Table 5.
Risk of Large Classical Papillary Thyroid Cancer (>10 mm) Associated With Lipid-Corrected Serum Concentrations of Polybrominated Diphenyl Ether and Polybrominated Biphenyl Congeners (ng/g) Among Cases and Controls, Stratified by Sex, Department of Defense Cohort, United States, 2000–2013
Congener and Concentration | Male | Female | P for Interaction b | ||||||
---|---|---|---|---|---|---|---|---|---|
No. of Cases a | No. of Controls a | OR b | 95% CI | No. of Cases a | No. of Controls a | OR b | 95% CI | ||
BDE-28 | |||||||||
<LOD | 129 | 138 | 1.00 | Referent | 86 | 111 | 1.00 | Referent | |
>LOD–1.56 | 25 | 21 | 1.50 | 0.69, 3.26 | 15 | 18 | 1.13 | 0.39, 3.30 | |
1.57–3.18 | 26 | 25 | 2.07 | 0.86, 4.94 | 17 | 12 | 3.56 | 0.87, 14.63 | |
3.19–80.10 | 26 | 20 | 3.39 | 0.98, 11.71 | 32 | 11 | 10.74 | 1.93, 59.72 | |
P for trendc | 0.071 | 0.0054 | 0.0040 | ||||||
BDE-47 | |||||||||
<LOD–8.43 | 52 | 50 | 1.00 | Referent | 37 | 41 | 1.00 | Referent | |
8.44–16.91 | 52 | 46 | 1.26 | 0.56, 2.82 | 32 | 46 | 1.43 | 0.57, 3.59 | |
16.92–38.63 | 56 | 54 | 0.94 | 0.31, 2.87 | 31 | 27 | 3.08 | 0.79, 12.02 | |
38.64–2,189.00 | 46 | 54 | 0.41 | 0.08, 2.12 | 50 | 38 | 0.67 | 0.07, 6.09 | |
P for trendc | 0.47 | 0.70 | 0.0095 | ||||||
BDE-85 | |||||||||
<LOD | 148 | 142 | 1.00 | Referent | 96 | 116 | 1.00 | Referent | |
>LOD–1.68 | 25 | 23 | 0.56 | 0.21, 1.45 | 14 | 7 | 1.03 | 0.17, 6.40 | |
1.69–3.18 | 11 | 21 | 0.28 | 0.08, 1.02 | 11 | 20 | 0.17 | 0.02, 1.49 | |
3.19–79.08 | 22 | 19 | 0.40 | 0.07, 2.52 | 31 | 10 | 2.46 | 0.12, 51.74 | |
P for trendc | 0.065 | 0.50 | 0.0087 | ||||||
BDE-99 | |||||||||
<LOD–2.17 | 54 | 47 | 1.00 | Referent | 40 | 40 | 1.00 | Referent | |
2.18–4.40 | 51 | 50 | 0.89 | 0.39, 2.03 | 31 | 42 | 0.72 | 0.29, 1.81 | |
4.41–10.61 | 52 | 52 | 1.02 | 0.34, 3.02 | 34 | 36 | 0.48 | 0.14, 1.61 | |
10.62–993.30 | 49 | 56 | 1.00 | 0.24, 4.25 | 47 | 35 | 0.51 | 0.09, 2.85 | |
P for trendc | 0.92 | 0.33 | 0.036 | ||||||
BDE-100 | |||||||||
<LOD–1.84 | 55 | 45 | 1.00 | Referent | 42 | 41 | 1.00 | Referent | |
1.85–3.71 | 49 | 48 | 0.74 | 0.31, 1.77 | 33 | 47 | 0.58 | 0.21, 1.56 | |
3.72–8.65 | 46 | 52 | 0.73 | 0.22, 2.35 | 24 | 30 | 0.43 | 0.10, 1.89 | |
8.66–368.00 | 56 | 59 | 0.89 | 0.18, 4.36 | 51 | 34 | 0.91 | 0.09, 9.18 | |
P for trendc | 0.88 | 0.60 | 0.014 | ||||||
BDE-153 | |||||||||
<LOD–2.49 | 48 | 32 | 1.00 | Referent | 50 | 54 | 1.00 | Referent | |
2.50–4.61 | 45 | 49 | 0.78 | 0.40, 1.54 | 31 | 37 | 0.95 | 0.44, 2.07 | |
4.62–11.23 | 51 | 55 | 0.82 | 0.38, 1.76 | 30 | 32 | 0.70 | 0.25, 1.96 | |
11.24–285.50 | 62 | 69 | 0.59 | 0.23, 1.55 | 41 | 30 | 0.59 | 0.18, 1.91 | |
P for trendc | 0.39 | 0.50 | 0.077 | ||||||
BDE-154 | |||||||||
<LOD | 139 | 141 | 1.00 | Referent | 91 | 117 | 1.00 | Referent | |
>LOD–1.60 | 28 | 22 | 2.57 | 0.98, 6.73 | 16 | 9 | 4.43 | 0.94, 20.80 | |
1.61–3.11 | 18 | 24 | 2.59 | 0.69, 9.64 | 19 | 14 | 4.65 | 0.56, 38.40 | |
3.12–66.22 | 21 | 17 | 3.45 | 0.52, 22.96 | 24 | 12 | 0.54 | 0.02, 13.54 | |
P for trendc | 0.061 | 0.40 | 0.0070 | ||||||
BB-153 | |||||||||
<LOD–0.85 | 41 | 34 | 1.00 | Referent | 51 | 58 | 1.00 | Referent | |
0.86–2.12 | 41 | 41 | 0.66 | 0.32, 1.35 | 47 | 43 | 0.84 | 0.44, 1.63 | |
2.13–3.60 | 61 | 63 | 0.67 | 0.35, 1.27 | 29 | 32 | 0.83 | 0.40, 1.75 | |
3.61–451.30 | 63 | 66 | 0.70 | 0.37, 1.34 | 23 | 19 | 0.99 | 0.42, 2.32 | |
P for trendc | 0.46 | 0.92 | 0.16 |
Abbreviations: BB-153, 2,2′,4,4′,5,5′-hexabromobiphenyl; BDE-28, 2,4,4′-tribromodiphenyl ether; BDE-47, 2,2′,4,4′-tetrabromodiphenyl ether; BDE-85, 2,2′,3,4,4′-pentabromodiphenyl ether; BDE-99, 2,2′,4,4′,5-pentabromodiphenyl ether; BDE-100, 2,2′,4,4′,6-pentabromodiphenyl ether; BDE-153, 2,2′,4,4′,5,5′-hexabromodiphenyl ether; BDE-154, 2,2′,4,4′,5,6′-hexabromodiphenyl ether; BMI, body mass index; CI, confidence interval; LOD: limit of detection; OR, odds ratio; PBB, polybrominated biphenyl; PBDE, polybrominated diphenyl ether.
a Values in subgroups do not sum to the total due to nonreportable values.
b Multichemical conditional logistic regression, adjusted for all PBDE and PBB congeners, BMI (calculated as weight (kg)/height (m)2: <18.5, 18.5–24.9, 25.0–29.9, ≥30.0, or missing), and branch of military service (Army, Air Force, Navy, and Marines/Coast Guard).
c P values were not corrected for multiple comparison.