Post-9/11 deployment history and the incidence of breast cancer among women veterans
To determine if women Veterans who deployed in support of Operations Enduring Freedom/Iraqi Freedom (OEF/OIF) would show a greater likelihood of breast cancer (BC) than other women Veterans. This was a retrospective cohort study of women aged
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| Veröffentlicht in: | Annals of epidemiology 2023-01, Vol.77, p.98-102 |
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| container_title | Annals of epidemiology |
| container_volume | 77 |
| creator | Gaffey, Allison E. Han, Ling Ramsey, Christine M. Skanderson, Melissa Dziura, James Driscoll, Mary Burg, Matthew M. Brandt, Cynthia A. Bastian, Lori A. Haskell, Sally G. |
| description | To determine if women Veterans who deployed in support of Operations Enduring Freedom/Iraqi Freedom (OEF/OIF) would show a greater likelihood of breast cancer (BC) than other women Veterans.
This was a retrospective cohort study of women aged |
| doi_str_mv | 10.1016/j.annepidem.2022.11.010 |
| format | Article |
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This was a retrospective cohort study of women aged <60 years who received Veterans Affairs medical center primary care, 2001–2021. The exposure was OEF/OIF deployment and the outcome was a BC diagnosis after entering Veterans Affairs care. Poisson models evaluated the association between deployment and BC incidence, covarying demographics, lifestyle factors, and hormonal contraceptive and hormone replacement therapy use. Analyses were also stratified by age and race, and a sensitivity analysis adjusted for healthcare utilization over the initial 2 years.
Of 576,601 women, 24.6% (n = 141,935) deployed during post-9/11 conflicts. Across follow-up [median: 8.2 years], 1.2% women were diagnosed with BC. Those who deployed in support of OEF/OIF were 23% less likely to be diagnosed with BC than women who did not deploy (95% CI: 0.73, 0.86). The association remained in stratified models and when including healthcare utilization.
Despite the exposures of OEF/OIF deployment, there was a significantly lower incidence of BC among women who deployed versus not, possibly due to a healthy soldier effect or to differences in screening.
[Display omitted]</description><identifier>ISSN: 1047-2797</identifier><identifier>ISSN: 1873-2585</identifier><identifier>EISSN: 1873-2585</identifier><identifier>DOI: 10.1016/j.annepidem.2022.11.010</identifier><identifier>PMID: 36470323</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Afghan Campaign 2001 ; Breast cancer ; Breast Neoplasms - epidemiology ; Breast Neoplasms - etiology ; Female ; Humans ; Incidence ; Iraq War, 2003-2011 ; Military Personnel ; Prevention ; Retrospective Studies ; Risk ; United States - epidemiology ; Veterans ; Women</subject><ispartof>Annals of epidemiology, 2023-01, Vol.77, p.98-102</ispartof><rights>2022</rights><rights>Copyright © 2022. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-42b1792f7de709ea88dacb41236acad15faf1bdabd8e95bd48204964d3a1590f3</citedby><cites>FETCH-LOGICAL-c420t-42b1792f7de709ea88dacb41236acad15faf1bdabd8e95bd48204964d3a1590f3</cites><orcidid>0000-0002-2960-2772</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1047279722003039$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36470323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gaffey, Allison E.</creatorcontrib><creatorcontrib>Han, Ling</creatorcontrib><creatorcontrib>Ramsey, Christine M.</creatorcontrib><creatorcontrib>Skanderson, Melissa</creatorcontrib><creatorcontrib>Dziura, James</creatorcontrib><creatorcontrib>Driscoll, Mary</creatorcontrib><creatorcontrib>Burg, Matthew M.</creatorcontrib><creatorcontrib>Brandt, Cynthia A.</creatorcontrib><creatorcontrib>Bastian, Lori A.</creatorcontrib><creatorcontrib>Haskell, Sally G.</creatorcontrib><title>Post-9/11 deployment history and the incidence of breast cancer among women veterans</title><title>Annals of epidemiology</title><addtitle>Ann Epidemiol</addtitle><description>To determine if women Veterans who deployed in support of Operations Enduring Freedom/Iraqi Freedom (OEF/OIF) would show a greater likelihood of breast cancer (BC) than other women Veterans.
This was a retrospective cohort study of women aged <60 years who received Veterans Affairs medical center primary care, 2001–2021. The exposure was OEF/OIF deployment and the outcome was a BC diagnosis after entering Veterans Affairs care. Poisson models evaluated the association between deployment and BC incidence, covarying demographics, lifestyle factors, and hormonal contraceptive and hormone replacement therapy use. Analyses were also stratified by age and race, and a sensitivity analysis adjusted for healthcare utilization over the initial 2 years.
Of 576,601 women, 24.6% (n = 141,935) deployed during post-9/11 conflicts. Across follow-up [median: 8.2 years], 1.2% women were diagnosed with BC. Those who deployed in support of OEF/OIF were 23% less likely to be diagnosed with BC than women who did not deploy (95% CI: 0.73, 0.86). The association remained in stratified models and when including healthcare utilization.
Despite the exposures of OEF/OIF deployment, there was a significantly lower incidence of BC among women who deployed versus not, possibly due to a healthy soldier effect or to differences in screening.
[Display omitted]</description><subject>Afghan Campaign 2001</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Iraq War, 2003-2011</subject><subject>Military Personnel</subject><subject>Prevention</subject><subject>Retrospective Studies</subject><subject>Risk</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><subject>Women</subject><issn>1047-2797</issn><issn>1873-2585</issn><issn>1873-2585</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFuGyEQhlHVqE7cvkLLsZfdMCy77B4tq20iRWoOzhmxMFtjecEFnMpvHywnufbEIH3__JqPkG_AamDQ3e5q7T0enMW55ozzGqBmwD6Qa-hlU_G2bz-WmQlZcTnIBblJaccYk73kn8ii6YRkDW-uyeYxpFwNtwDU4mEfTjP6TLcu5RBPVHtL8xap86ZUeYM0THSMqFOmRpd_pHoO_g_9F0qOPmPGqH36TK4mvU_45fVdkqefPzbru-rh96_79eqhMoKzXAk-ghz4JC1KNqDue6vNKIA3nTbaQjvpCUarR9vj0I5W9JyJoRO20dAObGqW5Ptl7yGGv0dMWc0uGdzvtcdwTIpLIbns244VVF5QE0NKESd1iG7W8aSAqbNStVPvStVZqQJQRWlJfn0tOY4z2vfcm8MCrC4AllOfHUaVjDvLsi6iycoG99-SF-o7jEM</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Gaffey, Allison E.</creator><creator>Han, Ling</creator><creator>Ramsey, Christine M.</creator><creator>Skanderson, Melissa</creator><creator>Dziura, James</creator><creator>Driscoll, Mary</creator><creator>Burg, Matthew M.</creator><creator>Brandt, Cynthia A.</creator><creator>Bastian, Lori A.</creator><creator>Haskell, Sally G.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2960-2772</orcidid></search><sort><creationdate>202301</creationdate><title>Post-9/11 deployment history and the incidence of breast cancer among women veterans</title><author>Gaffey, Allison E. ; Han, Ling ; Ramsey, Christine M. ; Skanderson, Melissa ; Dziura, James ; Driscoll, Mary ; Burg, Matthew M. ; Brandt, Cynthia A. ; Bastian, Lori A. ; Haskell, Sally G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-42b1792f7de709ea88dacb41236acad15faf1bdabd8e95bd48204964d3a1590f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Afghan Campaign 2001</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Iraq War, 2003-2011</topic><topic>Military Personnel</topic><topic>Prevention</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>United States - epidemiology</topic><topic>Veterans</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaffey, Allison E.</creatorcontrib><creatorcontrib>Han, Ling</creatorcontrib><creatorcontrib>Ramsey, Christine M.</creatorcontrib><creatorcontrib>Skanderson, Melissa</creatorcontrib><creatorcontrib>Dziura, James</creatorcontrib><creatorcontrib>Driscoll, Mary</creatorcontrib><creatorcontrib>Burg, Matthew M.</creatorcontrib><creatorcontrib>Brandt, Cynthia A.</creatorcontrib><creatorcontrib>Bastian, Lori A.</creatorcontrib><creatorcontrib>Haskell, Sally G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaffey, Allison E.</au><au>Han, Ling</au><au>Ramsey, Christine M.</au><au>Skanderson, Melissa</au><au>Dziura, James</au><au>Driscoll, Mary</au><au>Burg, Matthew M.</au><au>Brandt, Cynthia A.</au><au>Bastian, Lori A.</au><au>Haskell, Sally G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Post-9/11 deployment history and the incidence of breast cancer among women veterans</atitle><jtitle>Annals of epidemiology</jtitle><addtitle>Ann Epidemiol</addtitle><date>2023-01</date><risdate>2023</risdate><volume>77</volume><spage>98</spage><epage>102</epage><pages>98-102</pages><issn>1047-2797</issn><issn>1873-2585</issn><eissn>1873-2585</eissn><abstract>To determine if women Veterans who deployed in support of Operations Enduring Freedom/Iraqi Freedom (OEF/OIF) would show a greater likelihood of breast cancer (BC) than other women Veterans.
This was a retrospective cohort study of women aged <60 years who received Veterans Affairs medical center primary care, 2001–2021. The exposure was OEF/OIF deployment and the outcome was a BC diagnosis after entering Veterans Affairs care. Poisson models evaluated the association between deployment and BC incidence, covarying demographics, lifestyle factors, and hormonal contraceptive and hormone replacement therapy use. Analyses were also stratified by age and race, and a sensitivity analysis adjusted for healthcare utilization over the initial 2 years.
Of 576,601 women, 24.6% (n = 141,935) deployed during post-9/11 conflicts. Across follow-up [median: 8.2 years], 1.2% women were diagnosed with BC. Those who deployed in support of OEF/OIF were 23% less likely to be diagnosed with BC than women who did not deploy (95% CI: 0.73, 0.86). The association remained in stratified models and when including healthcare utilization.
Despite the exposures of OEF/OIF deployment, there was a significantly lower incidence of BC among women who deployed versus not, possibly due to a healthy soldier effect or to differences in screening.
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| ispartof | Annals of epidemiology, 2023-01, Vol.77, p.98-102 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Afghan Campaign 2001 Breast cancer Breast Neoplasms - epidemiology Breast Neoplasms - etiology Female Humans Incidence Iraq War, 2003-2011 Military Personnel Prevention Retrospective Studies Risk United States - epidemiology Veterans Women |
| title | Post-9/11 deployment history and the incidence of breast cancer among women veterans |
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