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. 2019 Oct 15;200(8):1022–1031. doi: 10.1164/rccm.201806-1161OC

Table 3.

Annual Average Ozone Mortality HRs (per 10 ppb), by Category of Selected Risk Factors

    Cardiovascular Disease
Ischemic Heart Disease
Respiratory Disease
COPD
    HR* 95% CI* Pinteraction HR* 95% CI* Pinteraction HR* 95% CI* Pinteraction HR* 95% CI* Pinteraction
Sex M 1.01 0.97–1.05 0.92 1.03 0.97–1.10 0.64 1.09 1.02–1.17 0.39 1.13 1.05–1.23 0.66
  F 1.05 1.02–1.08   1.06 1.02–1.10   1.02 0.96–1.13   1.06 0.98–1.13  
Age ≥65 yr 1.04 1.01–1.07 0.60 1.05 1.01–1.09 0.49 1.05 0.99–1.10 0.50 1.09 1.03–1.17 0.48
  <65 yr 1.01 0.97–1.05   1.07 1.02–1.12   1.06 0.99–1.21   1.11 1.02–1.21  
Race White 1.03 1.00–1.06 0.36 1.05 1.02–1.09 0.29 1.03 0.99–1.07 0.08 1.07 1.02–1.13 0.15
  Black 1.02 0.89–1.17   0.97 0.81–1.16   1.28 0.97–1.68   1.16 0.76–1.55  
  Other 1.08 0.92–1.27   1.08 0.87–1.32   1.11 0.77–1.60   1.29 0.77–2.17  
BMI <25 kg/m2 1.00 0.96–1.04 0.54 1.02 0.96–1.08 0.24 1.06 0.99–1.13 0.29 1.09 1.01–1.18 0.50
  25–35 kg/m2 1.07 1.03–1.11   1.08 1.03–1.14   1.04 0.97–1.12   1.10 1.00–1.21  
  >35 kg/m2 1.02 0.97–1.07   1.06 1.00–1.13   1.02 0.93–1.11   1.06 0.94–1.20  
Education ≤High school 1.04 1.00–1.09 0.58 1.06 1.00–1.12 0.99 1.02 0.96–1.09 0.21 1.08 0.99–1.17 0.27
  Some college 0.99 0.95–1.04   1.01 0.95–1.08   1.05 0.97–1.14   1.12 1.02–1.24  
  College or post 1.05 1.01–1.10   1.09 1.04–1.15   1.05 0.97–1.14   1.04 0.94–1.16  
Smoking Never 1.03 0.99–1.09 0.26 1.03 0.97–1.11 0.08 1.13 1.00–1.27 0.69 1.35 1.07–1.69 0.54
  Former 1.03 0.99–1.06   1.05 1.01–1.10   1.02 0.96–1.07   1.05 0.98–1.13  
  Current 1.05 0.99–1.11   1.06 0.98–1.15   1.08 0.99–1.17   1.13 1.03–1.23  
aMED index Quintile 1 1.06 1.01–1.12 0.43 1.11 1.03–1.19 0.18 1.07 0.99–1.17 0.65 1.14 1.03–1.26 0.55
  Quintile 2 1.04 0.98–1.10   1.07 0.99–1.16   1.03 0.93–1.12   1.07 0.95–1.19  
  Quintile 3 1.01 0.96–1.06   1.05 0.98–1.13   1.01 0.92–1.11   1.03 0.92–1.15  
  Quintile 4 1.00 0.95–1.06   1.00 0.93–1.07   1.08 0.97–1.19   1.07 0.94–1.22  
  Quintile 5 1.05 0.99–1.10   1.05 0.99–1.12   1.03 0.93–1.15   1.13 0.99–1.30  

Definition of abbreviations: aMED = alternate Mediterranean diet index; BMI = body mass index; CI = confidence interval; COPD = chronic obstructive pulmonary disease; HR = hazard ratio.

*

Adjusted for age, sex, and location, as strata; for race, BMI, education, smoking, diet, and marital status, at individual level; and for median income and percentage with high school education at census-tract level.