title: Risk of disability for US army personnel vaccinated against anthrax, 1998-2005.
abstract: To evaluate the potential for long-term or delayed onset health effects, we extended a previous cohort study of disability separation from the army associated with vaccination against anthrax. Analyses included stratified Cox proportional hazards and multiple logistic regression models. Forty-one percent of 1,001,546 soldiers received at least one anthrax vaccination; 5.21% were evaluated for disability. No consistent patterns or statistically significant differences in risk of disability evaluation, disability determination, or reason for disability were associated with anthrax vaccination. There was a dose-related trend in risk of disability for soldiers with 2 years' service, limited to those entering service in 2000 or later. Divergent patterns in risk suggest confounding by temporal or occupational risks of disability.
authors.affiliation: ENVIRON International Corporation, Amherst, MA 01002, United States. ssulsky@environcorp.com
authors.forename: Sandra I
authors.initials: SI
authors.lastname: Sulsky
authors.forename: Rose S
authors.initials: RS
authors.lastname: Luippold
authors.forename: Patrick
authors.initials: P
authors.lastname: Garman
authors.forename: Hayley
authors.initials: H
authors.lastname: Hughes
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Amoroso
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000881:Anthrax / Q000517:prevention & control*; D022122:Anthrax Vaccines / Q000008:administration & dosage / Q000009:adverse effects*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008889:Military Personnel / Q000706:statistics & numerical data*; D015995:Prevalence; D016016:Proportional Hazards Models; D018570:Risk Assessment; D014481:United States; D055815:Young Adult
chemical_list: D022122:Anthrax Vaccines