Table 3.
Hazard ratios (HRs) and 95 % confidence intervals (95% CI) for associations of the risk of nonfatal myocardial infarction (MI) and fatal coronary heart disease (CHD) 1986–2010 with residential proximity to A1–A3 roads among Nurses’ Health Study participants (N=107,130)
Outcome | Distance (m) | Cases | Person-Years | Basic* | Multivariable† | Multivariable‡ |
---|---|---|---|---|---|---|
Nonfatal MI | 0–49 | 445 | 326,705 | 1.14 (1.00–1.29) | 1.08 (0.96–1.23) | 1.08 (0.96–1.23) |
50–199 | 819 | 611,508 | 1.13 (1.02–1.26) | 1.09 (0.98–1.22) | 1.09 (0.98–1.21) | |
200–499 | 861 | 711, 732 | 1.05 (0.95–1.17) | 1.03 (0.92–1.14) | 1.03 (0.92–1.14) | |
500+ | 606 | 541,065 | reference | reference | reference | |
Linear (per 100m)§ | 2,731 | 2,191,010 | 1.03 (1.01–1.05) | 1.02 (1.00–1.04) | 1.02 (1.00–1.04) | |
Fatal CHD | 0–49 | 228 | 331,321 | 1.41 (1.17–1.70) | 1.24 (1.03–1.49) | 1.24 (1.03–1.50) |
50–199 | 341 | 619,706 | 1.18 (1.00–1.40) | 1.07 (0.90–1.27) | 1.07 (0.90–1.27) | |
200–499 | 362 | 720,015 | 1.12 (0.95–1.33) | 1.06 (0.90–1.25) | 1.07 (0.90–1.26) | |
500+ | 228 | 547,634 | reference | reference | reference | |
Linear (per 100m)§ | 1,159 | 2,218,407 | 1.07 (1.03–1.10) | 1.04 (1.00–1.07) | 1.04 (1.00–1.07) |
Models adjusted for age, race, and calendar time
Models additionally adjusted for smoking status, secondhand smoke exposure during childhood, at home, and at work, BMI, menopausal status and postmenopausal hormone use, the Alternative Healthy Eating Index, alcohol consumption, physical activity, family history of MI, aspirin, multivitamin, and vitamin E use, region of residence, and Census tract median home value and median income, and incidence of diabetes or cancer
Models additionally adjusted for comorbidities -- incidence of high cholesterol, high blood pressure, or stroke
Linear models for distances 0–499m, compared to addresses 500+m away
Note: Ns, person-years, and number of cases apply for all models