Table 3.
Unadjusted lung cancer IRs among the 6823 current and former smokers in the WIHS and the MACS.
| WIHS | MACS | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| # Lung Cancers |
P-yrs | IR* | IRR (95% CI) | p-value | # Lung Cancers |
P-yrs | IR* | IRR (95% CI) | p-value | ||
| Geographic location | |||||||||||
| Central US | 6 | 3320 | 180.7 | 1 | 9 | 20253 | 44.4 | 1 | |||
| East coast | 18 | 12904 | 139.5 | 0.77 (0.29, 2.38) | 0.73 | 5 | 10617 | 47.1 | 1.06 (0.28, 3.52) | 1.00 | |
| West coast | 13 | 8152 | 159.5 | 0.88 (0.31, 2.83) | 0.97 | 9 | 14493 | 62.1 | 1.40 (0.49, 3.97) | 0.63 | |
| Calendar year | |||||||||||
| 1984-1994 | -- | -- | -- | 9 | 23491 | 38.3 | 1 | ||||
| 1995-2000 | 12 | 9671 | 124.1 | 1 | 5 | 7189 | 69.6 | 1.82 (0.48, 6.03) | 0.43 | ||
| 2001-2011 | 25 | 14705 | 170.0 | 1.37 (0.66, 2.99) | 0.47 | 9 | 14682 | 61.3 | 1.60 (0.56, 4.55) | 0.44 | |
| Age | |||||||||||
| <40 | 2 | 9172 | 21.8 | 1 | 2 | 18532 | 10.8 | 1 | |||
| 40-49 | 13 | 10194 | 127.5 | 5.85 (1.32, 53.36) | 0.01 | 9 | 15169 | 59.3 | 5.50 (1.14, 52.30) | 0.03 | |
| 50-59 | 17 | 4291 | 396.2 | 18.17 (4.31, 162.07) | <0.0001 | 8 | 8525 | 93.8 | 8.70 (1.74, 84.02) | 0.005 | |
| 60+ | 5 | 719 | 695.5 | 31.88 (5.22, 334.96) | <0.0001 | 4 | 3136 | 127.5 | 11.82 (1.69, 130.71) | 0.01 | |
| Race | |||||||||||
| Non-Black | 9 | 10116 | 89.0 | 1 | 19 | 39314 | 48.3 | 1 | |||
| Black | 28 | 14360 | 196.4 | 2.21 (1.01, 5.32) | 0.046 | 4 | 6037 | 66.3 | 1.37 (0.34, 4.12) | 0.73 | |
| Education | |||||||||||
| > High school | 7 | 7369 | 95.0 | 1 | 13 | 36940 | 35.2 | 1 | |||
| ≤ High school | 30 | 16946 | 177.0 | 1.86 (0.80-5.03) | 0.18 | 10 | 8220 | 121.7 | 3.46 (1.36-8.53) | 0.009 | |
| BMI | |||||||||||
| <25 | 21 | 9885 | 212.4 | 1 | 18 | 32907 | 54.7 | 1 | |||
| 25-30 | 7 | 7010 | 99.9 | 0.47 (0.17, 1.15) | 0.11 | 0 | 2429 | 0.0 | 0.0 (0.0, 3.08) | 0.56 | |
| >30 | 8 | 7420 | 107.8 | 0.51 (0.19, 1.19) | 0.14 | 5 | 10018 | 49.0 | 0.91 (0.26, 2.55) | 1.0 | |
| Cumulative pack-years | |||||||||||
| <10 | 2 | 11365 | 17.6 | 1 | 2 | 14609 | 13.7 | 1 | |||
| 10 to 19 | 14 | 6144 | 227.9 | 12.95 (2.97, 117.45) | <0.0001 | 1 | 7975 | 12.5 | 0.92 (0.02, 17.60) | 1.00 | |
| 20 to 29 | 6 | 2940 | 204.1 | 11.60 (2.07, 117.45) | 0.003 | 2 | 7112 | 28.1 | 2.05 (0.15, 28.33) | 0.79 | |
| >=30 | 13 | 2583 | 503.3 | 28.59 (6.48, 261.13) | <0.0001 | 18 | 14448 | 124.6 | 9.10 (2.18, 80.88) | 0.0004 | |
| Unknown | 2 | 0 | |||||||||
| History of asthma (WIHS only) | |||||||||||
| No | 15 | 15183 | 98.8 | 1 | -- | ||||||
| Yes | 22 | 9170 | 239.9 | 2.43 (1.20, 5.03) | 0.01 | -- | |||||
| Recreational drug use | |||||||||||
| Never | 4 | 2662 | 240.6 | 1 | 2 | 3147 | 63.5 | 1 | |||
| Ever | 33 | 22713 | 145.3 | 0.60 (0.21, 2.35) | 0.49 | 21 | 42207 | 49.8 | 0.78 (0.19, 6.89) | 0.96 | |
| Injection drug use | |||||||||||
| Never | 13 | 14506 | 89.6 | 1 | 18 | 39565 | 45.5 | 1 | |||
| Ever | 24 | 9870 | 243.2 | 2.71 (1.33, 5.80) | 0.005 | 5 | 5583 | 89.6 | 1.97 (0.57, 5.50) | 0.29 | |
| HIV | |||||||||||
| Infected | 6 | 6634 | 90.4 | 1 | 8 | 24459 | 32.7 | 1 | |||
| Uninfected | 31 | 17742 | 174.7 | 1.93 (0.79, 5.66) | 0.18 | 15 | 20903 | 71.6 | 2.19 (0.87, 5.98) | 0.10 | |
| Current CD4 (cells/ul, HIV+ only) | |||||||||||
| <200 | 9 | 3340 | 269.4 | 2.21 (0.76, 6.58) | 0.16 | 5 | 2625 | 72.3 | 4.73 (1.02, 23.86) | 0.047 | |
| 200 to 500 | 14 | 7793 | 179.7 | 1.47 (0.58, 4.05) | 0.51 | 6 | 8297 | 72.3 | 1.80 (0.43, 8.65) | 0.54 | |
| >500 | 8 | 6560 | 122.0 | 1 | 4 | 9937 | 40.3 | 1 | |||
| Nadir CD4 (cells/ul, HIV+ only) | |||||||||||
| <200 | 17 | 7242 | 234.7 | 1.28 (0.42, 5.21) | 0.90 | 8 | 5161 | 155.0 | 8.00 (1.07, 355.31) | 0.04 | |
| 200 to 500 | 10 | 8279 | 120.8 | 0.66 (0.19, 2.87) | 0.66 | 6 | 10532 | 57.0 | 2.94 (0.36, 135.37) | 0.54 | |
| >500 | 4 | 2173 | 184.1 | 1 | 1 | 5165 | 19.4 | 1 | |||
| Current HIV RNA (copies/ml, HIV+ only) | |||||||||||
| ≤400 | 10 | 7384 | 135.4 | 1 | 4 | 5492 | 72.8 | 1 | |||
| 401 to 10, 000 | 10 | 4479 | 223.3 | 1.65 (0.62, 4.41) | 0.37 | 1 | 2375 | 42.1 | 0.58 (0.01, 5.84) | 1.00 | |
| 10, 001 to 100, 000 | 6 | 3621 | 165.7 | 1.22 (0.37, 3.72) | 0.88 | 4 | 3189 | 125.5 | 1.72 (0.32, 9.24) | 0.66 | |
| > 100, 000 | 4 | 1362 | 293.7 | 2.17 (0.50, 7.52) | 0.32 | 0 | 1216 | 0.0 | 0.0 (0.0, 6.84) | 0.90 | |
| Unknown | 1 | 0 | |||||||||
| Peak HIV RNA (copies/ml, HIV+ only) | |||||||||||
| <10, 000 | 6 | 4665 | 128.6 | 1 | 0 | 4915 | 0.0 | 1 | |||
| 10, 001 to 100, 000 | 14 | 7100 | 197.2 | 1.53 (0.55, 4.87) | 0.52 | 5 | 7798 | 64.1 | ∞ (0.58, ∞) | 0.17 | |
| > 100, 000 | 11 | 5892 | 186.7 | 1.45 (0.49, 4.78) | 0.63 | 8 | 5570 | 143.6 | 00 (1.51, ∞) | 0.01 | |
| Unknown | 0 | 2 | |||||||||
| HAART experienced (HIV+ only) | |||||||||||
| No | 9 | 6107 | 147.4 | 1 | 8 | 12981 | 61.6 | 1 | |||
| Yes | 22 | 11635 | 189.1 | 1.28 (0.57, 3.16) | 0.67 | 7 | 7922 | 88.4 | 1.43 (0.44, 4.53) | 0.65 | |
| Prior AIDS diagnosis (HIV+ only) | |||||||||||
| No | 11 | 9578 | 114.8 | 1 | 9 | 18472 | 48.7 | 1 | |||
| Yes | 20 | 8164 | 245.0 | 2.13 (0.97, 4.93) | 0.06 | 6 | 2431 | 246.8 | 5.07 (1.48, 15.94) | 0.01 | |
IR: Incidence rate per 100, 000 person-years.