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. 2019 Jun 14;9(6):e027791. doi: 10.1136/bmjopen-2018-027791

Table 3.

Sex-stratified GEE models examining potential interactions between survey and ethnicity for ATP-III MetS and MetS severity Z-score

ATP-III MetS MetS severity Z-score
OR (95% CI) P value β (95% CI) P value
Women
 Survey
  SAMINOR 2 vs SAMINOR 1 1.08 (0.99 to 1.18) 0.095 0.02 (0.01 to 0.04) 0.010
 Ethnicity
  Sami vs non-Sami 1.16 (1.03 to 1.30) 0.011 0.02 (−0.01 to 0.04) 0.14
 Survey × ethnicity
  SAMINOR 2 × Sami 0.03 (0.00 to 0.05) 0.024
 Age (per 10 years) 1.37 (1.30 to 1.45) <0.001 0.09 (0.08 to 0.10) <0.001
Men
 Survey
  SAMINOR 2 vs SAMINOR 1 1.43 (1.29 to 1.58) <0.001 0.06 (0.01 to 0.10) 0.021
 Ethnicity
  Sami vs non-Sami 1.00 (0.89 to 1.13) 0.95 −0.02 (−0.07 to 0.04) 0.62
 Survey × ethnicity
  SAMINOR 2 × Sami 0.14 (0.07 to 0.21) <0.001
 Age (per 10 years) 1.06 (1.00 to 1.12) 0.034 −0.04 (−0.06 to 0.02) 0.001

We tested whether the change in ATP-III MetS and MetS severity Z-score differed by ethnicity, by using interaction terms (ethnicity × survey) in GEE logistic or linear models that included age, survey and ethnicity as covariates. Analyses were not stratified by ethnicity. The interaction term was excluded from a model if p≥0.05. In women, the MetS severity Z-score was log-transformed. When interpreting the coefficients for survey and ethnicity in the models for MetS severity Z-score, one should be aware that these must be interpreted together with the interaction term.

ATP-III, Adult Treatment Panel III; GEE, generalised estimating equation; MetS, metabolic syndrome.