Key result
Prior US military service was associated with higher odds of cardiovascular disease overall (OR 1.34; P<.001), though among non-Hispanic Blacks, it was associated with lower odds (OR 0.69; P<.001).
Why the study?
To determine rates of CVD among individuals with and without prior US military service and assess variation in CVD outcomes by race/ethnicity.
Does prior US military service affect the prevalence of cardiovascular disease across different racial/ethnic groups?
Cross-Sectional (n=2,861,628)
Does prior US military service affect the prevalence of cardiovascular disease across different racial/ethnic groups?
Prior US military service is associated with higher overall odds of CVD, but this association varies significantly by race/ethnicity, with lower odds observed among non-Hispanic Blacks who served.
Answers are grounded in this paper and cite their sources.
Prior service linked to higher CVD odds varying by race/ethnicity; hypothesis-generating for targeted screening, needs longitudinal confirmation.
Objective: To determine: 1) rates of cardiovascular disease (CVD) among individuals with and without prior US military service; and 2) variation in CVD outcomes by race/ethnicity. Methods: We performed a cross-sectional study of the 2011-2016 Behavioral Risk Factor Surveillance System during 2018-2019. Groups with (n=369,844) and without (n=2,491,784) prior service were compared overall, and by race/ethnicity. CVD odds were compared using logistic regression. Rate-difference decomposition was used to estimate relative contributions of covariates to differences in CVD prevalence. Results: CVD was associated with military service (OR=1.34; P<.001). Among non-Hispanic Blacks, prior service was associated with a lower odds of CVD (OR=.69; P<.001), fully attenuating the net difference in CVD between individuals with and without prior service. Non-Hispanic Whites who served had the highest odds of CVD, while Hispanics with prior service had the same odds of CVD as non-Hispanic Whites without prior service. After age, smoking and body mass index status were the largest contributors to CVD differences by race/ethnicity. Conclusions: Results from this study support an association between prior military service and CVD and highlight differences in this association by race/ethnicity. Knowledge of modifiable health behaviors that contribute to differences in CVD outcomes could be used to guide prevention efforts.
No takes yet. Share an insight, caveat, or question.
Walker et al. (2019) conducted a cross-sectional in Cardiovascular disease (n=2,861,628). Prior US military service vs. No prior US military service was evaluated on Cardiovascular disease (CVD) (OR 1.34, p=<.001). Prior US military service was associated with higher odds of cardiovascular disease overall (OR 1.34; P<.001), though among non-Hispanic Blacks, it was associated with lower odds (OR 0.69; P<.001).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: