Table 3.
Hazard ratios for the Associations of Lifetime Discrimination and All-cause Mortality, Incident Stroke, Incident Coronary Heart Disease, and Heart Failure Hospitalization
Model | All-cause mortality | Incident stroke | Coronary heart disease | Heart failure hospitalization | ||||
---|---|---|---|---|---|---|---|---|
Hazard Ratio (95% CI) d | P-value | Hazard Ratio (95% CI) d | P-value | Hazard Ratio (95% CI) d | P-value | Hazard Ratio (95% CI) d | P-value | |
M1: Unadjusted | 0.88 (0.85, 0.92) | < .001 | 0.88 (0.81, 0.95) | .001 | 0.91 (0.85, 0.97) | .007 | 0.91 (0.86, 0.96) | < .001 |
M2: Age and Sex | 0.94 (0.90, 0.98) | .004 | 0.93 (0.86, 1.00) | .06 | 0.95 (0.89, 1.02) | .17 | 0.97 (0.92, 1.02) | .28 |
M3: M2+Behavioral/Clinicala | 0.94 (0.91, 0.98) | .006 | 0.93 (0.86, 1.01) | .07 | 0.96 (0.89, 1.03) | .24 | 0.97 (0.92, 1.03) | .33 |
M4: M3+Socioeconomicb | 0.96 (0.92, 1.00) | .04 | 0.94 (0.86, 1.02) | .12 | 0.96 (0.89, 1.03) | .27 | 0.99 (0.93, 1.04) | .65 |
M5: M4+Social Supportc | 0.96 (0.92, 1.00) | .06 | 0.94 (0.86, 1.02) | .12 | 0.96 (0.89, 1.03) | .28 | 0.99 (0.94, 1.04) | .68 |
Adjusted for all variables in model 2 plus smoking status, BMI, hypertension, hypercholesterolemia, diabetes mellitus, estimated glomerular filtration rate
Adjusted for all variables in model 3 plus income, education, occupation, perceived standing in the community, healthcare access. Due to low event counts, 3 variables were re-parameterized to reduce the total degrees of freedom for the incident stroke and incident coronary heart disease models only: (1) income was reduced to 3 categories, (2) education was treated as continuous, and (3) occupation was dichotomized.
Adjusted for all variables in model 4 plus social support.
Hazard ratios are per 1-point increase in lifetime discrimination