This article is a US Government work and, as such is in the public domain in the United States of America.
Fatal motor vehicle crashes among veterans of the 1991 Gulf War and exposure to munitions demolitions at Khamisiyah: A nested case-control study†
Article first published online: 20 MAR 2006
Published 2006 Wiley-Liss, Inc.
American Journal of Industrial Medicine
Volume 49, Issue 4, pages 261–270, April 2006
How to Cite
Gackstetter, G. D., Hooper, T. I., DeBakey, S. F., Johnson, A., Nagaraj, B. E., Heller, J. M. and Kang, H. K. (2006), Fatal motor vehicle crashes among veterans of the 1991 Gulf War and exposure to munitions demolitions at Khamisiyah: A nested case-control study. Am. J. Ind. Med., 49: 261–270. doi: 10.1002/ajim.20280
- Issue published online: 20 MAR 2006
- Article first published online: 20 MAR 2006
- Manuscript Accepted: 5 JAN 2006
- U.S. Army Medical Research Acquistion Activity. Grant Number: DAMD17-00-1-0111
- Gulf War;
- motor vehicle;
- nerve agent;
- environmental exposure;
A proposed explanation for the observed higher risk of fatal motor vehicle crashes (MVC) among 1991 Gulf War-deployed veterans is neurocognitive deficits resulting from nerve agent exposure at Khamisiyah, Iraq. Our objective was to assess any association between postwar fatal MVC and possible nerve agent exposure based on 2000 modeled plume data.
Cases were defined as MVC deaths with a record in the Department of Transportation Fatality Analysis Reporting System through 1995. Cases (n = 282) and controls (n = 3,131) were derived from a larger nested case-control study of Gulf War-era veterans and limited to Army, male, deployed personnel. Exposure and cumulative dose by case-control status were analyzed using multivariate techniques.
Exposure status was not associated with fatal MVC (OR 0.96, 95% CI 0.72–1.26), nor were tertiles of cumulative dose.
Findings do not support an association between possible exposures at Khamisiyah and postwar fatal MVC among Gulf War veterans. Am. J. Ind. Med. 49:261–270, 2006. Published 2006 Wiley-Liss, Inc.