Table 2. Hazard Ratios for All-cause CVD, based on Smoking Status and Cumulative Exposure.
Unadjusted | Model 1 * | Model 2 † | Model 3 ‡ | Model 4 § | Model 5 ‖ | |
---|---|---|---|---|---|---|
Smoking Status | ||||||
Never Smokers | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) |
Former Smokers | 1.31 (1.10, 1.55) | 1.07 (0.89, 1.29) | 1.05 (0.87, 1.26) | 0.98 (0.81, 1.19) | 1.09 (0.91, 1.32) | 0.97 (0.81, 1.18) |
Current Smokers | 1.43 (1.14, 1.79) | 1.70 (1.32, 2.18) | 1.64 (1.28, 2.11) | 1.48 (1.15, 1.90) | 1.65 (1.28, 2.12) | 1.41 (1.09, 1.82) |
p for linear trend | <0.001 | <0.001 | 0.001 | 0.02 | 0.001 | 0.04 |
Packs Years- Former Smokers | ||||||
1st Quartile | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) |
2nd Quartile | 1.37 (0.95, 1.97) | 1.32 (0.90, 1.94) | 1.31 (0.89, 1.93) | 1.23 (0.83, 1.80) | 1.29 (0.88, 1.90) | 1.23 (0.83, 1.81) |
3rd Quartile | 1.25 (0.86, 1.81) | 0.99 (0.67, 1.47) | 0.98 (0.66, 1.46) | 0.86 (0.58, 1.28) | 0.99 (0.67, 1.47) | 0.88 (0.59, 1.31) |
4th Quartile | 1.99 (1.41, 2.81) | 1.29 (0.89, 1.87) | 1.27 (0.87, 1.84) | 1.18 (0.81, 1.72) | 1.28 (0.88, 1.86) | 1.19 (0.82, 1.74) |
Pack-years Continuous | 1.01 (1.003, 1.01) | 1.00 (0.99, 1.01) | 1.00 (0.99, 1.01) | 1.00 (0.97, 1.86) | 1.00 (0.99, 1.01) | 1.00 (0.99, 1.01) |
Packs Years- Current Smokers | ||||||
1st Quartile | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) |
2nd Quartile | 1.42 (0.64, 2.89) | 1.43 (0.68, 2.98) | 1.39 (0.67, 2.91) | 1.30 (0.62, 2.71) | 1.37 (0.65, 2.86) | 1.26 (0.60, 2.63) |
3rd Quartile | 2.62 (1.37, 4.99) | 1.87 (0.95, 3.68) | 1.77 (0.89, 3.50) | 1.76 (0.89, 3.48) | 1.76 (0.89, 3.48) | 1.63 (0.82, 3.25) |
4th Quartile | 4.01 (2.16, 7.45) | 2.45 (1.25, 4.78) | 2.21 (1.13, 4.32) | 2.41 (1.23, 4.72) | 2.35 (1.20, 4.58) | 2.13 (1.08, 4.18) |
Pack-years Continuous | 1.02 (1.01, 1.02) | 1.01 (1.003, 1.02) | 1.01 (1.003, 1.02) | 1.01 (1.002, 1.02) | 1.01 (1.003, 1.02) | 1.01 (1.001, 1.02) |
95% confidence intervals are in brackets: statistically significant associations are highlighted in bold text
Model 1: Adjusted for age, sex, race, MESA site, body mass index, heart rate, hypertension status, diabetes status, LDL-Cholesterol, HDL-Cholesterol, triglycerides, cholesterol lowering medication use, family history of Myocardial Infarction, and education level.
Model 2: Model 1+Log (hsCRP);
Model 3: Model 1+ Log (CAC+1);
Model 4: Model 1+ Fibrinogen;
Model 5: Model 1+Log (hsCRP) + Log (CAC+1) +Fibrinogen
Quartiles of pack-years: Former Smokers= 1st<3, 2nd 3-12, 3rd 12-28, 4th>28 pack-years; Current Smokers= 1st<8, 2nd 8-20, 3rd 20-37, 4th>37. Continuous results are HR per unit increase in pack-year. CHD- Coronary heart disease events, CVD=Cardiovascular disease events, CAC=Coronary artery calcium (in Agatston Units), hsCRP=high-sensitivity C-Reactive Protein (in milligrams per liter)