Table 4.
Multiple regression models for lung cancer incidence, WIHS and MACS combined.
| All years (1984-2011) | HAART era (1995-2011) | |||||
|---|---|---|---|---|---|---|
| IRR | 95% CI | p-value for interaction with cohort* |
IRR | 95% CI | p-value for interaction with cohort* |
|
| MACS vs. WIHS | 0.59 | 0.27-1.29 | 0.54 | 0.23-1.25 | ||
| Calendar period | ||||||
| 1984 - 2000 | 1 | |||||
| 1995 - 2000 | 1 | |||||
| 2001-2011 | 0.80 | 0.42-1.53 | 0.52 | 0.82 | 0.41-1.64 | 0.61 |
| Age | ||||||
| <40 | 1 | 1 | ||||
| 40-49 | 3.27 | 1.09-9.82 | 0.76 | 3.95 | 0.89-17.59 | NE** |
| 50-59 | 7.04 | 2.25-22.07 | 0.90 | 8.51 | 1.85-39.07 | NE** |
| 60 and older | 11.52 | 3.23-41.09 | 0.78 | 15.98 | 3.15-80.98 | NE** |
| Black vs. non-Black Race | 1.86 | 0.98-3.54 | 0.65 | 1.83 | 0.93-3.60 | 0.61 |
| IDU (ever vs. never) | 0.98 | 0.53-1.80 | 0.59 | 1.02 | 0.54-1.95 | 0.48 |
|
Education (≤ high school vs. >
high school) |
2.29 | 1.20-4.39 | 0.25 | 1.95 | 0.96-3.98 | 0.44 |
| BMI (per 10 unit increase) | 0.70 | 0.40-1.20 | 0.86 | 0.67 | 0.38-1.19 | 0.56 |
| Pack-years of smoking | ||||||
| <10 | 1 | 1 | ||||
| 10-30 | 4.75 | 1.62-13.96 | 0.14 | 4.69 | 1.59-13.85 | 0.16 |
| >30 | 11.09 | 3.72-33.11 | 0.35 | 8.73 | 2.85-26.73 | 0.15 |
| HIV and AIDS | ||||||
| HIV-uninfected | 1 | 1 | ||||
| HIV+, AIDS-free | 1.79 | 0.80-4.03 | 0.75 | 1.71 | 0.64-4.57 | 0.74 |
|
HIV+, Prior AIDS (not
pneumonia) |
0.93 | 0.39-2.22 | 0.08 | 0.82 | 0.32-2.07 | 0.14 |
| HIV+, Prior AIDS pneumonia | 3.56 | 1.67-7.61 | 0.22 | 3.51 | 1.61-7.67 | 0.08 |
| Nadir CD4 (< 200 vs. >=200) *** | 1.37 | 0.71-2.63 | 0.13 | 1.46 | 0.73-2.92 | 0.03 |
|
HAART (experienced vs. naïve)
*** |
0.72 | 0.34-1.52 | 0.80 | 0.74 | 0.32-1.67 | 0.60 |
BMI = body mass index; CI = confidence interval; HIV+ = HIV-infected; HIV- = HIV-uninfected; IDU = injection drug use; IRR = incidence rate ratio; NE = not evaluable.
The p-value for an interaction between the given covariate and cohort tests whether the effect of the covariate differs between MACS and WIHS.
Not evaluable because no lung cancers were diagnosed in MACS participants younger than 40 years old during the HAART era.
The nadir CD4 and HAART experience effects correspond only to HIV-infected participants.