Steven Stellman - Combat and herbicide exposures in Vietnam among a sample of American Legionnaires

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      Publication Details (including relevant citation   information):

      Stellman, S. D., Stellman, J. M., Sommer, J. F., Jr. 47  (2) 112-28-

      Abstract: A cross-sectional survey of 6810   randomly selected members of The American Legion in six states   who served in the U.S. Armed Forces during the Vietnam Era was   conducted by a mailed questionnaire. Combat stress was evaluated   by a previously validated eight-item scale. Exposure to Agent   Orange and other herbicides was estimated via exposure   probability index previously developed by the authors which uses   an algorithm based on the combined Air Force and Joint Services   HERBS files of spray data. Two-fifths of the men had served in   Southeast Asia, generally at the same time during which the major   proportion of herbicides were used; the remaining subjects served   elsewhere. Both combat and Agent Orange exposure exhibited   distinct, meaningful distributions among Vietnam veterans with   service in Southeast Asia and were also correlated with each   other (r = 0.24). Our analysis demonstrates conclusively that   mere presence in Vietnam cannot be used as a proxy for exposure   to Agent Orange. Categorization of Vietnam veterans according to   herbicide exposure can be successfully accomplished, based on an   existing detailed herbicide application data base. This analysis,   together with the consistent dose-related results obtained in   this series of papers on health and behavioral effects,   demonstrates the utility of questionnaire-derived herbicide and   combat exposure measures for epidemiologic study of Vietnam   veterans.

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