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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: Environ Int. 2019 Apr 10;127:495–502. doi: 10.1016/j.envint.2019.03.074

Table 2:

Ratio of geometric means of employee Urine METAL concentrations by employee characteristics in waterpipe tobacco venues in Istanbul and Moscow

Characteristics N Adjusted Geometric Mean Ratios (95% Confidence Intervals)
Smoking Status Cd Co Cs Mn
 Never/Former (Ref) 28 1.00 1.00 1.00 1.00
 Current cigarette only 28 1.07 (0.71, 1.63) 1.07 (0.77, 1.47) 1.01 (0.80, 1.28) 1.69 (0.97, 2.94)
 Current waterpipe only 18 0.92 (0.53, 1.61) 1.04 (0.68, 1.61) 0.94 (0.68, 1.29) 2.60 (1.24, 5.45)
 Current cigarette and waterpipe 36 1.10 (0.68, 1.76) 1.11 (0.77, 1.60) 1.02 (0.78, 1.34) 1.54 (0.82, 2.89)
Urine Cotinine (ng/g)
 ≤1277.0 (Ref) (tertile 1) 24 1.00 1.00 1.00 1.00
 >1277.0 (tertiles 2 and 3) 86 1.57(1.14, 2.17) 0.99 (0.77, 1.29) 0.98 (0.82, 1.19) 0.93 (0.59, 1.45)
Work Hours Per Week (per hour) 109 1.01 (1.00, 1.02) 1.50 (0.96, 2.35) 1.00 (0.99, 1.01) 1.02 (1.01, 1.03)
Living with a smoker
 No (Ref) 53 1.00 1.00 1.00 1.00
 Yes, cigarette smoker only 49 1.07 (0.78, 1.47) 1.16 (0.91, 1.46) 0.94 (0.78, 1.13) 1.34 (0.88, 2.04)
 Yes, cigarette and waterpipe smoker 8 1.43 (0.80, 2.57) 1.48 (0.95, 2.29) 0.90 (0.65, 1.27) 1.82 (0.84, 3.94)
SHS from Cigarettes Per Week (Hours)
 ≤48 (Ref) 45 1.00 1.00 1.00 1.00
 >48 65 1.05 (0.43, 2.55) 0.83 (0.43, 1.63) 0.91 (0.67, 1.23) 0.71 (0.39, 1.27)
SHS from WP Per Week (Hours)
 ≤21 (Ref) 49 1.00 1.00 1.00 1.00
 >21 61 1.14 (0.83, 1.55) 1.38 (1.10, 1.75) 1.14 (0.96, 1.36) 1.11 (0.73, 1.68)
Lighting waterpipes
 No (Ref) 62 1.00 1.00 1.00 1.00
 Yes 48 1.13 (0.79, 1.59) 1.43 (1.10, 1.86) 1.21 (1.00, 1.48) 0.82 (0.51, 1.30)
Smoking Status Mo Pb Tl Ur
 Never/Former (Ref) 28 1.00 1.00 1.00 1.00
 Current cigarette only 28 1.10 (0.77, 1.56) 1.10 (0.77, 1.56) 0.98 (0.74, 1.28) 1.26 (0.91, 1.77)
 Current waterpipe only 18 0.96 (0.59, 1.54) 1.31 (0.94, 1.82) 0.91 (0.63, 1.31) 1.11 (0.71, 1.74)
 Current cigarette and waterpipe 36 1.23 (0.82, 1.84) 1.23 (0.82, 1.84) 0.80 (0.59, 1.10) 1.32 (0.90, 1.92)
Urine Cotinine (ng/g)
 ≤1277.0 (Ref) (tertile 1) 24 1.00 1.00 1.00 1.00
 >1277.0 (tertiles 2 and 3) 86 1.19 (0.89, 1.57) 1.30 (1.07, 1.58) 1.15 (0.92, 1.42) 1.02 (0.65, 1.61)
Work Hours Per Week (per hour) 109 1.00 (0.99, 1.01) 1.00 (0.99, 1.01) 1.01 (1.00, 1.02) 1.02 (1.01, 1.03)
Living with a smoker
 No (Ref) 53 1.00 1.00 1.00 1.00
 Yes, cigarette smoker only 49 0.91 (0.69, 1.19) 0.96 (0.80, 1.16) 0.93 (0.76, 1.15) 0.98 (0.76, 1.26)
 Yes, cigarette and waterpipe smoker 8 1.15 (0.69, 1.89) 1.40 (0.99, 1.97) 1.07 (0.73, 1.58) 1.62 (1.02, 2.56)
SHS from Cigarettes Per Week (Hour)
 ≤48 (Ref) 45 1.00 1.00 1.00 1.00
 >48 65 1.43 (0.83, 2.48) 0.92 (0.60, 1.41) 0.81 (0.55, 1.18) 1.00 (0.54, 1.87)
SHS from WP Per Week (Hours)
 ≤21 (Ref) 49 1.00 1.00 1.00 1.00
 >21 61 1.02 (0.78, 1.33) 1.02 (0.78, 1.33) 1.08 (0.88, 1.32) 0.80 (0.63, 1.03)
Lighting waterpipes
 No (Ref) 62 1.00 1.00 1.00 1.00
 Yes 48 1.45 (1.08, 1.93) 1.08 (0.87, 1.32) 1.17(0.93, 1.47) 1.18 (0.89, 1.57)

The geometric mean ratios for smoking status and work hours per week were adjusted for age, sex, and country.

The geometric mean ratios for urine cotinine, living with a smoker, SHS from cigarettes per week, and SHS from waterpipe per week and lighting waterpipes were further adjusted for cigarette and waterpipe smoking status.

Cd: Cadmium, Co: Cobalt, Cs: Cesium, Mn, Manganese. Ref: Reference group for regression analysis

The geometric mean ratios for smoking status and work hours per week were adjusted for age, sex, and country.

The geometric mean ratios for urine cotinine, living with a smoker, SHS from cigarettes per week, and SHS from waterpipe per week and lighting waterpipes were further adjusted for cigarette and waterpipe smoking status.

Mo: Molybdenum, Pb: Lead, Tl: Thallium, Ur: Uranium. Ref: Reference group for regression analysis