Evidence map›Paper›PMID 31367165›Full record

ArticleEthnicity & disease2019

US Military Service and Racial/Ethnic Differences in Cardiovascular Disease: An Analysis of the 2011-2016 Behavioral Risk Factor Surveillance System.

Lauren E Walker, Eduard Poltavskiy, Jud C Janak, Carl A Beyer, Ian J Stewart, Jeffrey T Howard

Registry-linked trialAbstract read
In one paragraph

Article in Ethnicity & disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07117162 (Increasing Access to Care), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07117162 narecruitingnot on this mapstarted 2025, after this paper: background citation

Increasing Access to Care: An Advanced Virtual Care Delivery Protocol to Deliver Diagnostic and Therapeutic Services to Underserved Veterans With ADRD

TypeinterventionalSponsorVA Pittsburgh Healthcare SystemRan2025 to 2027Enrolled30ConditionsAlzheimer DiseaseArmsADRD Care Delivery Protocol
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Telomere Shortening and Accelerated Aging in US Military Veterans.International journal of environmental research and public health · 2021
    Article
  12. Dietary Intake and Elevated C-Reactive Protein Levels in US Military Veterans.International journal of environmental research and public health · 2021
    Article
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lauren E WalkerDavid Grant USAF Medical Center, Travis AFB, CA.
Eduard PoltavskiyDavid Grant USAF Medical Center, Travis AFB, CA.
Jud C JanakDefense Health Agency, Combat Support Operations, Joint Trauma System, Joint Base San Antonio-Fort Sam Houston, TX.
Carl A BeyerDavid Grant USAF Medical Center, Travis AFB, CA.
Ian J StewartDavid Grant USAF Medical Center, Travis AFB, CA.
Jeffrey T HowardDefense Health Agency, Combat Support Operations, Joint Trauma System, Joint Base San Antonio-Fort Sam Houston, TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Health Status DisparitiesAdultAgedBehavioral Risk Factor Surveillance SystemBlack or African AmericanBlack PeopleCardiovascular DiseasesCross-Sectional StudiesEthnicityFemaleHealth BehaviorHispanic or LatinoHumansLogistic ModelsMaleMiddle AgedCardiovascular DiseasesHealth BehaviorHealth Status DisparitiesMilitaryRace/EthnicityVeterans Health

Identifiers

PMID31367165
PMCPMC6645722

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.