Table 5.
Hazards Ratio (HR) and 95% confidence interval of all cause mortality by blood lead concentrations
| Cause of death | Deaths | Blood lead concentration (μg/dL) [μmol/L] | Pvalue | |
|---|---|---|---|---|
| (< 8) [< 0.384 ] | (≥ 8) [≥ 0.384 ] | |||
| All cause death, n (Col %) | 123 | 96 (21%) | 27 (34%) | 0.018* |
| Age, clinic adjusted | 1.0 | 1.73 (1.12, 2.68) | 0.014 | |
| Multivariate adjusted a | 1.0 | 1.59 (1.02, 2.49) | 0.041 | |
| Cardiovascular disease b, n(%) | 54 | 41(9) | 13 (16) | 0.044* |
| Age, clinic adjusted | 1.0 | 1.90 (1.00, 3.63) | 0.054 | |
| Multivariate adjusted c | 1.0 | 1.78 (0.92, 3.45) | 0.089 | |
| Coronary heart disease d, n (%) | 23 | 15 (4) | 8 (11) | 0.006* |
| Age, clinic adjusted | 1.0 | 3.54 (1.48, 8.45) | 0.004 | |
| Multivariate adjusted e | 1.0 | 3.08 (1.23, 7.70) | 0.016 | |
| Stroke f, n(%) | 21 | 17 (4) | 4 (5) | 0.578* |
| Age, clinic adjusted | 1.0 | 1.16 (0.34, 4.00) | 0.816 | |
| Multivariate adjusted g | 1.0 | 1.13 (0.34, 3.81) | 0.840 | |
| Cancer h, n(%) | 38 | 30 (7) | 8 (10) | 0.262* |
| Age, clinic adjusted | 1.0 | 1.70 (0.77, 3.75) | 0.185 | |
| Multivariate adjusted i | 1.0 | 1.64 (0.73, 3.71) | 0.231 | |
| All other deaths j, n(%) | 31 | 25 (7) | 6 (10) | 0.289* |
| Age, clinic adjusted | 1.0 | 1.51 (0.61, 3.72) | 0.370 | |
| Multivariate adjusted k | 1.0 | 1.22 (0.48, 3.10) | 0.673 | |
*Chi -square p-value only for percentage of deaths in two blood lead strata, the rest are hazards ratio p values.
a,c,e,g,i,k The multivariate model included the following: age, clinic, BMI, education, smoking, alcohol intake, estrogen use, hypertension, walking for exercise, diabetes, and total hip BMD.
b ICD9 Code: All deaths due to CVD, including all diseases of circulatory system except those involving veins and lymphatics: 425,429.2, 440–444,428,401–404,410–414,430–438, and 798.
d ICD9 Code: deaths due to coronary heart disease: 410–414.
f ICD9 Code: Deaths due to stroke: 430–438.
h ICD9 Code: Deaths due to cancer: 140–239.
j ICD9 Code: All other deaths: Non CVD and non cancer deaths