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You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading
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Multiple Sclerosis In Us Veterans Of The Vietnam Era And Later Military Service: Race, Sex, And Geography.
Asked by
allan,
Question
allan
Ann Neurol. 2004 Jan;55(1):65-71. Related Articles, Links
Multiple sclerosis in US veterans of the Vietnam era and later military service: race, sex, and geography.
Wallin MT, Page WF, Kurtzke JF.
Department of Veterans Affairs Medical Center, Georgetown University Medical School, Washington, DC, USA. mwallin@pol.net
We identified 5345 cases of multiple sclerosis (MS) among US veterans who first entered military service between 1960 and 1994, and who were "service-connected" for MS by the Department of Veterans Affairs (VA). Two controls per case were matched on age, date of service entry, and branch of service. Available for service and VA files were demographic and military data for 4951 cases and 9378 controls. Versus white men, relative risk of MS was significantly higher for all women, at 2.99 for whites, 2.86 for blacks, and 3.51 for those of other races. This was a significant increase from our prior series of veterans of World War II and the Korean Conflict, where white women had a relative risk of 1.79. Risk for black men was higher now (0.67 vs 0.44), while other men remained low (0.30 vs 0.22). Residence at service entry in the northern tier of states had a relative risk of 2.02 versus the southern tier, which was significantly less than the 2.64 for the earlier series. Residence by individual state at birth and service entry for white men further supported this decreasing geographic differential. Such marked changes in geography, sex, and race in such a short interval strongly imply a primary environmental factor in the cause or precipitation of this disease.
MeSH Terms:
Case-Control Studies
Comparative Study
Continental Population Groups
Female
Human
Male
Multiple Sclerosis/epidemiology*
Risk Factors
Sex Factors
Support, U.S. Gov't, Non-P.H.S.
United States
Veterans/statistics & numerical data*
Vietnam
PMID: 14705113 [PubMed - indexed for MEDLINE]
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