A Prospective Study of Lupus and Rheumatoid Arthritis in Relation to Deployment in Support of Iraq and Afghanistan: The Millennium Cohort Study
Table 1
Baseline* characteristics of Millennium Cohort participants with newly reported lupus and rheumatoid arthritis (2001–2008).
Characteristics
Lupus
Rheumatoid arthritis
Disease
No disease
Disease
No disease
n = 72,576
n = 1,100
n = 69,924
%†
%†
%†
%†
Deployment‡
Nondeployed
75
65.2
39,874
54.9
744
67.6
38,111
54.5
Deployed without combat
22
19.1
17,985
24.7
174
15.8
17,594
25.2
Deployed with combat§
18
15.7
14,717
20.3
182
16.6
14,219
20.3
Sex
Male
56
48.7
51,240
70.6
760
69.1
49,321
70.5
Female
59
51.3
21,336
29.4
340
30.9
20,603
29.5
Birth year
Before 1960
22
19.1
13,686
18.9
381
34.6
12,629
18.1
1960–1969
41
35.7
24,131
33.3
470
42.7
22,996
32.9
1970–1979
41
35.7
24,020
33.1
197
17.9
23,645
33.8
1980 and later
11
9.6
10,739
14.8
52
4.7
10,654
15.2
Race/ethnicity
Non-Hispanic white
58
50.4
51,610
71.1
673
61.2
49,882
71.3
Non-Hispanic black
32
27.8
8,723
12.0
244
22.2
8,214
11.8
Hispanic
13
11.3
4,883
6.7
90
8.2
4,718
6.8
Other
12
10.4
7,360
10.1
93
8.5
7,110
10.2
Education
High school or less
67
58.3
37,153
51.2
572
52.0
35,815
51.2
Some college
25
21.7
15,797
21.8
297
27.0
15,061
21.5
Bachelor’s or higher degree
23
20.0
19,626
27.0
231
21.0
19,048
27.2
Marital status
Married
66
57.4
42,522
58.6
793
72.1
40,514
57.9
Not married
49
42.6
30,054
41.4
307
27.9
29,410
42.1
Service component
Active duty
64
55.7
40,745
56.1
640
58.2
39,235
56.1
Reserve/Guard
51
44.4
31,831
43.9
460
41.8
30,689
43.9
Military pay grade
Enlisted
97
84.4
55,262
76.1
935
85.0
53,068
75.9
Officer
18
15.7
17,314
23.9
165
15.0
16,856
24.1
Service branch
Army
63
54.8
33,856
46.7
619
56.3
32,349
46.3
Air Force
30
26.1
21,557
29.7
272
24.7
20,924
29.9
Marine Corps
4
3.5
3,880
5.4
43
3.9
3,765
5.4
Navy/Coast Guard
18
15.7
13,283
18.3
166
15.1
12,886
18.4
Occupation
Combat specialist
16
13.9
14,058
19.4
185
16.8
13,588
19.4
Health care specialist
23
20.0
8,259
11.4
90
8.2
8,054
11.5
Functional support
33
28.7
14,085
19.4
291
26.5
13,428
19.2
Electrical/mechanical
12
10.4
10,156
14.0
155
14.1
9,744
13.9
Service support
10
8.7
6,433
8.9
125
11.4
6,139
8.8
Other
21
18.3
19,585
27.0
254
23.1
18,971
27.1
Body mass index (kg/m2)
Normal/underweight (<25)
56
48.7
29,520
40.7
320
29.1
28,790
41.2
Overweight (25 to <30)
45
39.1
35,874
49.4
604
54.9
34,441
49.3
Obese (≥30)
14
12.2
7,182
9.9
176
16.0
6,693
9.6
Smoking status
Nonsmoker
68
59.1
42,572
58.7
552
50.1
41,285
59.0
Past smoker
21
18.3
17,425
24.0
321
29.2
16,613
23.8
Current smoker
26
22.6
12,579
17.3
228
20.7
12,026
17.2
Alcohol misuse¶
No
91
79.1
58,901
81.2
894
81.3
56,766
81.2
Yes
24
20.9
13,675
18.8
206
18.7
13,158
18.8
Mental component score
>75th percentile
26
22.6
20,760
28.6
299
27.2
19,974
28.6
>50th to 75th percentile
27
23.5
17,759
24.5
248
22.6
17,166
24.6
>25th to 50th percentile
23
20.0
16,266
22.4
182
16.6
15,721
22.5
0 to 25th percentile
39
33.9
17,791
24.5
371
33.7
17,063
24.4
Physical component score
>75th percentile
20
17.4
20,307
28.0
124
11.3
19,756
28.3
>50th to 75th percentile
26
22.6
18,245
25.1
168
15.3
17,664
25.3
>25th to 50th percentile
22
19.1
17,135
23.6
256
23.3
16,552
23.7
0 to 25th percentile
47
40.9
16,889
23.3
552
50.2
15,952
22.8
Chemical and/or biological warfare agents
No
106
92.2
68,750
94.7
968
88.0
66,446
95.0
Yes, 1 or more times
9
7.8
3,826
5.3
132
12.0
3,478
5.0
Hazards requiring personal protective equipment
No
65
56.5
31,622
43.6
476
43.3
30,558
43.7
Yes
46
40.0
39,420
54.3
584
53.1
37,921
54.2
Do not know
4
3.5
1,534
2.1
40
3.6
1,445
2.1
Routine skin contact with paint, solvents, substances
No
74
64.4
50,431
69.5
669
60.8
48,912
70.0
Yes
33
28.7
19,276
26.6
363
33.0
2,719
3.9
Do not know
8
7.0
2,869
4.0
68
6.2
2,719
3.9
Microwaves (excluding microwave ovens)
No
83
72.2
53,942
74.3
718
65.3
52,253
74.7
Yes
24
20.9
12,818
17.7
232
21.1
12,165
17.4
Do not know
8
7.0
5,816
8.0
150
13.6
5,506
7.9
Pesticides (creams, sprays, uniform treatments)
No
71
61.7
46,506
64.1
606
55.1
45,091
64.5
Yes
35
30.4
19,652
27.1
378
34.4
18,709
26.8
Do not know
9
7.8
6,418
8.8
116
10.6
6,124
8.8
Pesticides (environment, living facilities)
No
63
54.8
42.194
58.1
523
47.6
40,985
58.6
Yes
37
32.2
20,508
28.3
410
37.3
19,462
27.8
Do not know
15
13.0
9,874
13.6
167
15.2
9,477
13.6
*Population excludes participants with missing baseline covariates, may not represent whole study population. †Percentages may not sum to 100 because of rounding. ‡ Deployed in support of the operations in Iraq and Afghanistan. § Self-report of personally witnessing or being exposed to a person’s death due to war or disaster, physical abuse, dead and/or decomposing bodies, maimed soldiers or civilians, prisoners of war, or refugees. ¶Alcohol misuse is defined as at least 1 positive response to the CAGE questions (i.e., Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers) [32, 33].