Table 2.
Associations between long-term exposure to air pollution (per IQR exposure increment) and both overall and fatal incident MI in the Danish Nurse Cohort.
Pollutants | Overall incident MI | Fatal incident MI | ||||
---|---|---|---|---|---|---|
Model 1a | Model 2b | Model 3c | Model 1a | Model 2b | Model 3c | |
HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | HR (95% CI) | |
1-y mean | ||||||
(cases) | 22,884 (641) | 22,884 (641) | 22,878 (641) | 22,955 (123) | 22,955 (123) | 22,878 (121) |
1.17 (1.05, 1.31) | 1.05 (0.92, 1.19) | 1.04 (0.91, 1.19) | 1.75 (1.40, 2.18) | 1.47 (1.12, 1.93) | 1.48 (1.13, 1.95) | |
1.19 (1.07, 1.31) | 1.04 (0.92, 1.17) | 1.04 (0.92, 1.17) | 1.75 (1.44, 2.13) | 1.43 (1.12, 1.81) | 1.45 (1.14, 1.84) | |
1.03 (0.95, 1.13) | 1.04 (0.94, 1.16) | 1.04 (0.93, 1.17) | 1.04 (0.86, 1.26) | 1.05 (0.83, 1.31) | 1.08 (0.85, 1.38) | |
1.03 (0.98, 1.07) | 1.02 (0.97, 1.07) | 1.02 (0.97, 1.08) | 1.03 (0.93, 1.14) | 1.02 (0.91, 1.13) | 1.03 (0.92, 1.15) | |
3-y mean | ||||||
(cases) | 22,887 (641) | 22,887 (641) | 22,882 (641) | 22,887 (121) | 22,887 (121) | 22,882 (121) |
1.20 (1.07, 1.35) | 1.06 (0.92, 1.23) | 1.06 (0.92, 1.23) | 1.69 (1.33, 2.13) | 1.35 (1.01, 1.81) | 1.38 (1.03, 1.85) | |
1.22 (1.09, 1.35) | 1.06 (0.93, 1.21) | 1.06 (0.93, 1.20) | 1.65 (1.34, 2.03) | 1.28 (0.98, 1.65) | 1.29 (0.99, 1.68) | |
1.04 (0.95, 1.13) | 1.05 (0.94, 1.16) | 1.05 (0.94, 1.17) | 1.02 (0.84, 1.23) | 1.01 (0.80, 1.28) | 1.05 (0.81, 1.34) | |
1.03 (0.98, 1.07) | 1.02 (0.98, 1.07) | 1.02 (0.97, 1.08) | 1.02 (0.92, 1.13) | 1.01 (0.90, 1.12) | 1.02 (0.91, 1.14) | |
23-y mean | ||||||
(cases) | 22,902 (642) | 22,902 (642) | 22,902 (642) | 22,902 (121) | 22,902 (121) | 22,902 (121) |
1.04 (0.96, 1.13) | 1.10 (0.99, 1.22) | 1.13 (1.01, 1.27) | 1.01 (0.84, 1.22) | 1.08 (0.86, 1.36) | 1.12 (0.87, 1.43) | |
1.03 (1.00, 1.07) | 1.04 (1.00, 1.08) | 1.05 (1.00, 1.09) | 1.02 (0.94, 1.11) | 1.03 (0.94, 1.12) | 1.04 (0.94, 1.14) |
Note: Estimates are based on IQR increments for (), (), (), and (), and (). CI, confidence interval; HR, hazard ratio; IQR, interquartile range; , joint expression of day (; 0700–1900 hours), evening (; 1900–2200 hours), and night (; 2200–0700 hours) road traffic noise levels, with 5 and penalties added to and , respectively; MI, myocardial infarction; , nitrogen dioxide; , nitrogen oxides; PM, particulate matter; , PM with an aerodynamic diameter of ; , PM with an aerodynamic diameter of .
Model 1: adjusted for age (underlying time) and year of cohort entry (1993 or 1999).
Model 2: Model 1 further adjusted for smoking status, pack-years, consumption of fruit, avoidance of fatty meat, alcohol consumption, use of oral contraceptives, use of hormone therapy, physical activity, marital status, employment status, and level of urbanization.
Model 3: Model 2 further adjusted for .