TABLE 3.
LUNG CANCER RISK ASSOCIATED WITH CUMULATIVE DIESEL MOTOR EXHAUST EXPOSURE
Subjects |
Cumulative Diesel Motor Exhaust Exposure (unit-years)* |
Cases |
% |
Controls |
% |
OR1† |
95% CI |
OR2‡ |
95% CI |
||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
All | Never | 7,676 | 57.7 | 10,320 | 63.4 | 1.00 | Reference | 1.00 | Reference | ||||
<6 | 1,269 | 9.5 | 1,513 | 9.3 | 1.04 | 0.96–1.13 | 0.98 | 0.89–1.08 | |||||
6–17.33 | 1,325 | 10 | 1,497 | 9.2 | 1.13 | 1.04–1.23 | 1.04 | 0.95–1.14 | |||||
17.34–34.5 | 1,440 | 10.8 | 1,502 | 9.2 | 1.23 | 1.13–1.33 | 1.06 | 0.97–1.16 | |||||
>34.5 | 1,594 | 12 | 1,450 | 8.9 | 1.42 | 1.31–1.54 | 1.31 | 1.19–1.43 | |||||
Test for trend, P value | <0.01§ | <0.01§ | |||||||||||
Women | Never | 2,144 | 86 | 2,810 | 86.4 | 1.00 | Reference | 1.00 | Reference | ||||
<6 | 146 | 5.9 | 198 | 6.1 | 0.85 | 0.68–1.07 | 0.83 | 0.64–1.08 | |||||
6–17.33 | 116 | 4.7 | 127 | 3.9 | 1.07 | 0.82–1.39 | 1.27 | 0.94–1.71 | |||||
17.34–34.5 | 51 | 2 | 71 | 2.2 | 0.87 | 0.60–1.26 | 0.94 | 0.62–1.42 | |||||
>34.5 | 35 | 1.4 | 45 | 1.4 | 1.03 | 0.66–1.63 | 1.58 | 0.96–2.59 | |||||
Test for trend, P value | 0.83§ | 0.20§ | |||||||||||
Never-smokers | Never | 614 | 76.7 | 3,486 | 73 | 1.00 | Reference | N/A | |||||
<6 | 44 | 5.5 | 334 | 7 | 0.74 | 0.52–1.05 | |||||||
6–17.33 | 63 | 7.9 | 328 | 6.9 | 1.22 | 0.90–1.65 | |||||||
17.34–34.5 | 33 | 4.1 | 305 | 6.4 | 0.85 | 0.57–1.26 | |||||||
>34.5 | 47 | 5.9 | 320 | 6.7 | 1.26 | 0.90–1.78 | |||||||
Test for trend, P value | 0.28§ | ||||||||||||
Workers never employed in a “List A” job | Never | 6,954 | 59.4 | 9,764 | 65 | 1.00 | Reference | 1.00 | Reference | ||||
<6 | 1,034 | 8.8 | 1,320 | 8.8 | 1.05 | 0.96–1.15 | 0.98 | 0.89–1.09 | |||||
6–17.33 | 1,091 | 9.3 | 1,309 | 8.7 | 0.15 | 1.06–1.26 | 1.07 | 0.97–1.18 | |||||
17.34–34.5 | 1,223 | 10.4 | 1,324 | 8.8 | 1.28 | 1.17–1.39 | 1.10 | 1.00–1.21 | |||||
>34.5 | 1,412 | 12.1 | 1,301 | 8.7 | 1.49 | 1.37–1.62 | 1.35 | 1.23–1.49 | |||||
Test for trend, P value |
<0.01§ |
<0.01§ |
Definition of abbreviations: CI = confidence interval; OR = odds ratio.
The categories represent the quartile distribution of cumulative diesel motor exhaust exposure among exposed controls.
OR1 is adjusted for age, sex, study, and ever-employment in a “List A” job (see text for details).
OR2 is additionally adjusted for pack-years and time-since-quitting smoking.
Test for trend, P value obtained using the continuous variable for cumulative exposure.