TY - JOUR
T1 - Is there an association between a history of military service and cancer diagnosis? Results from a US national-level study of self-reported outcomes
AU - Goldberg, Hanan
AU - Noorani, Rodrigo
AU - Benton, John Z.
AU - Lodh, Atul
AU - Berlin, Alejandro
AU - Chandrasekar, Thenappan
AU - Wallis, Christopher J.D.
AU - Ahmad, Ardalan E.
AU - Klaassen, Zachary
AU - Fleshner, Neil E.
N1 - Publisher Copyright:
© 2020, Springer Nature Switzerland AG.
PY - 2021/1
Y1 - 2021/1
N2 - Purpose: To examine cancer prevalence in men with and without military service history, using national-level self-reported outcomes. Methods: A cross-sectional survey-based US study, including men aged 18 and above from the Health Information National Trends Survey database between 2011 and 2014. The primary endpoint was self-reported cancer prevalence. Multivariable logistic regression analyses assessed the association of various covariates with the prevalence of cancer. Results: A total of 4,527 men were analyzed, with 1,352 (29.9%) reporting a history of military service. Compared to men with no military service history, men with a military service history were older (median of 65 [IQR 56, 74] vs. 53 [IQR 41, 62] years, p < 0.0001), more commonly Caucasian (71.4% vs. 61.4%, p < 0.0001), born in the US (95.6% vs. 79.5%, p < 0.0001), attained higher education level and annual household income (p < 0.0001), and consisted of more smokers(58.3% vs. 44.5%, p < 0.0001). The age-adjusted comparison demonstrated a higher cancer prevalence in men with military service history (20.5% vs. 7.6%, p < 0.0001). Specifically, genitourinary, dermatological, gastrointestinal, and hematological cancers were generally more prevalent. Adjusting for all available confounders, multivariable models showed that military service history was associated with 1.56 (95% CI 1.20–2.03), and 1.57 (95% CI 1.07–2.31) increased odds of having any cancer, and specifically genitourinary cancer, respectively. Conclusions: Further research is needed to ascertain whether the association between military service and increased cancer diagnosis results from better screening programs or increased exposure to risk factors during military service.
AB - Purpose: To examine cancer prevalence in men with and without military service history, using national-level self-reported outcomes. Methods: A cross-sectional survey-based US study, including men aged 18 and above from the Health Information National Trends Survey database between 2011 and 2014. The primary endpoint was self-reported cancer prevalence. Multivariable logistic regression analyses assessed the association of various covariates with the prevalence of cancer. Results: A total of 4,527 men were analyzed, with 1,352 (29.9%) reporting a history of military service. Compared to men with no military service history, men with a military service history were older (median of 65 [IQR 56, 74] vs. 53 [IQR 41, 62] years, p < 0.0001), more commonly Caucasian (71.4% vs. 61.4%, p < 0.0001), born in the US (95.6% vs. 79.5%, p < 0.0001), attained higher education level and annual household income (p < 0.0001), and consisted of more smokers(58.3% vs. 44.5%, p < 0.0001). The age-adjusted comparison demonstrated a higher cancer prevalence in men with military service history (20.5% vs. 7.6%, p < 0.0001). Specifically, genitourinary, dermatological, gastrointestinal, and hematological cancers were generally more prevalent. Adjusting for all available confounders, multivariable models showed that military service history was associated with 1.56 (95% CI 1.20–2.03), and 1.57 (95% CI 1.07–2.31) increased odds of having any cancer, and specifically genitourinary cancer, respectively. Conclusions: Further research is needed to ascertain whether the association between military service and increased cancer diagnosis results from better screening programs or increased exposure to risk factors during military service.
KW - Cancer
KW - Dermatological cancers
KW - Genitourinary cancers
KW - HINTS survey
KW - Military service history
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U2 - 10.1007/s10552-020-01355-4
DO - 10.1007/s10552-020-01355-4
M3 - Article
C2 - 33064242
AN - SCOPUS:85092551421
SN - 0957-5243
VL - 32
SP - 47
EP - 55
JO - Cancer Causes and Control
JF - Cancer Causes and Control
IS - 1
ER -