Chronic diseases in male veterans with multiple sclerosis
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Updated: May 25, 2026

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Published on: October 13, 2023
Sherri L Lavela1, Thomas R Prohaska, Sylvia Furner
1Center for Management of Complex Chronic Care, Hines VA Hospital, 5000 S 5th Ave (151H), Hines, IL 60141, USA. Sherri.LaVela@va.gov
Introduction:
Chronic disease risk may be high in people with multiple sclerosis (MS). Our objective was to identify chronic health conditions that may disproportionately affect male veterans with MS.
Methods:
We collected primary survey data for male veterans with MS (n = 1,142) in 2003 and 2004 and compared the data with 2003 Behavioral Risk Factor Surveillance System secondary data for comparison groups without MS (veteran population, n = 31,500; general population = 68,357). We compared disease prevalence by group and identified variables associated with chronic diseases in male veterans with MS.
Results:
Overall, veterans with MS had a high prevalence of hypercholesterolemia (49%), hypertension (47%), diabetes (16%), coronary heart disease (11%), and stroke (7%). Overall and for the subset of people aged 50 years or older, diabetes, hypertension, hypercholesterolemia, coronary heart disease, and stroke were significantly more prevalent among male veterans with MS than among the general population. Diabetes, hypertension, hypercholesterolemia, and stroke were more prevalent overall among male veterans with MS than among the general veteran population; however, except for stroke, differences were not significant for the group aged 50 or older. Explanatory variables (eg, age, education, race) and dynamic associations between conditions (higher odds for each when ≥ 1 of the other conditions were present) for chronic disease in men with MS were similar to findings in the general population literature for select conditions.
Conclusion:
These findings raise awareness of chronic disease in a veteran cohort and help bridge a gap in the literature on chronic disease epidemiology in men with MS. We identified chronic disease priorities that may benefit from focused interventions to reduce disparities.
Insights
Male veterans with multiple sclerosis (MS) have high rates of chronic diseases like hypertension and diabetes. These conditions are more common in MS patients compared to the general population, highlighting a need for targeted interventions.
Area of Science:
- Epidemiology
- Veterans' Health
- Neurology
Background:
- Multiple sclerosis (MS) is associated with increased chronic disease risk.
- Understanding chronic disease prevalence in male veterans with MS is crucial for targeted healthcare.
- Existing literature has gaps regarding chronic disease epidemiology in this specific demographic.
Purpose of the Study:
- To identify chronic health conditions disproportionately affecting male veterans diagnosed with multiple sclerosis.
- To compare the prevalence of chronic diseases in male veterans with MS against general veteran and population groups.
Main Methods:
- Primary survey data collected from 1,142 male veterans with MS (2003-2004).
- Secondary data from the Behavioral Risk Factor Surveillance System (2003) for comparison groups (veterans without MS and general population).
- Comparative analysis of disease prevalence and identification of associated variables in male veterans with MS.
Main Results:
- High prevalence of hypercholesterolemia (49%), hypertension (47%), diabetes (16%), coronary heart disease (11%), and stroke (7%) in male veterans with MS.
- Significantly higher prevalence of diabetes, hypertension, hypercholesterolemia, coronary heart disease, and stroke in male veterans with MS compared to the general population.
- Diabetes, hypertension, hypercholesterolemia, and stroke were more prevalent in male veterans with MS than in the general veteran population, with variations in significance for older age groups.
Conclusions:
- Findings highlight significant chronic disease burdens in male veterans with MS, necessitating increased awareness.
- Identified chronic diseases represent key priorities for focused interventions to reduce health disparities.
- The study contributes to the understanding of chronic disease epidemiology in men with MS, particularly within a veteran cohort.
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