Gulf War Era Veterans Report: Pre-9/11 (August 2, 1990 to September 10, 2001) February 2011 TABLE OF CONTENTS EXECUTIVE SUMMARY .......................................................................................................................... 4 SECTION I. INTRODUCTION ................................................................................................................... 7 Overview .................................................................................................................................................. 7 Purpose ..................................................................................................................................................... 7 Objective................................................................................................................................................... 8 Methodology............................................................................................................................................. 8 Design Features ........................................................................................................................................ 8 SECTION II. COHORTS ........................................................................................................................... 10 Overview ................................................................................................................................................ 10 Sorting Hierarchy ................................................................................................................................... 10 Hierarchical Structure............................................................................................................................. 11 Cohort Definitions.................................................................................................................................. 12 Map of the Southwest Theater of Operations (as defined by 38 CFR §3.317)....................................... 15 Gulf War End Date................................................................................................................................. 16 SECTION III: SECTION NOTES.............................................................................................................. 17 Service Member (SM) Profile ................................................................................................................ 17 Veteran Profile - Integrated Benefits and Services (IBS):...................................................................... 17 Veteran Profile - Health Care (HC)........................................................................................................ 17 Veteran Profile – Benefits (BEN)........................................................................................................... 17 SECTION IV: SERVICE MEMBER (SM) PROFILE............................................................................... 18 Table SM-1: Vital Status for All Pre-9/11 Veterans by Cohort – FY 2009 ........................................... 19 Table SM-2: Cohorts by Gender Distribution – FY 2009 ...................................................................... 20 Table SM-3: Cohorts by Pay Category – FY 2009................................................................................. 21 Table SM-4: Cohorts by Current Age – FY 2009 .................................................................................. 22 Table SM-5: Branches of Service by Cohort – FY 2009........................................................................ 23 Table SM-6: Race/Ethnicity – FY 2009................................................................................................. 24 Graphic SM-1: Race/Ethnicity for the Pre-9/11 Cohort – FY 2009....................................................... 25 Table SM-7: State of Record at Discharge............................................................................................. 26 SECTION V: VETERAN PROFILE - INTEGRATED BENEFITS AND SERVICES (IBS) ................. 29 Table IBS-1: S/C Veterans Receiving VA Healthcare by VISN – FY 2009.......................................... 30 Table IBS-2: Cohorts by S/C Veterans Receiving VA Healthcare ........................................................ 31 Table IBS-3: Cohorts by Current Age of S/C Veterans Receiving VA Healthcare – FY 2009 ............. 32 Table IBS-4: Cohorts by Gender of S/C Veterans Receiving VA Healthcare – FY 2009 ..................... 33 Table IBS-5: Cohorts by Race/Ethnicity of S/C Veterans Receiving VA Healthcare – FY 2009 ......... 34 Table IBS-6: Broad ICD-9 Categories for S/C Pre-9/11 Veterans Receiving Healthcare ..................... 35 Table IBS-7: Cohorts by Inpatient Healthcare for S/C Veterans ........................................................... 36 Table IBS-8: Cohorts by Outpatient Healthcare for S/C Veterans......................................................... 37 Table IBS-9: Cohorts by Fee-Basis Healthcare for S/C Veterans.......................................................... 38 Table IBS-10. Cohorts by UDX S/C Veterans Receiving Healthcare.................................................... 39 Gulf War Era Veterans Report: Pre-9/11, February 2011 Page 2 SECTION VI: VETERAN PROFILE HEALTH CARE (HC)................................................................... 40 Table HC-1: Cohorts by Enrollment Priority Group – FY 2009 ........................................................... 41 Table HC-2: Frequency of Possible Diagnoses and Mental Disorders among Deployed to Persian Gulf Veterans ....................................................................................................... 42 Table HC-3: Frequency of Possible Diagnoses and Mental Disorders among Gulf War Veterans ...... 43 Table HC-4: Cohorts by Acute Inpatient Care ...................................................................................... 44 Table HC-5: Cohorts by Outpatient Visits ............................................................................................ 45 Table HC-6: Cohorts by Residential Care............................................................................................. 46 Table HC-7: Cohorts by Fee-Basis Care (Inpatient) ............................................................................. 47 Table HC-8: Cohorts by Fee-Basis Care (Outpatient)........................................................................... 48 Table HC-9: Cohorts by Hospice Care (Inpatient)................................................................................ 49 Table HC-10: Cohorts by Hospice Care (Outpatient) ............................................................................ 50 Table HC-11: Number of Unique Veterans Seen at Vet Centers by Cohort - FY 2009 Only................ 51 Table HC-12: Cohorts by National Costs Per PRP ................................................................................ 52 Table HC-13: VISN Healthcare Costs for All Cohorts – FY 2009 ........................................................ 53 Table HC-14: Unique Veterans by VISN for All Cohorts – FY 2009 ................................................... 54 SECTION VII: VETERAN PROFILE BENEFITS (BEN)........................................................................ 55 Table BEN-1: Select Cohorts by Overall Disability Compensation ...................................................... 56 Table BEN-2: Select Cohorts by Overall UDX Disability Compensation Statistics – FY 2009 ........... 59 Table BEN-3: Cohorts by a Minimum of One Service-Connected Disability ....................................... 62 Table BEN-4: Cohorts by a Minimum of One UDX Service-Connected Disability.............................. 63 Table BEN-5: Individual Disability Evaluations for the Pre-9/11 Cohort ............................................. 64 Table BEN-6: Combined Disability Evaluations for the Pre-9/11 Cohort ............................................. 65 Table BEN-7: Disability Category Breakouts for the Pre-9/11 Cohort.................................................. 66 Table BEN-8: Cohorts with Combined Disability Evaluations that Include at Least One S/C UDX Grant...................................................................................................................... 67 Table BEN-9: Cohorts in Receipt of NSC Pension Benefits.................................................................. 68 APPENDIX A: OTHER DEFINITIONS.................................................................................................... 69 APPENDIX B: TIMELINE ....................................................................................................................... 78 APPENDIX C. PUBLIC LAWS AND REGULATIONS ......................................................................... 88 APPENDIX D. DATA SOURCES............................................................................................................ 93 APPENDIX E: DATA USAGE AND LIMITATIONS.............................................................................. 94 APPENDIX F: ACRONYMS..................................................................................................................... 97 APPENDIX G: REFERENCES.................................................................................................................. 99 Gulf War Era Veterans Report: Pre-9/11, February 2011 Page 3 Executive Summary From Operation Desert Shield