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. Author manuscript; available in PMC: 2021 Dec 1.
Published in final edited form as: Occup Environ Med. 2021 May 26;78(10):731–737. doi: 10.1136/oemed-2020-107297

Table 5.

Hazard ratios of recurrent miscarriage (occurred ≥2 times) associated with use of high-level disinfectants (HLDs) among 2579 nurses who reported being pregnant after baseline.

Recurrent miscarriages/
Total Pregnancies
Multivariable-adjusted HR
(95% CI)
Ever used HLD?
 Never 355/2960 1.0 (REF)
 Yes, past user 52/410 0.99 (0.73, 1.34)
 Yes, HLD user at baseline 56/604 0.79 (0.59, 1.06)
Duration of HLD use?
 Never 355/2960 1.0 (REF)
 < 1 year 24/199 0.98 (0.63, 1.52)
 1–5 years 65/622 0.91 (0.69, 1.20)
 6+ years 19/193 0.68 (0.45, 1.05)
Type of HLD used at baseline?
 Never used HLDs 355/2960 1.00 (REF)
 Baseline HLD use, glutaraldehyde 21/257 0.69 (0.42, 1.16)
 Baseline HLD use, other types& 6/99 0.56 (0.23, 1.36)
 Baseline HLD use, unspecified types 29/248 0.96 (0.69, 1.35)
Protective equipment used
 Never used HLDs 355/2960 1.00 (REF)
 Baseline HLD use, no exposure controls 21/155 1.05 (0.71, 1.56)
 Baseline HLD use, with only glove protection 18/283 0.57 (0.34, 0.94)
 Baseline HLD use, with glove and other types of exposure controls* 17/166 0.89 (0.52, 1.51)

Cox model adjusted for age (continuous), age at pregnancy (continuous), education (licensed practical nurse or registered nurse, bachelor’s degree, master or doctoral degree), race (White, Black, Asian, Hispanic, and other races), BMI (<25 kg/m2, 25–30 kg/m2, ≥30 kg/m2), and smoking status (yes, no).