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. 2011 Apr 1;183(7):941–948. doi: 10.1164/rccm.201006-0940OC

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.