Table 3.
Discrete time survival analysis predicting incidence of self-reported chronic obstructive pulmonary disease (COPD) for respondents aged 40 and older, Population Assessment of Tobacco and Health Study (Waves 1-5, 2013-2019)
| Model 1a | Model 2b | Model 3c | Model 4d | |||||
|---|---|---|---|---|---|---|---|---|
| Variables | Hazard | 95% CI | Hazard | 95% CI | Hazard | 95% CI | Hazard | 95% CI |
| Time-varying ENDS use | 1.98 *** | 1.44-2.74 | 1.70 ** | 1.21-2.40 | 1.16 | .82-1.65 | 1.1 | .78-1.56 |
| Age (years)e | 1.03 *** | 1.02-1.03 | 1.03 *** | 1.02-1.04 | 1.03 *** | 1.02-1.04 | ||
| Sex (Female=1) | 1.59 *** | 1.34-1.88 | 1.70 *** | 1.42-2.03 | 1.80 *** | 1.51-2.15 | ||
| Race/Ethnicity | ||||||||
| NH White | REF | REF | REF | REF | REF | REF | ||
| Hispanic | 0.94 | .73-1.21 | 1.06 | .82-1.36 | 1.18 | .92-1.52 | ||
| NH Black | 1.21 | .99-1.49 | 1.16 | .94-1.44 | 1.27 * | 1.03-1.58 | ||
| NH Other | 0.94 | .59-1.49 | 0.99 | .63-1.56 | 1 | .64-1.59 | ||
| Education | ||||||||
| High School or Less | 2.19 *** | 1.67-2.88 | 1.83 *** | 1.40-2.40 | 1.72 *** | 1.31-2.26 | ||
| Some College | 1.57 ** | 1.17-2.10 | 1.40* | 1.05-1.88 | 1.33 * | 1.0-1.78 | ||
| Bachelor Degree or Higher | REF | REF | REF | REF | REF | REF | ||
| Uninsured | 1.32 | .99-1.76 | 1.18 | .88-1.56 | 1.16 | .88-1.55 | ||
| Baseline Risk Factors | ||||||||
| Asthma | 2.95 *** | 2.26-3.84 | 2.98 *** | 2.29-3.89 | 3.04 *** | 2.32-3.98 | ||
| Obesity (BMI>30) | 1.34 ** | 1.11-1.63 | 1.43 *** | 1.18-1.73 | 1.41 ** | 1.16-1.71 | ||
| Time-varying second-hand smoke exposuref | 1.19 *** | 1.15-1.23 | 1.11 *** | 1.07-1.16 | 1.09 *** | 1.04-1.14 | ||
| Other' combustible tobacco product use | 1.26 | 0.94, 1.68 | 1.25 | 0.94-1.65 | ||||
| Time-Varying Smoking Status Indicator | ||||||||
| Non-established or never smoking | REF | REF | REF | REF | ||||
| Former established smoking | 1.50 ** | 1.17-1.94 | 0.85 | .59-1.23 | ||||
| Current established smoking | 3.13 *** | 2.55, 3.83 | 1.63 ** | 1.16-2.27 | ||||
| Log cigarette pack-yearsf | 1.79 *** | 1.46-2.19 | ||||||
Notes: Person N=9,861; risk N=33,679; Boldface indicates statistical significance
p<0.05
p<0.01
p<0.001
ENDS exposure
sociodemographic variables added
smoking status added
cigarette pack-years added
age mean centered for models
variable rescaled to reflect intervals of 10 hours