Key result
Veterans had a 42% higher likelihood of reporting a greater number of cardiovascular conditions compared to nonveterans (IRR 1.42), with younger veterans showing higher rates than their civilian counterparts.
Why the study?
US military veterans are key to understanding population health, and the study aimed to examine CVD prevalence across ages given the healthy soldier effect.
Does veteran status increase the likelihood of reporting cardiovascular disease compared to nonveterans?
Cross-Sectional (n=153,556)
Does veteran status increase the likelihood of reporting cardiovascular disease compared to nonveterans?
Effect estimate: IRR 1.42 (95% CI 1.27-1.59)
p-value: p=<0.01
US military veterans report higher rates of cardiovascular disease at younger ages compared to nonveterans, suggesting an erosion of the 'healthy soldier effect' and a potential emerging cardiovascular health crisis in this population.
Veteran status was associated with higher CVD reporting; leaves open whether targeted screening improves outcomes in younger veterans.
OBJECTIVE: Cardiovascular disease (CVD) is the most common chronic health condition affecting Americans. One important group of Americans that health researchers have noted as key to understanding general population health and wellbeing are veterans of the US military. The healthy soldier effect has been used to explain the health benefits of military service during and for a period of time after service. The purpose of this study was to examine the prevalence of CVD in a national sample with specific attention paid to reported CVD across ages. METHODS: A total of 153,556 veteran and nonveteran respondents from the National Health Interview Survey were examined for the likelihood of reporting the type and number of cardiovascular conditions. RESULTS: Veterans report higher rates of certain CVD conditions and report a higher number of CVD conditions than nonveterans. Veterans also reported higher numbers of CVD conditions at younger ages (ages 25 to 70 years) than nonveteran counterparts. At older ages (ages 70 to 85+ years), nonveterans reported higher numbers of CVD conditions than veterans. DISCUSSION: Our findings are consistent with the studies that indicate a waning healthy soldier effect for young veterans potentially due to the unique circumstances of the current conflicts.
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Ramon Hinojosa (2019) conducted a cross-sectional in Cardiovascular disease (n=153,556). Veteran status vs. Nonveteran status was evaluated on Number of cardiovascular conditions (IRR 1.42, 95% CI 1.27-1.59, p=<0.01). Veterans had a 42% higher likelihood of reporting a greater number of cardiovascular conditions compared to nonveterans (IRR 1.42), with younger veterans showing higher rates than their civilian counterparts.
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