed reports can stand alone as a complete study. However, the first three volumes should be taken together for a more thorough understanding of the mortality and cancer incidence of this cohort of Australian Vietnam veterans and an Overarching Executive Summary has been produced to assist in understanding . The fourth volume investigates a specific aspect of Vietnam service, that is the exposure to an anti-malarial drug, Dapsone.

The reports and their overarching summary are available at Overarching Executive Summary.

The aim of this Rapid Evidence Assessment (REA) was to conduct a review of the scientific evidence regarding whether occupational exposures to jet fuels and specified solvents of most relevance to the military were associated with risks to the reproductive health of women.

The aim of this Rapid Evidence Assessment (REA) was to examine the evidence to establish whether ageing veterans experience challenges and issues that differ from those of the general population. Also, the factors and interventions that positively affect health and wellbeing outcomes for older people (particularly those from military backgrounds).

This study aimed to examine the health and compensation outcomes of Rwanda veterans and investigate whether there were differences in outcomes between the different groups deployed.

The study undertook a data match and analysis process using personnel, compensation, health and mortality data.

Among other things, the study found that the health of the Rwanda cohort is characterised by a high rate of post-traumatic stress disorder (PTSD) that is expressed in two compensation peaks five and 11 years after the deployment.

There was no evidence of difference in discharge rates between the contingents, between personnel groups or between personnel from formed units and those who joined deployments individually.

This report was funded by the Department of Veterans’ Affairs to assess available literature on the psychological and vocational outcomes of delivering support services to the families of veterans at times of high family stress. The review considered interventions being provided to veterans in Australia, and other English speaking countries who may have similar veteran experiences.  

The literature review was undertaken in the context of the growing body of research and policy evidence suggesting that veterans can be challenged by transition from the Australian Defence Force (ADF) into civilian life, with a consequential direct negative impact on the wellbeing of the veteran and family members. The aim of this literature review was to examine available peer reviewed research regarding the support available to families of veterans in order to inform the establishment of a policy framework.

• The review yielded 34 results, primarily considering the experiences of veterans and their families in the United States. The absence of peer-reviewed literature from New Zealand, Canada and the United Kingdom highlights that this topic is one that is still in its infancy.
• Overall, studies indicated that family involvement in care was most definitely a contributing factor to veterans achieving positive psychological and interpersonal outcomes. The review noted that younger veterans, in particular, liked the message of family involvement, the use of digital support tools and therapy that accommodated childcare needs.
• While the literature highlights some potential programs which could assist Australian veterans and their families, including online education tools for adults and children, the need for further research in this area is apparent, specifically in the Australian context.

The study to investigate the health effects of participation in the British nuclear tests in Australia is reported in two volumes.

Volume 1, the radiation dosimetry study, used data from the tests and modelling to estimate the radiation exposure of participants in the tests.

Volume 2 includes: the mortality study, which compared the number of deaths in test participants with that of the general population from the time of the nuclear tests to the end of 2001; and the cancer study, which compared the number of cases of cancer, whether fatal or not, in test participants, with that in the general population from 1982 to the end of 2001, and compared radiation exposure of participants with and without leukaemia.