Evidence map›Paper›PMID 39313279›Full record

ArticleMilitary medicine2025

"Holy Cow, Where do I Sign up?" Attitudes of Military Veterans Toward Epigenomic Biomarker Toxic Exposure Testing.

Stacey Pereira, Calvin Apodaca, Kyle Slominski, Rachele K Lipsky, Cristian Coarfa, Cheryl L Walker, Amy L McGuire, Lea Steele, Drew A Helmer

Abstract read
In one paragraph

Article in Military medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Stacey PereiraCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77063, USA.ORCID 0000-0001-6541-3904
Calvin ApodacaCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA.
Kyle SlominskiCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77063, USA.
Rachele K LipskyCenter for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA.
Cristian CoarfaGulf Coast Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX 77063, USA.ORCID 0000-0002-4183-4939
Cheryl L WalkerGulf Coast Center for Precision Environmental Health, Baylor College of Medicine, Houston, TX 77063, USA.
Amy L McGuireCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77063, USA.
Lea SteeleDepartment of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX 77063, USA.
Drew A HelmerCenter for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX 77063, USA.

Funding

Translational Research Support CoreP30ES030285 · NIEHS · BAYLOR COLLEGE OF MEDICINE · PI Casey W Wright · 2019 to 2026
$14.7M
NIEHS NIH HHS P30 ES030285U.S. Department of Veterans Affairs
6 · The paper itself

Abstract

introductionAfter the Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics Promise to Address Comprehensive Toxics (PACT) Act in 2022, there has been a great interest in studying toxic exposures encountered during military service. Development of epigenomic biomarkers for exposures could facilitate understanding of exposure-related health effects, but such testing could also provide unwanted information. MATERIALS AND

methodsWe explored attitudes toward epigenomic biomarker research and the potential to test for past exposures using semistructured interviews with Veterans (n = 22) who experienced potentially harmful exposures.

resultsTwenty Veterans said they would hypothetically want to receive epigenomic information related to their toxic exposures and potential health impacts as part of a research study. Veterans identified 9 potential benefits, including promoting insights concerning intergenerational health, identification of early health interventions, and additional knowledge or explanation for their experiences. Sixteen participants noted potential risks, including psychological distress, receiving nonactionable, uncertain, or inaccurate results, and privacy and discrimination risks. Ten participants identified at least 1 condition in their children that they thought could be related to their exposure and most said they would be interested in receiving research results related to their children's and grandchildren's risk.

conclusionResults suggest that Veterans might welcome benefits of epigenomic research related to military exposures, yet have some concerns about potential negative impacts.

Indexed as

BiomarkersEpigenomicsVeteransAdultEnvironmental ExposureFemaleHumansMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesUnited StatesBiomarkers

Identifiers

PMID39313279
PMCPMC12208059

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.