Table 4.
Stratified analyses of associations between ever exposure to crude oil/oily water and acute neurological symptoms, compared to never exposure, estimated by adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs).
| Neurologic symptom | Na | Nb | PR (adj.)c | 95%CI | Na | Nb | PR (adj.)c | 95%CI | Interaction p-value |
|---|---|---|---|---|---|---|---|---|---|
| Males | Females | ||||||||
| Headaches | 1538 | 2589 | 1.87 | (1.69–2.07) | 353 | 375 | 1.34 | (1.14–1.58) | < 0.01 |
| Lightheadedness/dizziness | 507 | 3620 | 3.00 | (2.37–3.80) | 136 | 507 | 2.07 | (1.44–2.96) | 0.02 |
| Difficulty concentrating | 372 | 3755 | 1.81 | (1.44–2.26) | 96 | 632 | 1.28 | (0.86–1.90) | 0.01 |
| Numbness or tingling sensations | 193 | 3934 | 2.41 | (1.68–3.42) | 36 | 692 | 1.82 | (0.88–3.80) | 0.30 |
| Blurred/double vision | 175 | 3952 | 1.96 | (1.38–2.78) | 43 | 685 | 1.31 | (0.69–2.49) | 0.05 |
| Memory loss/confusion | 109 | 4018 | 2.58 | (1.60–4.16) | 18 | 710 | 1.03 | (0.37–2.87) | 0.02 |
| With exhaust exposure | Without exhaust exposure | ||||||||
| Headaches | 1649 | 2011 | 1.39 | (1.27–1.52) | 242 | 953 | 1.86 | (1.51–2.29) | < 0.01 |
| Lightheadedness/dizziness | 586 | 3074 | 2.23 | (1.80–2.77) | 57 | 1138 | 2.30 | (1.32–4.02) | 0.88 |
| Difficulty concentrating | 403 | 3257 | 1.32 | (1.09–1.68) | 65 | 1130 | 1.29 | (0.71–2.33) | 0.92 |
| Numbness or tingling sensations | 206 | 3454 | 1.68 | (1.20–2.37) | 23 | 1172 | 3.48 | (1.44–8.42) | 0.21 |
| Blurred/double vision | 181 | 3479 | 1.63 | (1.15–2.33) | 37 | 1158 | 1.26 | (0.54–2.92) | 0.68 |
| Memory loss/confusion | 112 | 3548 | 1.78 | (1.11–2.86) | 15 | 1180 | 2.04 | (0.56–7.41) | 0.74 |
| With oil-PPE | Without oil-PPE | ||||||||
| Headaches | 1379 | 1756 | 1.71 | (1.53–1.92) | 512 | 1208 | 1.45 | (1.25–1.68) | 0.14 |
| Lightheadedness/dizziness | 501 | 2634 | 2.59 | (2.01–3.35) | 142 | 1578 | 2.50 | (1.79–3.48) | 0.94 |
| Difficulty concentrating | 307 | 2828 | 1.71 | (1.30–2.25) | 161 | 1559 | 1.50 | (1.10–2.06) | 0.60 |
| Numbness or tingling sensations | 164 | 2971 | 3.06 | (1.87–5.00) | 65 | 1655 | 1.37 | (0.82–2.28) | 0.06 |
| Blurred/double vision | 147 | 2988 | 2.45 | (1.54–3.91) | 71 | 1649 | 1.15 | (0.68–1.96) | 0.02 |
| Memory loss/confusion | 89 | 3046 | 2.55 | (1.35–4.81) | 38 | 1682 | 1.72 | (0.88–3.36) | 0.22 |
| Pre-capping | Post-capping | ||||||||
| Headaches | 547 | 952 | 1.80 | (1.62–2.00) | 1344 | 2012 | 1.54 | (1.33–1.77) | 0.09 |
| Lightheadedness/dizziness | 155 | 1344 | 2.35 | (1.87–2.96) | 488 | 2868 | 3.30 | (2.27–4.79) | 0.25 |
| Difficulty concentrating | 129 | 1370 | 1.61 | (1.27–2.03) | 339 | 3017 | 1.66 | (1.17–2.35) | 0.90 |
| Numbness or tingling sensations | 59 | 1440 | 2.38 | (1.63–3.47) | 170 | 3186 | 1.73 | (0.97–3.08) | 0.95 |
| Blurred/double vision | 55 | 1444 | 1.82 | (1.27–2.61) | 163 | 3193 | 1.40 | (0.80–2.45) | 0.52 |
| Memory loss/confusion | 35 | 1464 | 1.55 | (0.96–2.52) | 92 | 3264 | 5.09 | (2.29–11.30) | 0.07 |
| Low heat | High heat | ||||||||
| Headaches | 825 | 1573 | 1.65 | 1.48–1.84 | 1066 | 1391 | 1.73 | 1.50–1.99 | 0.09 |
| Lightheadedness/dizziness | 220 | 2178 | 2.18 | 1.68–2.82 | 423 | 2034 | 3.22 | 2.29–4.54 | 0.01 |
| Difficulty concentrating | 261 | 2137 | 1.49 | 1.19–1.86 | 207 | 2250 | 1.99 | 1.30–3.06 | 0.45 |
| Numbness or tingling sensations | 106 | 2292 | 2.12 | 1.45–3.10 | 123 | 2334 | 2.34 | 1.29–4.24 | 0.80 |
| Blurred/double vision | 115 | 2283 | 1.43 | 1.00–2.07 | 103 | 2354 | 3.13 | 1.51–6.46 | 0.02 |
| Memory loss/confusion | 67 | 2331 | 2.00 | 1.24–3.22 | 60 | 2397 | 2.43 | 0.97–6.13 | 0.45 |
Count of responders reporting the symptom for the corresponding exposure level.
Count of responders not reporting the symptom for the corresponding exposure level.
Adjusted for: age, sex, dispersant contact, exhaust exposure, smoking, environmental heat and hours of sleep per night during deployment; note each model is adjusted for all of these co-variates, with the exception of what they are stratified by.