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. 2015 Jun 24;10(6):e0130623. doi: 10.1371/journal.pone.0130623

Table 3. Adjusted* odds ratios (ORs) and 95% confidence intervals (CIs) between age and the risk of low Digit Symbol Substitution Test score (<25th percentile of all study subjects, 28 symbols correctly substituted) according to serum concentrations of organochlorine pesticides.

Quintiles of age (years)
Q1 (60–63) Q2 (64–67) Q3 (68–72) Q4 (73–79) Q5 (80–85) Ptrend Pinteraction
(n = 134) (n = 121) (n = 124) (n = 128) (n = 137)
P,p’-DDT T1+T2 Cases/Subjects 12/94 9/75 15/84 18/87 32/91
Prevalence (%) 12.8 12 17.9 20.7 35.2
Adjusted OR Reference 0.6 (0.2–1.6) 0.8 (0.3–2.0) 1.6 (0.6-.4.0) 4.2 (1.7–10.9) <0.01
T3 Cases/Subjects 14/40 16/46 17/40 15/41 20/46
Prevalence (%) 35.0 34.8 42.5 36.6 43.5
Adjusted OR Reference 0.8 (0.4–1.6) 0.8 (0.4–1.7) 1.2 (0.6–2.4) 3.1 (0.9–10.5) 0.25 0.37
P,p’-DDE T1+T2 Cases/Subjects 12/85 13/77 13/84 19/89 35/93
Prevalence (%) 14.1 16.9 15.5 21.3 37.6
Adjusted OR Reference 1.0 (0.4–2.8) 0.8 (0.3–2.1) 1.6 (0.6–4.1) 4.7 (1.8–12.5) <0.01 0.73
T3 Cases/Subjects 14/49 12/44 19/40 14/39 17/44
Prevalence (%) 28.6 27.3 47.5 35.9 38.6
Adjusted OR Reference 0.8 (0.3–2.7) 0.8 (0.3–2.7) 0.8 (0.3–2.6) 2.7 (0.8–9.1) 0.20
β-hexachlorocyclohexane T1+T2 Cases/Subjects 21/95 15/79 18/85 20/94 23/76
Prevalence (%) 22.1 19.0 21.2 21.3 30.3
Adjusted OR Reference 0.5 (0.2–1.1) 0.4 (0.2–1.1) 0.7 (0.3-.1.6) 1.6 (0.7–3.9) 0.30 <0.01
T3 Cases/Subjects 5/39 10/42 14/39 13/34 29/61
Prevalence (%) 12.8 23.8 35.9 38.2 47.5
Adjusted OR Reference 2.6 (0.7–10.5) 2.7 (0.7–10.8) 5.1 (1.2–21.4) 11.4 (2.7–48.0) <0.01
Trans-nonachlor T1+T2 Cases/Subjects 19/99 16/76 20/90 18/86 22/78
Prevalence (%) 19.2 21.1 22.2 20.9 28.2
Adjusted OR Reference 0.7 (0.3–1.7) 0.8 (0.4–1.9) 1.2 (0.5–2.9) 2.1 (0.9–5.1) 0.06 0.03
T3 Cases/Subjects 7/35 9/45 12/34 15/42 30/59
Prevalence (%) 20.0 20.0 35.3 35.7 50.8
Adjusted OR Reference 1.4 (0.4–5.3) 0.9 (0.2–3.7) 1.5 (0.4–5.6) 6.7 (1.7–26.4) <0.01
Oxychlordane T1+T2 Cases/Subjects 22/102 17/86 21/94 18/81 18/66
Prevalence (%) 21.6 19.8 22.3 22.2 27.3
Adjusted OR Reference 0.6 (0.2–1.3) 0.6 (0.3–1.4) 1.0 (0.4–2.4) 1.7 (0.7–4.3) 0.20 <0.01
T3 Cases/Subjects 4/32 8/35 11/30 15/47 34/71
Prevalence (%) 12.5 22.9 36.7 31.9 47.9
Adjusted OR Reference 3.0 (0.6–14.1) 2.5 (0.6–11.3) 2.2 (0.5–9.2) 10.1 (2.4–41.9) <0.01
Heptachlor epoxide T1+T2 Cases/Subjects 18/95 16/76 20/91 18/87 23/82
Prevalence (%) 18.9 21.1 22.0 20.7 28.0
Adjusted OR Reference 0.7 (0.3–1.8) 0.7 (0.3–1.6) 0.8 (0.3–1.9) 1.9 (0.8–4.8) 0.26 0.02
T3 Cases/Subjects 8/39 9/45 12/33 15/41 29/55
Prevalence (%) 20.5 20.0 36.4 36.6 52.7
Adjusted OR Reference 0.9 (0.3–3.1) 1.2 (0.3–4.5) 2.2 (0.7–7.5) 6.1 (1.7–21.6) <0.01

*Adjusted for age, sex, race-ethnicity, education, poverty income ratio, cigarette smoking, body mass index, physician-diagnosed heart disease, physician-diagnosed hypertension, and physician-diagnosed diabetes