English: PAGEREF _Toc118715363 \h 1 Acknowledgements PAGEREF _Toc118715364 \h 2 Executive Summary PAGEREF _Toc118715365 \h 3 Introduction PAGEREF _Toc118715366 \h 9 Previous studies from other countries on the health of veterans of the Gulf and Kuwait War of 1990/91 PAGEREF _Toc118715367 \h 11 The US Mortality studies PAGEREF _Toc118715368 \h 12 The US mortality study, operational mortality risks PAGEREF _Toc118715369 \h 12 The US veterans cohort mortality study, the 2-year follow-up results PAGEREF _Toc118715370 \h 12 The US veterans cohort mortality study, the 7-year follow-up results PAGEREF _Toc118715371 \h 13 The US hospitalization study PAGEREF _Toc118715372 \h 14 The UK Gulf War veterans cohort study PAGEREF _Toc118715373 \h 14 The UK veterans cohort mortality study PAGEREF _Toc118715374 \h 14 The UK veterans cohort cancer incidence study PAGEREF _Toc118715375 \h 14 The UK veterans cohort ill health study #1 PAGEREF _Toc118715376 \h 14 The UK veterans cohort ill health study #2 PAGEREF _Toc118715377 \h 14 The Australian Gulf War veterans cohort study PAGEREF _Toc118715378 \h 15 Other studies PAGEREF _Toc118715379 \h 15 The US testicular cancer incidence study PAGEREF _Toc118715380 \h 15 Miscellaneous Studies PAGEREF _Toc118715381 \h 15 Summary PAGEREF _Toc118715382 \h 15 Objective of the present study PAGEREF _Toc118715383 \h 17 The study cohorts PAGEREF _Toc118715384 \h 18 The final deployed cohort PAGEREF _Toc118715385 \h 18 The non-deployed cohort PAGEREF _Toc118715386 \h 18 Definitions PAGEREF _Toc118715387 \h 19 General population comparison group PAGEREF _Toc118715388 \h 20 Mortality rates PAGEREF _Toc118715389 \h 20 Cancer incidence rates PAGEREF _Toc118715390 \h 20 Outcomes PAGEREF _Toc118715391 \h 20 Determination of outcome status PAGEREF _Toc118715392 \h 21 Mortality PAGEREF _Toc118715393 \h 21 Cancer incidence PAGEREF _Toc118715394 \h 21 Eligibility of outcomes PAGEREF _Toc118715395 \h 21 Outcome coding PAGEREF _Toc118715396 \h 22 Mortality PAGEREF _Toc118715397 \h 22 Cancer incidence PAGEREF _Toc118715398 \h 22 Analyses PAGEREF _Toc118715399 \h 24 Between Cohort Comparisons PAGEREF _Toc118715400 \h 24 Direct Adjustment PAGEREF _Toc118715401 \h 24 Survival analysis PAGEREF _Toc118715402 \h 25 Early versus late mortality PAGEREF _Toc118715403 \h 25 Comparison to the general population PAGEREF _Toc118715404 \h 25 Ethics review PAGEREF _Toc118715405 \h 26 Exclusions PAGEREF _Toc118715406 \h 26 Results PAGEREF _Toc118715407 \h 27 Characteristics of the veterans in the Deployed and Non-deployed cohort PAGEREF _Toc118715408 \h 27 Mortality PAGEREF _Toc118715409 \h 28 Characteristics of the veterans who died PAGEREF _Toc118715410 \h 28 Data Sources: Department of National Defence and the Mortality and Cancer Incidence Databases.
French: PAGEREF _Toc121798276 \h 32 HYPERLINK \l "_Toc121798277" Comparaisons des cohortes PAGEREF _Toc121798277 \h 32 HYPERLINK \l "_Toc121798278" Mortalité pour l’ensemble de la période de suivi PAGEREF _Toc121798278 \h 32 HYPERLINK \l "_Toc121798279" Mortalité dans la première partie de la période de suivi, 1991-1995 PAGEREF _Toc121798279 \h 34 HYPERLINK \l "_Toc121798280" Mortalité dans la dernière moitié du suivi, 1996-1999 PAGEREF _Toc121798280 \h 35 HYPERLINK \l "_Toc121798281" Analyses de survie PAGEREF _Toc121798281 \h 36 HYPERLINK \l "_Toc121798282" Ensemble des décès PAGEREF _Toc121798282 \h 37 HYPERLINK \l "_Toc121798283" Tous les décès par maladie PAGEREF _Toc121798283 \h 38 HYPERLINK \l "_Toc121798284" Tous les cancers PAGEREF _Toc121798284 \h 38 HYPERLINK \l "_Toc121798285" Système circulatoire PAGEREF _Toc121798285 \h 38 HYPERLINK \l "_Toc121798286" Diverses maladies PAGEREF _Toc121798286 \h 38 HYPERLINK \l "_Toc121798287" Toutes causes extérieures confondues PAGEREF _Toc121798287 \h 38 HYPERLINK \l "_Toc121798288" Accidents de véhicules à moteur PAGEREF _Toc121798288 \h 39 HYPERLINK \l "_Toc121798289" Accidents d’aviation PAGEREF _Toc121798289 \h 39 HYPERLINK \l "_Toc121798290" Suicide PAGEREF _Toc121798290 \h 39 HYPERLINK \l "_Toc121798291" Résumé PAGEREF _Toc121798291 \h 39 HYPERLINK \l "_Toc121798292" Comparaisons avec la population canadienne PAGEREF _Toc121798292 \h 40 HYPERLINK \l "_Toc121798293" Cohorte déployée PAGEREF _Toc121798293 \h 40 HYPERLINK \l "_Toc121798294" Toutes causes confondues PAGEREF _Toc121798294 \h 40 HYPERLINK \l "_Toc121798295" Cohorte non déployée PAGEREF _Toc121798295 \h 40 HYPERLINK \l "_Toc121798296" Toutes causes confondues PAGEREF _Toc121798296 \h 40 HYPERLINK \l "_Toc121798297" Mortalité globale PAGEREF _Toc121798297 \h 41 HYPERLINK \l "_Toc121798298" Incidence du cancer PAGEREF _Toc121798298 \h 42 HYPERLINK \l "_Toc121798299" Caractéristiques des anciens combattants atteints d’un cancer PAGEREF _Toc121798299 \h 42 HYPERLINK \l "_Toc121798300" Comparaisons des cohortes PAGEREF _Toc121798300 \h 43 HYPERLINK \l "_Toc121798301" Taux obtenus par standardisation directe PAGEREF _Toc121798301 \h 43 HYPERLINK \l "_Toc121798302" Résumé PAGEREF _Toc121798302 \h 47 HYPERLINK \l "_Toc121798303" Comparaison avec la population canadienne PAGEREF _Toc121798303 \h 48 HYPERLINK \l "_Toc121798304" Comparaison des résultats de l’étude sur l’incidence du cancer avec ceux d’autres études PAGEREF _Toc121798304 \h 48 HYPERLINK \l "_Toc121798305" Limitations PAGEREF _Toc121798305 \h 48 HYPERLINK \l "_Toc121798306" Analyse PAGEREF _Toc121798306 \h 49 HYPERLINK \l "_Toc121798307" Mortalité PAGEREF _Toc121798307 \h 50 HYPERLINK \l "_Toc121798308" Mortalité toutes causes confondues PAGEREF _Toc121798308 \h 50 HYPERLINK \l "_Toc121798309" Mortalité due aux maladies PAGEREF _Toc121798309 \h 50 HYPERLINK \l "_Toc121798310" Mortalité due à des causes extérieures PAGEREF _Toc121798310 \h 51 HYPERLINK \l "_Toc121798311" Mortalité dans la première moitié de la période de suivi, 1991-1995 PAGEREF _Toc121798311 \h 51 HYPERLINK \l "_Toc121798312" Mortalité dans la seconde moitié de la période de suivi (1996-1999) PAGEREF _Toc121798312 \h 52 HYPERLINK \l "_Toc121798313" Incidence du cancer PAGEREF _Toc121798313 \h 52 HYPERLINK \l "_Toc121798314" Conclusion PAGEREF _Toc121798314 \h 53 HYPERLINK \l "_Toc121798315" Ouvrages de référence PAGEREF _Toc121798315 \h 54 HYPERLINK \l "_Toc121798316" Annexe A :