Evidence map›Paper›PMID 33395485›Full record

ArticleInternational journal of epidemiology2021

War across the life course: examining the impact of exposure to conflict on a comprehensive inventory of health measures in an aging Vietnamese population.

Zachary Zimmer, Kathryn Fraser, Kim Korinek, Mevlude Akbulut-Yuksel, Yvette Marie Young, Tran Khanh Toan

Open access · bronzeAbstract read
In one paragraph

Article in International journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.3field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Associations of war-related exposures and early life adversity with late-life cognition.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. War Trauma and Strength: A Qualitative Study of Participants in the Vietnamese Insights into Cognitive Aging Program.The journals of gerontology. Series B, Psychological sciences and social sciences · 2025
    Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Zachary ZimmerGlobal Aging and Community Initiative, Department of Family Studies and Gerontology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.
Kathryn FraserGlobal Aging and Community Initiative, Department of Family Studies and Gerontology, Mount Saint Vincent University, Halifax, Nova Scotia, Canada.ORCID 0000-0003-0941-726X
Kim KorinekDepartment of Sociology, University of Utah, Salt Lake City, UT, USA.
Mevlude Akbulut-YukselDepartment of Economics, Dalhousie University, Halifax, Nova Scotia, Canada.
Yvette Marie YoungDepartment of Sociology, University of Utah, Salt Lake City, UT, USA.
Tran Khanh ToanFamily Medicine Department, Hanoi Medical University, Hanoi, Vietnam.
Mount Saint Vincent University · CAUniversity of Utah · USDalhousie University · CAHanoi Medical University · VN

Funding

Health and Aging Post Conflict: War's Ending Effects Among Survivors in VietnamR01AG052537 · NIA · UNIVERSITY OF UTAH · PI KORINEK, KIM · 2017 to 2021
$2.8M
NIA NIH HHS R01 AG052537
6 · The paper itself

Abstract

backgroundThe majority of evidence indicates that exposure to war and other traumatic events continue to have negative impacts on health across the life course. However, existing research on health effects of war exposure primarily concentrates on short-term impacts among veterans in high-income countries sent elsewhere to battle. Yet, most wars situate in lower- and middle-income countries, where many are now or will soon be entering old age. Consequently, the current burden of exposure to war has ignored an important global population.

methodsThe Vietnam Health and Aging Study (VHAS) is a longitudinal study designed to examine historical exposure to highly stressful events during the American War. Two modes of data collection, involving a sample of 2447 individuals aged 60+ years in northern Vietnam, took place between May and August 2018. Using this first wave of data, we generate indexed measures of war exposure and analyze their associations with a set of 12 health outcomes, accounting for confounding variables.

resultsResults indicate that greater exposure to three types of war exposure (death and injury, stressful living conditions, and fearing death and/or injury) in earlier life is associated with worse health in later-life across a large number of health outcomes, such as number of diagnosed health conditions, mental distress, somatic symptoms, physical functioning, post-traumatic stress symptoms and chronic pain.

conclusionsFindings support a life course theory of health and point to long-term effects of war on health that require detailed attention.

Indexed as

Stress Disorders, Post-TraumaticVeteransAgingAsian PeopleHumansLongitudinal StudiesVietnamVietnam Conflictagingcognitioncomorbidityfunctional limitationslife course theorymental healthmilitary servicetraumaveteransVietnam

Identifiers

PMID33395485
PMCPMC8530162
OpenAlexW3118456791

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.