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Physical health, behavioral and emotional functioning in children of gulf war veterans
We examined whether the prevalence of medical and behavioral conditions is higher in children of deployed veterans (DVs) versus non-deployed veterans (NDVs) after the 1991 Gulf War. We examined 1387 children of 737 veterans. Children ages 2-18 had physical exams and parental reports of physical hist...
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Published in: | Life sciences (1973) 2021-10, Vol.282, p.119777-119777, Article 119777 |
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creator | Toomey, R. Alpern, R.E. White, A.J. Li, X. Reda, D.J. Blanchard, M.S. |
description | We examined whether the prevalence of medical and behavioral conditions is higher in children of deployed veterans (DVs) versus non-deployed veterans (NDVs) after the 1991 Gulf War.
We examined 1387 children of 737 veterans. Children ages 2-18 had physical exams and parental reports of physical history and behavior.
Physical health was analyzed using GEE models. Behavioral health [total, internalizing, and externalizing behavior problems (TBP, IBP, EBP)] was analyzed with mixed-effects regression models. Analyses were conducted by age group (2-3, 4-11, 12-18), and gender (ages 4-11, 12-18). Children of DVs ages 2-3 had significantly worse dentition (13.9% vs. 4.8%, P = 0.03) and more EBP {least square means (lsmeans) 54.31 vs. 47.59, P = 0.02}. Children of DVs ages 4-11 had significantly more obesity (18.8% vs. 12.7%, P = 0.02). Among children 4-11, male children of DVs had significantly more TBP (lsmeans 70.68 vs. 57.34, P = 0.003), IBP (lsmeans 63.59 vs. 56.16, P = 0.002) and EBP (lsmeans 61.60 vs. 52.93, P = 0.03), but female children did not. For children ages 12-18, male children of DVs had more EBP (lsmeans 63.73 vs. 43.51, P = 0.008), while female children of DVs had fewer EBP (lsmeans 45.50 vs. 50.48, P = 0.02). Veteran military characteristics and mental health, and children's social status and health, including obesity, predicted children's TBP for one or more age groups.
Children of DVs experienced worse dentition, greater obesity, and more behavioral problems compared to NDV children, suggesting adverse health effects associated with parental deployment in need of further exploration.
•Children of Gulf War veterans have not been studied in person.•Children of deployed veterans (DV) had worse dentition and greater obesity.•Children of DV had more behavioral problems on the Child Behavior Checklist.•Veteran characteristics and mental health predicted children’s behavioral problems.•Children’s health (including obesity) predicted children’s behavioral problems. |
doi_str_mv | 10.1016/j.lfs.2021.119777 |
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We examined 1387 children of 737 veterans. Children ages 2-18 had physical exams and parental reports of physical history and behavior.
Physical health was analyzed using GEE models. Behavioral health [total, internalizing, and externalizing behavior problems (TBP, IBP, EBP)] was analyzed with mixed-effects regression models. Analyses were conducted by age group (2-3, 4-11, 12-18), and gender (ages 4-11, 12-18). Children of DVs ages 2-3 had significantly worse dentition (13.9% vs. 4.8%, P = 0.03) and more EBP {least square means (lsmeans) 54.31 vs. 47.59, P = 0.02}. Children of DVs ages 4-11 had significantly more obesity (18.8% vs. 12.7%, P = 0.02). Among children 4-11, male children of DVs had significantly more TBP (lsmeans 70.68 vs. 57.34, P = 0.003), IBP (lsmeans 63.59 vs. 56.16, P = 0.002) and EBP (lsmeans 61.60 vs. 52.93, P = 0.03), but female children did not. For children ages 12-18, male children of DVs had more EBP (lsmeans 63.73 vs. 43.51, P = 0.008), while female children of DVs had fewer EBP (lsmeans 45.50 vs. 50.48, P = 0.02). Veteran military characteristics and mental health, and children's social status and health, including obesity, predicted children's TBP for one or more age groups.
Children of DVs experienced worse dentition, greater obesity, and more behavioral problems compared to NDV children, suggesting adverse health effects associated with parental deployment in need of further exploration.
•Children of Gulf War veterans have not been studied in person.•Children of deployed veterans (DV) had worse dentition and greater obesity.•Children of DV had more behavioral problems on the Child Behavior Checklist.•Veteran characteristics and mental health predicted children’s behavioral problems.•Children’s health (including obesity) predicted children’s behavioral problems.</description><identifier>ISSN: 0024-3205</identifier><identifier>EISSN: 1879-0631</identifier><identifier>DOI: 10.1016/j.lfs.2021.119777</identifier><language>eng</language><publisher>New York: Elsevier Inc</publisher><subject>Age ; Behavior ; Children ; Children & youth ; Dentition ; Emotional behavior ; Gulf War ; Health risks ; Males ; Mental health ; Military ; Military family ; Military personnel ; Obesity ; Persian Gulf War ; Regression analysis ; Regression models ; Social classes ; Social interactions ; Teeth ; War</subject><ispartof>Life sciences (1973), 2021-10, Vol.282, p.119777-119777, Article 119777</ispartof><rights>2021 Elsevier Inc.</rights><rights>Copyright Elsevier BV Oct 1, 2021</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-6c7f3601532e9a47020b0898f42d40c1fd9160513dcd3922f1f3875a533bee133</citedby><cites>FETCH-LOGICAL-c358t-6c7f3601532e9a47020b0898f42d40c1fd9160513dcd3922f1f3875a533bee133</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Toomey, R.</creatorcontrib><creatorcontrib>Alpern, R.E.</creatorcontrib><creatorcontrib>White, A.J.</creatorcontrib><creatorcontrib>Li, X.</creatorcontrib><creatorcontrib>Reda, D.J.</creatorcontrib><creatorcontrib>Blanchard, M.S.</creatorcontrib><title>Physical health, behavioral and emotional functioning in children of gulf war veterans</title><title>Life sciences (1973)</title><description>We examined whether the prevalence of medical and behavioral conditions is higher in children of deployed veterans (DVs) versus non-deployed veterans (NDVs) after the 1991 Gulf War.
We examined 1387 children of 737 veterans. Children ages 2-18 had physical exams and parental reports of physical history and behavior.
Physical health was analyzed using GEE models. Behavioral health [total, internalizing, and externalizing behavior problems (TBP, IBP, EBP)] was analyzed with mixed-effects regression models. Analyses were conducted by age group (2-3, 4-11, 12-18), and gender (ages 4-11, 12-18). Children of DVs ages 2-3 had significantly worse dentition (13.9% vs. 4.8%, P = 0.03) and more EBP {least square means (lsmeans) 54.31 vs. 47.59, P = 0.02}. Children of DVs ages 4-11 had significantly more obesity (18.8% vs. 12.7%, P = 0.02). Among children 4-11, male children of DVs had significantly more TBP (lsmeans 70.68 vs. 57.34, P = 0.003), IBP (lsmeans 63.59 vs. 56.16, P = 0.002) and EBP (lsmeans 61.60 vs. 52.93, P = 0.03), but female children did not. For children ages 12-18, male children of DVs had more EBP (lsmeans 63.73 vs. 43.51, P = 0.008), while female children of DVs had fewer EBP (lsmeans 45.50 vs. 50.48, P = 0.02). Veteran military characteristics and mental health, and children's social status and health, including obesity, predicted children's TBP for one or more age groups.
Children of DVs experienced worse dentition, greater obesity, and more behavioral problems compared to NDV children, suggesting adverse health effects associated with parental deployment in need of further exploration.
•Children of Gulf War veterans have not been studied in person.•Children of deployed veterans (DV) had worse dentition and greater obesity.•Children of DV had more behavioral problems on the Child Behavior Checklist.•Veteran characteristics and mental health predicted children’s behavioral problems.•Children’s health (including obesity) predicted children’s behavioral problems.</description><subject>Age</subject><subject>Behavior</subject><subject>Children</subject><subject>Children & youth</subject><subject>Dentition</subject><subject>Emotional behavior</subject><subject>Gulf War</subject><subject>Health risks</subject><subject>Males</subject><subject>Mental health</subject><subject>Military</subject><subject>Military family</subject><subject>Military personnel</subject><subject>Obesity</subject><subject>Persian Gulf War</subject><subject>Regression analysis</subject><subject>Regression models</subject><subject>Social classes</subject><subject>Social interactions</subject><subject>Teeth</subject><subject>War</subject><issn>0024-3205</issn><issn>1879-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kEtr3DAUhUVpoJNJf0B3gm6yqKf3SpZlk1UJfUEgWSTZCo18FWvwSKlkT8i_r4fpKouu7oNzDpyPsU8IGwRsvu42oy8bAQI3iJ3W-h1bYau7ChqJ79kKQNSVFKA-sPNSdgCglJYr9ng3vJbg7MgHsuM0fOFbGuwhpLy8bOw57dMUUlwuP0d3XEN84iFyN4SxzxR58vxpHj1_sZkfaKJsY7lgZ96OhT7-m2v28OP7_fWv6ub25-_rbzeVk6qdqsZpLxtAJQV1ttYgYAtt1_pa9DU49H2HDSiUvetlJ4RHL1utrJJyS4RSrtnlKfc5pz8zlcnsQ3E0jjZSmosRqm5rlM0SsWaf30h3ac5LsaOqaSVoqbpFhSeVy6mUTN4857C3-dUgmCNpszMLaXMkbU6kF8_VyUNL00OgbIoLFB31IZObTJ_Cf9x_AUeAhNo</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Toomey, R.</creator><creator>Alpern, R.E.</creator><creator>White, A.J.</creator><creator>Li, X.</creator><creator>Reda, D.J.</creator><creator>Blanchard, M.S.</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7QR</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>20211001</creationdate><title>Physical health, behavioral and emotional functioning in children of gulf war veterans</title><author>Toomey, R. ; Alpern, R.E. ; White, A.J. ; Li, X. ; Reda, D.J. ; Blanchard, M.S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-6c7f3601532e9a47020b0898f42d40c1fd9160513dcd3922f1f3875a533bee133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Age</topic><topic>Behavior</topic><topic>Children</topic><topic>Children & youth</topic><topic>Dentition</topic><topic>Emotional behavior</topic><topic>Gulf War</topic><topic>Health risks</topic><topic>Males</topic><topic>Mental health</topic><topic>Military</topic><topic>Military family</topic><topic>Military personnel</topic><topic>Obesity</topic><topic>Persian Gulf War</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Social classes</topic><topic>Social interactions</topic><topic>Teeth</topic><topic>War</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Toomey, R.</creatorcontrib><creatorcontrib>Alpern, R.E.</creatorcontrib><creatorcontrib>White, A.J.</creatorcontrib><creatorcontrib>Li, X.</creatorcontrib><creatorcontrib>Reda, D.J.</creatorcontrib><creatorcontrib>Blanchard, M.S.</creatorcontrib><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Life sciences (1973)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Toomey, R.</au><au>Alpern, R.E.</au><au>White, A.J.</au><au>Li, X.</au><au>Reda, D.J.</au><au>Blanchard, M.S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical health, behavioral and emotional functioning in children of gulf war veterans</atitle><jtitle>Life sciences (1973)</jtitle><date>2021-10-01</date><risdate>2021</risdate><volume>282</volume><spage>119777</spage><epage>119777</epage><pages>119777-119777</pages><artnum>119777</artnum><issn>0024-3205</issn><eissn>1879-0631</eissn><abstract>We examined whether the prevalence of medical and behavioral conditions is higher in children of deployed veterans (DVs) versus non-deployed veterans (NDVs) after the 1991 Gulf War.
We examined 1387 children of 737 veterans. Children ages 2-18 had physical exams and parental reports of physical history and behavior.
Physical health was analyzed using GEE models. Behavioral health [total, internalizing, and externalizing behavior problems (TBP, IBP, EBP)] was analyzed with mixed-effects regression models. Analyses were conducted by age group (2-3, 4-11, 12-18), and gender (ages 4-11, 12-18). Children of DVs ages 2-3 had significantly worse dentition (13.9% vs. 4.8%, P = 0.03) and more EBP {least square means (lsmeans) 54.31 vs. 47.59, P = 0.02}. Children of DVs ages 4-11 had significantly more obesity (18.8% vs. 12.7%, P = 0.02). Among children 4-11, male children of DVs had significantly more TBP (lsmeans 70.68 vs. 57.34, P = 0.003), IBP (lsmeans 63.59 vs. 56.16, P = 0.002) and EBP (lsmeans 61.60 vs. 52.93, P = 0.03), but female children did not. For children ages 12-18, male children of DVs had more EBP (lsmeans 63.73 vs. 43.51, P = 0.008), while female children of DVs had fewer EBP (lsmeans 45.50 vs. 50.48, P = 0.02). Veteran military characteristics and mental health, and children's social status and health, including obesity, predicted children's TBP for one or more age groups.
Children of DVs experienced worse dentition, greater obesity, and more behavioral problems compared to NDV children, suggesting adverse health effects associated with parental deployment in need of further exploration.
•Children of Gulf War veterans have not been studied in person.•Children of deployed veterans (DV) had worse dentition and greater obesity.•Children of DV had more behavioral problems on the Child Behavior Checklist.•Veteran characteristics and mental health predicted children’s behavioral problems.•Children’s health (including obesity) predicted children’s behavioral problems.</abstract><cop>New York</cop><pub>Elsevier Inc</pub><doi>10.1016/j.lfs.2021.119777</doi><tpages>1</tpages></addata></record> |
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subjects | Age Behavior Children Children & youth Dentition Emotional behavior Gulf War Health risks Males Mental health Military Military family Military personnel Obesity Persian Gulf War Regression analysis Regression models Social classes Social interactions Teeth War |
title | Physical health, behavioral and emotional functioning in children of gulf war veterans |
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