Table 1.
Summary of selected characteristics among participants in a nested case–control study of serum PFAS and testicular germ cell tumors among U.S. Air Force servicemen, both overall (530 matched pairs) and for the subset with two prediagnostic serum samples (187 matched pairs).
| All participants | Subset of participants with two samples | |||||
|---|---|---|---|---|---|---|
| Cases | Controls | -Value | Cases | Controls | -Value | |
| Age (y) at first serum collection [ (%)] | — | — | 0.41 | — | — | 0.55 |
| 141 (26.6) | 134 (25.3) | — | 60 (32.1) | 58 (31.0) | — | |
| 20–24 | 194 (36.6) | 220 (41.5) | — | 75 (40.1) | 88 (47.1) | — |
| 25–29 | 95 (17.9) | 76 (14.3) | — | 37 (19.8) | 26 (13.9) | — |
| 30–34 | 64 (12.1) | 66 (12.5) | — | 11 (5.9) | 12 (6.4) | — |
| 35–39 | 36 (6.8) | 34 (6.4) | — | 4 (2.1) | 3 (1.6) | — |
| Age (y) at second serum collection [ (%)] | ||||||
| NA | NA | — | 58 (31.0) | 62 (33.2) | 0.98 | |
| 20–24 | NA | NA | — | 55 (29.4) | 55 (29.4) | — |
| 25–29 | NA | NA | — | 45 (24.1) | 42 (22.5) | — |
| 30–34 | NA | NA | — | 18 (9.6) | 19 (10.2) | — |
| 35–39 | NA | NA | — | 11 (5.9) | 9 (4.8) | — |
| Age (y) at case diagnosis [ (%)]a | — | — | 1.00 | — | — | 1.00 |
| 10 (1.9) | 10 (1.9) | — | 0 | 0 | — | |
| 20–24 | 111 (20.9) | 111 (20.9) | — | 4 (2.1) | 4 (2.1) | — |
| 25–29 | 159 (30.0) | 159 (30.0) | — | 54 (28.9) | 54 (28.9) | — |
| 30–34 | 113 (21.3) | 113 (21.3) | — | 58 (31.0) | 58 (31.0) | — |
| 35–39 | 137 (25.9) | 137 (25.9) | — | 71 (38.0) | 71 (38.0) | — |
| Race and ethnicity [ (%)]a | — | — | 1.00 | — | — | 1.00 |
| Non-Hispanic White | 422 (79.6) | 422 (79.6) | — | 146 (78.1) | 146 (78.1) | — |
| Hispanic | 57 (10.8) | 57 (10.8) | — | 26 (13.9) | 26 (13.9) | — |
| Non-Hispanic Black | 13 (2.5) | 13 (2.5) | — | 3 (1.6) | 3 (1.6) | — |
| Asian/Pacific Islander | 6 (1.1) | 6 (1.1) | — | 4 (2.1) | 4 (2.1) | — |
| Native American/Alaskan Native | 5 (0.9) | 5 (0.9) | — | 0 (0.0) | 0 (0.0) | — |
| Other/unknown | 27 (5.1) | 27 (5.1) | — | 8 (4.3) | 8 (4.3) | — |
| Education [ (%)] | — | — | 0.26 | — | — | 0.55 |
| 261 (49.3) | 268 (50.6) | — | 82 (43.9) | 88 (47.1) | — | |
| Some college | 120 (22.6) | 138 (26.0) | — | 55 (29.4) | 51 (27.3) | — |
| Bachelor’s degree | 80 (15.1) | 57 (10.8) | — | 18 (9.6) | 17 (9.1) | — |
| Advanced degree | 68 (12.8) | 66 (12.5) | — | 32 (17.1) | 31 (16.6) | — |
| Unknown | 1 (0.2) | 1 (0.2) | — | 0 | 0 | — |
| Grade | — | — | 0.06 | — | — | 0.20 |
| E01–E10 (Enlisted) | 410 (77.4) | 435 (82.1) | — | 143 (76.5) | 153 (81.8) | — |
| O01–O10 (Officer) | 120 (22.6) | 95 (17.9) | — | 44 (23.5) | 34 (18.2) | — |
| Number of military deployments | — | — | — | — | 0.23 | |
| 0 | 296 (55.9) | 222 (41.9) | — | 64 (34.2) | 52 (27.8) | — |
| 1 | 114 (21.5) | 121 (22.8) | — | 47 (25.1) | 43 (23.0) | — |
| 120 (22.6) | 187 (35.3) | — | 76 (40.6) | 92 (49.2) | — | |
| Calendar year started military service [median (min, max)]a | 1998 (1986, 2017) | 1998 (1986, 2017) | 0.95 | 1998 (1986, 2012) | 1998 (1986, 2012) | 0.98 |
| Calendar year of sample collection [median (min, max)]a | ||||||
| First/only sample | 1999 (1988, 2017) | 1999 (1989, 2017) | 0.99 | 1999 (1989, 2012) | 1999 (1989, 2012) | 0.98 |
| Second sample | NA | NA | — | 2005 (1991, 2012) | 2005 (1992, 2013) | 0.97 |
| Years of service at sample collection [median (min, max)] | ||||||
| First/only sample | 0.3 (, 12.3)b | 0.4 (, 12.3)b | 0.49 | 0.3 (, 12.1)b | 0.4 (, 12.3)b | 0.64 |
| Second sample | NA | NA | — | 5.8 (, 21.8)b | 5.8 (, 25.0)b | 0.90 |
| Years from sample collection to case diagnosis [median (min, max)] | ||||||
| First/only sample | 5.0 (0.0, 19.8) | NA | — | 10.3 (5.0, 19.8) | NA | — |
| Second sample | NA | NA | — | 5.8 (4.8, 11.5) | NA | — |
| Tumor morphology [ (%)] | ||||||
| Seminoma | 300 (56.6) | NA | — | 125 (66.8) | NA | — |
| Nonseminoma | 230 (43.4) | NA | — | 62 (33.2) | NA | — |
Note: —, no data; max, maximum; min, minimum; NA, not applicable; PFAS, per- and polyfluoroalkyl substances.
Control matching factor.
Negative values represent serum collection dates prior to the military service start date (cases: 115 first/only samples, 6 second samples; controls: 99 first/only samples, 5 second samples).