{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T01:52:08Z","timestamp":1781315528786,"version":"3.54.1"},"reference-count":14,"publisher":"American Medical Association (AMA)","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Dermatol"],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:sec id=\"ab-dbr240014-4\"><jats:title>Importance<\/jats:title><jats:p>US veterans may be at an increased risk of developing various dermatologic conditions compared with nonveterans.<\/jats:p><\/jats:sec><jats:sec id=\"ab-dbr240014-5\"><jats:title>Objectives<\/jats:title><jats:p>To compare the prevalence and the odds of dermatologic conditions (eg, skin cancers, dermatitis\/eczema\/rash, psoriasis) between veterans and nonveterans.<\/jats:p><\/jats:sec><jats:sec id=\"ab-dbr240014-6\"><jats:title>Design, Setting, and Participants<\/jats:title><jats:p>This population-based cross-sectional study leveraged nationally representative data from the National Health and Nutrition Examination Survey (NHANES). Three questionnaires (demographics, medical conditions, and dermatology) were merged from 1999-2018 for analysis. Participants were nonveterans and veterans from NHANES data. Data were analyzed from August 2023 to April 2024.<\/jats:p><\/jats:sec><jats:sec id=\"ab-dbr240014-7\"><jats:title>Main Outcomes and Measures<\/jats:title><jats:p>The prevalence and odds ratios (ORs) comparing veterans and nonveterans were examined for various dermatologic conditions, including self-reported skin cancer history (any skin cancer, melanoma, nonmelanoma and unknown subtypes), dermatitis\/eczema\/inflamed rash, and psoriasis.<\/jats:p><\/jats:sec><jats:sec id=\"ab-dbr240014-8\"><jats:title>Results<\/jats:title><jats:p>In a total of 61\u202f307 participants (54\u202f554 nonveterans and 6753 veterans), there was a higher prevalence of any skin cancer history among US veterans compared with nonveterans (9.0% vs 2.9%; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001) as well as a higher prevalence of melanoma history (2.2% vs 0.6%; <jats:italic>P<\/jats:italic>\u2009&amp;amp;lt;\u2009.001). Adjusted for demographic factors, veterans had higher odds of any skin cancer history (OR, 1.72; 95% CI, 1.23-2.40) and higher odds of a melanoma history (OR, 2.27; 95% CI, 1.17-4.39) compared with nonveterans. Veterans had a higher prevalence of a psoriasis diagnosis compared with nonveterans (4.5% vs 2.9%; <jats:italic>P<\/jats:italic>\u2009=\u2009.002) and a 61% higher odds of a psoriasis diagnosis (OR, 1.61; 95% CI, 1.05-2.46) compared with nonveterans.<\/jats:p><\/jats:sec><jats:sec id=\"ab-dbr240014-9\"><jats:title>Conclusions and Relevance<\/jats:title><jats:p>This cross-sectional study found that veterans have higher prevalence and odds of various dermatologic conditions compared with nonveterans. Efforts aimed at improving health care quality among veterans must investigate the underlying causes of worsened skin health in this population.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamadermatol.2024.3043","type":"journal-article","created":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T15:10:36Z","timestamp":1725462636000},"page":"1107","source":"Crossref","is-referenced-by-count":6,"title":["Skin Cancer and Other Dermatologic Conditions Among US Veterans"],"prefix":"10.1001","volume":"160","author":[{"given":"Shawheen J.","family":"Rezaei","sequence":"first","affiliation":[{"name":"Department of Dermatology, Stanford University School of Medicine, Stanford, California"},{"name":"Stanford Center for Digital Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiyeong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Stanford University School of Medicine, Stanford, California"},{"name":"Stanford Center for Digital Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Onyeka","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Stanford University School of Medicine, Stanford, California"},{"name":"Stanford Center for Digital Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Swetter","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Stanford University School of Medicine, Stanford, California"},{"name":"Dermatology Service, Veterans Affairs Palo Alto Health Care System, Palo Alto, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin A.","family":"Weinstock","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island"},{"name":"Center for Dermatoepidemiology, VA Providence Health Care System, Providence, Rhode Island"},{"name":"Department of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven M.","family":"Asch","sequence":"additional","affiliation":[{"name":"Department of Medicine, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleni","family":"Linos","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Stanford University School of Medicine, Stanford, California"},{"name":"Stanford Center for Digital Medicine, Department of Medicine, Stanford University School of Medicine, Stanford, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","reference":[{"issue":"5","key":"dbr240014r2","doi-asserted-by":"publisher","first-page":"604","DOI":"10.3390\/healthcare9050604","article-title":"Exploring health outcomes for US veterans compared to non-veterans from 2003 to 2019.","volume":"9","author":"Betancourt","year":"2021","journal-title":"Healthcare (Basel)"},{"issue":"6","key":"dbr240014r6","doi-asserted-by":"publisher","first-page":"1185","DOI":"10.1016\/j.jaad.2017.11.062","article-title":"Skin cancer in the military: a systematic review of melanoma and nonmelanoma skin cancer incidence, prevention, and screening among active duty and veteran personnel.","volume":"78","author":"Riemenschneider","year":"2018","journal-title":"J Am Acad Dermatol"},{"issue":"1","key":"dbr240014r7","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1016\/j.jaad.2022.02.063","article-title":"Increased relative proportions of advanced melanoma among veterans: a comparative analysis with the Surveillance, Epidemiology, and End Results registry.","volume":"87","author":"Chang","year":"2022","journal-title":"J Am Acad Dermatol"},{"issue":"1","key":"dbr240014r11","doi-asserted-by":"publisher","DOI":"10.1080\/19381980.2016.1248325","article-title":"The risks and benefits of sun exposure 2016.","volume":"8","author":"Hoel","year":"2016","journal-title":"Dermatoendocrinol"},{"issue":"4","key":"dbr240014r13","doi-asserted-by":"publisher","first-page":"743","DOI":"10.3390\/healthcare10040743","article-title":"An exploration of the use and impact of preventive measures on skin cancer.","volume":"10","author":"Hung","year":"2022","journal-title":"Healthcare (Basel)"},{"issue":"2","key":"dbr240014r14","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.jaad.2021.12.066","article-title":"Skin cancer: primary, secondary, and tertiary prevention. part I.","volume":"87","author":"Perez","year":"2022","journal-title":"J Am Acad Dermatol"},{"key":"dbr240014r3","volume-title":"StatPearls","author":"Inoue","year":"2023"},{"key":"dbr240014r1","unstructured":"US Census Bureau. S2101: veteran status. Accessed August 28, 2023. https:\/\/data.census.gov\/table?q=S2101&tid=ACSST1Y2021.S2101"},{"key":"dbr240014r4","unstructured":"US Census Bureau. B21100: service-connected disability-rating status and ratings for civilian veterans 18 years and over. Accessed August 14, 2023. https:\/\/data.census.gov\/table?q=B21100:+SERVICE-CONNECTED+DISABILITY-RATING+STATUS+AND+RATINGS+FOR+CIVILIAN+VETERANS+18+YEARS+AND+OVER&g=010XX00US&tid=ACSDT1Y2021.B21100"},{"key":"dbr240014r5","unstructured":"US Department of Veteran Affairs. About VA disability ratings. Veterans Affairs. Published October 20, 2022. Accessed August 15, 2023. https:\/\/www.va.gov\/disability\/about-disability-ratings\/"},{"key":"dbr240014r8","unstructured":"CDC National Center for Health Statistics. NHANES - about the National Health and Nutrition Examination Survey. Published May 31, 2023. Accessed August 9, 2023. https:\/\/www.cdc.gov\/nchs\/nhanes\/about_nhanes.htm"},{"key":"dbr240014r9","unstructured":"CDC National Center for Health Statistics. NHANES survey methods and analytic guidelines. Accessed August 9, 2023. https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/analyticguidelines.aspx"},{"key":"dbr240014r10","unstructured":"CDC National Center for Health Statistics. NHANES - NCHS research ethics review board approval. Published August 25, 2022. Accessed August 9, 2023. https:\/\/www.cdc.gov\/nchs\/nhanes\/irba98.htm"},{"key":"dbr240014r12","unstructured":"US Department of Health and Human Services. Reducing the risk of skin cancer. In: The Surgeon General\u2019s Call to Action to Prevent Skin Cancer. Office of the Surgeon General (US); 2014. Accessed August 28, 2023. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK247163\/"}],"container-title":["JAMA Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/jamanetwork.com\/journals\/jamadermatology\/articlepdf\/2822785\/jamadermatology_rezaei_2024_br_240014_1729089120.20278.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,16]],"date-time":"2024-10-16T15:07:26Z","timestamp":1729091246000},"score":1,"resource":{"primary":{"URL":"https:\/\/jamanetwork.com\/journals\/jamadermatology\/fullarticle\/2822785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10,1]]}},"URL":"https:\/\/doi.org\/10.1001\/jamadermatol.2024.3043","relation":{},"ISSN":["2168-6068"],"issn-type":[{"value":"2168-6068","type":"print"}],"subject":[],"published":{"date-parts":[[2024,10,1]]}}}