{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:47:15Z","timestamp":1787503635604,"version":"build-2736575974"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T00:00:00Z","timestamp":1776384000000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lymphoma risk varies by demographics, environmental\/occupational exposures, and medical care between active\u2010duty service members (ADSM) and the general US population (GUSP). This study compared age\u2010adjusted incidence rates and trends of Hodgkin lymphoma (HL) and non\u2010Hodgkin lymphoma (NHL) between these groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were obtained from the Department of War's Central Cancer Registry and the National Cancer Institute's Surveillance, Epidemiology, and End Results database, including individuals aged 18\u201359 diagnosed with lymphoma between 1998 and 2014. Incidence rate ratio (IRR) and 95% CIs were calculated to compare the incidence of HL and NHL between ADSM and GUSP, with analyses stratified by sex, race, age, stage, and histology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Lymphoma incidence was lower in ADSM than GUSP (HL: 0.93 [0.86, 1.00]; NHL: 0.82 [0.77, 0.88]); specifically, for men (HL: 0.89 [0.82, 0.97]; NHL: 0.69 [0.64, 0.74]), White (HL: 0.87 [0.80, 0.95]; NHL: 0.80 [0.73, 0.86]), and Black individuals (HL: 0.82 [0.68, 0.99]; NHL: 0.61 [0.51, 0.73]). Incidence was lower among ADSM aged 18\u201339 (HL: 0.91 [0.84, 0.99]; NHL: 0.74 [0.68, 0.81]), but similar at ages 40\u201359. ADSM had lower HL (early\u2010stage: 0.86 [0.77, 0.96]; nodular lymphocyte predominant: 0.88 [0.80, 0.97]) and NHL (early stage: 0.86 [0.77, 0.96]; advanced stage: 0.87 [0.78, 0.97]; diffuse large B\u2010cell: 0.65 [0.58, 0.74]; other histologies: 0.83 [0.74, 0.93]) incidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Lymphoma incidence was lower in ADSM than GUSP, particularly among men and younger individuals. Based on prior literature, this may be related to the healthier status of ADSM and earlier detection and treatment of medical conditions that can predispose to lymphoma. Diminished differences between the two populations for older individuals may reflect cumulated military\u2010related exposures within a generally healthier population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cam4.71810","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T03:41:56Z","timestamp":1776483716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Incidence of Hodgkin and Non\u2010Hodgkin Lymphomas: Comparison of the Military and General Population"],"prefix":"10.1002","volume":"15","author":[{"given":"Kimberly R.","family":"Robins","sequence":"first","affiliation":[{"name":"Murtha Cancer Center Research Program, Department of Surgery Uniformed Services University of the Health Sciences  Bethesda Maryland USA"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc.  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie A.","family":"Bytnar","sequence":"additional","affiliation":[{"name":"Murtha Cancer Center Research Program, Department of Surgery Uniformed Services University of the Health Sciences  Bethesda Maryland USA"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc.  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christin B.","family":"DeStefano","sequence":"additional","affiliation":[{"name":"Walter Reed National Military Medical Center  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig D.","family":"Shriver","sequence":"additional","affiliation":[{"name":"Murtha Cancer Center Research Program, Department of Surgery Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kangmin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Murtha Cancer Center Research Program, Department of Surgery Uniformed Services University of the Health Sciences  Bethesda Maryland USA"},{"name":"The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc.  Bethesda Maryland USA"},{"name":"Department of Preventive Medicine and Biostatistics Uniformed Services University of the Health Sciences  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,17]]},"reference":[{"key":"e_1_2_14_2_1","volume-title":"SEER Cancer Stat Facts: Non\u2010Hodgkin Lymphoma"},{"key":"e_1_2_14_3_1","volume-title":"SEER Cancer Stat Facts: Hodgkin Lymphoma"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2022.114610"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.35095"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2007.036913"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.23589"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.seminhematol.2023.11.004"},{"key":"e_1_2_14_9_1","first-page":"5","article-title":"History of United States Army Physical Fitness and Physical Readiness Training","author":"Knapik J. 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