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dc.contributor.authorPethrus, Carl-Martin
dc.contributor.authorVedtofte, Mia
dc.contributor.authorNeovius, Kristian
dc.contributor.authorBorud, Einar Kristian
dc.contributor.authorNeovius, Martin
dc.date.accessioned2022-08-31T07:40:20Z
dc.date.available2022-08-31T07:40:20Z
dc.date.issued2022-04-12
dc.description.abstractObjectives - To investigate all-cause and cause-specific mortality risks, including deaths from external, cardiovascular and cancer causes, among deployed Nordic military veterans in comparison to the general population in each country.<p> <p>Design - Pooled analysis.<p> <p>Setting - Denmark, Norway, Finland and Sweden.<p> <p>Participants - Military veterans deployed between 1990 and 2010 were followed via nationwide registers and compared with age-sex-calendar-year-specific rates in the general population using pooled standardised mortality ratios (SMRs).<p> <p>Main outcomes - All-cause and cause-specific mortality retrieved from each country’s Causes of Death Register, including deaths from external, cardiovascular and cancer causes.<p> <p>Results - Among 83 584 veterans 1152 deaths occurred of which 343 were from external causes (including 203 suicides and 129 traffic/transport accidents), 134 from cardiovascular causes and 297 from neoplasms. Veterans had a lower risk of death from any cause (pooled SMR 0.58, 95% CI 0.52 to 0.64), external causes (0.71, 95% CI 0.64 to 0.79), suicide (0.77, 95% CI 0.67 to 0.89), cardiovascular causes (0.54, 95% CI 0.46 to 0.64) and neoplasms (0.78, 95% CI 0.70 to 0.88). There was no difference regarding traffic/transport accidents for the whole period (1.10, 95% CI 0.92 to 1.31) but the pooled point estimate was elevated, though not statistically significant, during the first 5 years (1.17, 95% CI 0.89 to 1.53) but not thereafter (1.01, 95% CI 0.77 to 1.34). For all other causes of death, except suicide, statistically significantly lower risk among veterans was observed both during the first 5 years and thereafter. For suicide, no difference was observed beyond 5 years. Judged from the country-specific SMR estimates, there was a high degree of consistency although statistically significant heterogeneity was found for all-cause mortality.<p> <p>Conclusions - Nordic military veterans had lower overall and cause-specific mortality than the general population for most outcomes, as expected given the predeployment selection process. Though uncommon, fatal traffic/transport accidents were an exception with no difference between deployed military veterans and the general population.en_US
dc.identifier.citationPethrus, Vedtofte, Neovius, Borud EK, Neovius M. Pooled analysis of all-cause and cause-specific mortality among Nordic military veterans following international deployment. BMJ Open. 2022;12(4)en_US
dc.identifier.cristinIDFRIDAID 2030948
dc.identifier.doi10.1136/bmjopen-2021-052313
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/26488
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titlePooled analysis of all-cause and cause-specific mortality among Nordic military veterans following international deploymenten_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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