TABLE 5.
Predictors of persistent GERD symptoms among those taking a daily PPI (n=3,229).
Variable | Persistent GERD symptoms while on daily PPIa (n=1,858) | OR [95% CI]b |
---|---|---|
Age: | ||
18–29 y | 213 (64.9%) | reference |
30–39 y | 451 (69.2%) | 1.18 [0.86–1.63] |
40–49 y | 448 (60.3%) | 0.76 [0.56–1.05] |
50–59 y | 481 (52.3%) | 0.56 [0.40–0.77] |
≥60 y | 265 (45.6%) | 0.46 [0.31–0.69] |
Gender: | ||
Female | 1,270 (57.6%) | reference |
Male | 588 (49.4%) | 0.78 [0.62–0.99] |
Race/ethnicity: | ||
Non-Hispanic white | 1,544 (51.1%) | reference |
Non-Hispanic black | 92 (45.9%) | 0.83 [0.51–1.34] |
Latino | 150 (72.8%) | 2.44 [1.42–4.20] |
Asian | 22 (62.8%) | 1.13 [0.47–2.69] |
Other | 50 (51.7%) | 0.92 [0.53–1.59] |
Education level: | ||
Did not graduate high school | 66 (64.7%) | reference |
High school graduate | 444 (53.9%) | 0.66 [0.33–1.29] |
Some college | 634 (55.7%) | 0.73 [0.37–1.41] |
College graduate | 550 (51.9%) | 0.62 [0.32–1.22] |
Graduate degree | 164 (52.1%) | 0.67 [0.30–1.46] |
Marital status: | ||
Single | 245 (52.4%) | reference |
Divorced, separated, or widowed | 349 (55.9%) | 1.55 [1.05–2.29] |
Married or in long term relationship | 1,264 (53.7%) | 1.37 [1.02–1.84] |
Employment status: | ||
Unemployedc | 923 (49.7%) | reference |
Employed or full-time student | 935 (59.9%) | 1.27 [0.96–1.67] |
Total household income: | ||
$0–50,000 | 1,013 (57.5%) | reference |
$50,001–100,000 | 584 (53.5%) | 0.81 [0.61–1.07] |
$100,001–200,000 | 180 (48.7%) | 0.65 [0.45–0.93] |
≥$200,001 | 24 (57.4%) | 0.94 [0.40–2.22] |
Prefer not to say | 57 (33.9%) | 0.41 [0.24–0.69] |
Irritable bowel syndrome | 263 (62.8%) | 1.39 [1.03–1.88] |
Chronic idiopathic constipation | 41 (64.7%) | 1.17 [0.45–3.05] |
Gastrointestinal cancer | 12 (23.7%) | 0.21 [0.09–0.48] |
Celiac disease | 25 (64.2%) | 0.98 [0.39–2.48] |
Cirrhosis | 20 (44.6%) | 0.68 [0.31–1.48] |
Crohn’s disease | 47 (86.1%) | 5.16 [2.22–12.00] |
Ulcerative colitis | 35 (42.0%) | 0.49 [0.28–0.87] |
Diabetes | 254 (48.9%) | 0.83 [0.61–1.14] |
Endometriosis | 120 (57.1%) | 0.95 [0.60–1.51] |
Gallstones | 226 (54.9%) | 1.02 [0.68–1.51] |
HIV/AIDS | 10 (54.9%) | 2.20 [0.17–28.97] |
Pancreatitis | 50 (58.7%) | 1.27 [0.65–2.46] |
Peptic ulcer disease | 157 (60.1%) | 1.19 [0.82–1.73] |
Thyroid disease | 215 (55.3%) | 1.23 [0.86–1.75] |
Histamine-2 receptor blocker use: | ||
Not taking | 1,789 (53.5%) | reference |
Less than daily use | 21 (71.1%) | 1.52 [0.57–4.09] |
Daily use | 32 (74.2%) | 2.37 [0.96–5.86] |
Unknown frequency of use | 16 (70.4%) | 2.06 [0.66–6.41] |
Antacid use: | ||
Not taking | 1,789 (53.6%) | reference |
Less than daily use | 33 (56.7%) | 1.30 [0.57–2.96] |
Daily use | 20 (72.4%) | 1.81 [0.67–4.92] |
Unknown frequency of use | 16 (97.2%) | 29.79 [3.46–256.57] |
Data are presented as n (population-weighted %).
CI, confidence interval; GERD, gastroesophageal reflux disease; OR, odds ratio; PPI, proton pump inhibitor.
Defined as heartburn or regurgitation occurring ≥2 days in the last week among those on a daily PPI.
The logistic regression model included all variables listed in the table above.
Includes those who reported being unemployed, on disability, on leave of absence from work, retired, or homemaker.