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. Author manuscript; available in PMC: 2020 Jun 1.
Published in final edited form as: Cancer Epidemiol Biomarkers Prev. 2019 Sep 9;28(12):2022–2029. doi: 10.1158/1055-9965.EPI-19-0512

Table 5.

OR (95%CI) for the associations between serologic profiles of anti-Parietal cell antibodies & pepsinogen I/II ratio and upper gastrointestinal cancers in the Linxian General Population Nutrition Intervention Trial

Disease Serologic profilea Case No. ORb 95%CI P value P global
Esophageal squamous cell carcinoma Normal PG I/II ratioc 86 1.00
Low PG I/II ratioc 14 1.80 0.89 3.65 0.1
APCA −d 81 1.00
APCA +d 19 1.05 0.58 1.88 0.9

Normal PG I/II ratio, APCA − 72 1.00 0.1
Normal PG I/II ratio, APCA + 14 1.05 0.55 2.01 0.9
Low PG I/II ratio, APCA + 5 1.55 0.52 4.69 0.4
Low PG I/II ratio, APCA − 9 2.00 0.84 4.75 0.1 0.1

Gastric cardia adenocarcinoma Normal PG I/II ratioc 169 1.00
Low PG I/II ratioc 31 1.90 1.05 3.43 0.03
APCA −d 180 1.00
APCA +d 20 0.42 0.24 0.75 0.003

Normal PG I/II ratio, APCA − 154 1.00
Normal PG I/II ratio, APCA + 15 0.47 0.25 0.89 0.02
Low PG I/II ratio, APCA + 5 0.69 0.23 2.10 0.5
Low PG I/II ratio, APCA − 26 2.06 1.04 4.07 0.04 0.3

Gastric non-cardia adenocarcinoma Normal PG I/II ratioc 153 1.00
Low PG I/II ratioc 47 3.48 2.02 6.02 <0.0001
APCA −d 171 1.00
APCA +d 29 0.82 0.50 1.36 0.4

Normal PG I/II ratio, APCA − 133 1.00
Normal PG I/II ratio, APCA + 20 0.81 0.45 1.46 0.5
Low PG I/II ratio, APCA + 9 1.77 0.69 4.55 0.2
Low PG I/II ratio, APCA − 38 4.13 2.16 7.88 <0.0001 <0.0001

Upper gastrointestinal cancer Normal PG I/II ratioc 408 1.00
Low PG I/II ratioc 92 2.32 1.46 3.67 0.0004
APCA −d 432 1.00
APCA +d 68 0.71 0.48 1.05 0.08

Normal PG I/II ratio, APCA − 359 1.00
Normal PG I/II ratio, APCA + 49 0.70 0.46 1.08 0.1
Low PG I/II ratio, APCA + 19 1.26 0.59 2.69 0.5
Low PG I/II ratio, APCA − 73 2.58 1.47 4.52 0.0009 0.005

Note, APCA, anti-Parietal cell antibodies; PG I/II ratio, pepsinogen I/pepsinogen II ratio; Numbers in bold mean that the P value was less than 0.05;

a,

APCA sero-positivity was defined as concentration of anti-Parietal cell antibodies ≥10 units; ratio of PG I/II was defined as low for PGI/II ratio ≤4 and normal for PGI/II ratio >4;

b,

adjusted for age, sex, tobacco smoking, alcohol drinking, body mass index, family history of UGI cancer, H. pylori CagA sero-positivity;

c,

additionally adjusted for APCA sero-positivity;

d,

additionally adjusted for PG I/II ratio.