Table 3.
Prevalent Sources of Mortality and Cause-specific Mortality Rates by Generation and Veteran Status
Generation and cause of death | Veteran status | Number of deaths | Total person-years | Rate per 1,000 person-years | Age-adjusted rate | Model 1 | Model 2 | Model 3 |
---|---|---|---|---|---|---|---|---|
HR (95% CI) | HR (95% CI) | HR (95% CI) | ||||||
Pre-Vietnam generation | ||||||||
Cancer | Veteran | 254 | 32,829.81 | 7.74 | 6.82 | 1.13 (1.00–1.29) | 1.09 (0.96–1.25) | 1.02 (0.84–1.24) |
Non-Veteran | 5,501 | 919,014.53 | 5.99 | 5.57 | Ref | Ref | Ref | |
CVD | Veteran | 347 | 32,829.81 | 10.57 | 6.89 | 1.12 (1.00–1.25) | 1.13 (1.01–1.27) | 1.11 (0.94–1.30) |
Non-Veteran | 6,629 | 919,014.53 | 7.21 | 5.84 | Ref | Ref | Ref | |
Trauma | Veteran | 34 | 32,829.81 | 1.04 | 0.83 | 1.45 (1.03–2.06) | 1.46 (1.02–2.10) | 1.01 (0.54–1.91) |
Non-Veteran | 546 | 919,014.53 | 0.59 | 0.50 | Ref | Ref | Ref | |
Vietnam / After Generation | ||||||||
Cancer | Veteran | 65 | 20,595.51 | 3.16 | 2.90 | 1.07 (0.84–1.37) | 1.00 (0.78–1.29) | 0.98 (0.69–1.38) |
Non-Veteran | 3,604 | 1,217,955.23 | 2.96 | 3.41 | Ref | Ref | Ref | |
CVD | Veteran | 29 | 20,595.51 | 1.41 | 2.57 | 0.98 (0.68–1.42) | 0.81 (0.54–1.22) | 0.82 (0.47–1.46) |
Non-Veteran | 1,739 | 1,217,955.23 | 1.43 | 1.84 | Ref | Ref | Ref | |
Trauma | Veteran | 12 | 20,595.51 | 0.58 | 0.43 | 2.93 (1.64–5.23) | 2.90 (1.58–5.31) | 3.93 (1.83–8.43) |
Non-Veteran | 244 | 1,217,955.23 | 0.20 | 0.25 | Ref | Ref | Ref |
Notes : BMI = body mass index; CI = confidence interval; CVD = cardiovascular disease; HR = hazard ratio; WHI = Women’s Health Initiative.
Only women with complete, non-missing data were included in the models. p > .05 for interaction of military generation and Veteran status in all cancer and CVD models; for trauma models, p values for interaction were .04, .06, and .007 for Models 1, 2, and 3, respectively.
Model 1 (sociodemographics and WHI study membership) adjusted for age, race/ethnicity, education, and WHI study membership.
Model 2 (+ risk factors and behaviors) adjusted for all variables in Model 1, plus smoking (pack years), physical activity, alcohol use, BMI, and depression.
Model 3 (+ comorbidities) adjusted for all variables in Model 2, plus hypertension, and medical comorbidities.