Table 3. Hazard Ratios for All-cause CHD, 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 | 1.44 (1.18, 1.77) | 1.14 (0.91, 1.42) | 1.11 (0.89, 1.39) | 1.02 (0.82, 1.28) | 1.16 (0.93, 1.45) | 1.00 (0.80, 1.26) |
Current Smokers | 1.41 (1.07, 1.86) | 1.55 (1.14, 2.10) | 1.49 (1.09, 2.03) | 1.29 (0.95, 1.76) | 1.49 (1.09, 2.03) | 1.22 (0.89, 1.67) |
p for linear trend | 0.001 | 0.01 | 0.02 | 0.18 | 0.01 | 0.32 |
Packs Years- Former Smokers | ||||||
1st Quartile | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) | 1 (Ref) |
2nd Quartile | 1.52 (0.96, 2.38) | 1.51 (0.95, 2.41) | 1.50 (0.94, 2.40) | 1.41 (0.88, 2.26) | 1.47 (0.92, 2.35) | 1.39 (0.87, 2.24) |
3rd Quartile | 1.50 (0.96, 2.35) | 1.16 (0.72, 1.87) | 1.14 (0.71, 1.85) | 1.00 (0.62, 1.62) | 1.16 (0.72, 1.87) | 1.01 (0.62, 1.64) |
4th Quartile | 2.63 (1.74, 3.99) | 1.69 (1.08, 2.65) | 1.66 (1.06, 2.61) | 1.56 (0.99, 2.43) | 1.70 (1.08, 2.65) | 1.57 (0.99, 2.46) |
Packs Years Continuous | 1.01 (1.004, 1.01) | 1.00 (0.99, 1.01) | 1.00 (0.99, 1.01) | 1.00 (0.99, 1.01) | 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 | 1.31 (0.49, 3.53) | 1.18 (0.42, 3.29) | 1.11 (0.40, 3.12) | 1.03 (0.37, 2.91) | 1.11 (0.39, 3.11) | 0.97 (0.34, 2.73) |
3rd Quartile | 3.78 (1.64, 8.75) | 2.35 (0.98, 5.64) | 2.11 (0.87, 5.11) | 2.13 (0.88, 5.16) | 2.14 (0.88, 5.16) | 1.88 (0.77, 4.58) |
4th Quartile | 5.06 (2.23, 11.48) | 2.74 (1.14, 6.62) | 2.39 (0.99, 5.79) | 2.66 (1.09, 6.45) | 2.54 (1.05, 6.17) | 2.23 (0.91, 5.44) |
Packs Years Continuous | 1.02 (1.01, 1.02) | 1.01 (1.005, 1.02) | 1.01 (1.005, 1.02) | 1.01 (1.003, 1.02) | 1.01 (1.004, 1.02) | 1.01 (1.003, 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)