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. Author manuscript; available in PMC: 2022 May 1.
Published in final edited form as: Environ Res. 2021 Oct 7;207:112195. doi: 10.1016/j.envres.2021.112195

Table 3.

Effect modification of the association of exposure to DNL ≥55 dB(A) versus DNL <55 dB(A) on the risk of hypertension.

NHS
NHS II
Effect Modifier Cases Person-Years Hazard Ratio (95% CI) Cases Person-Years Hazard Ratio (95% CI)
Race
White 31,327 675,735 1.03 (0.91, 1.16) 26,304 1,197,244 1.12 (0.99, 1.27)
Non-White 1,863 35,693 1.01 (0.68, 1.49) 1,952 70,601 0.79 (0.58, 1.09)
p-for-interaction a 0.40 0.21
Menopausal Status
Pre-menopausal 963 28,087 1.09 (0.58, 2.06) 15,415 805,691 1.04 (0.90, 1.21)
Post-menopausal 32,166 681,611 1.04 (0.93, 1.17) 10,319 380,334 1.08 (0.88, 1.32)
p-for-interaction a 0.39 0.90
Hearing Loss
Yes 3,820 74,773 0.93 (0.62, 1.41) 887 31,172 1.36 (0.68, 2.72)
No 22,700 499,621 1.03 (0.90, 1.19) 21,955 983,268 1.03 (0.90, 1.17)
p-for-interaction a 0.47 0.03
Diabetes
Yes 1,921 28,016 1.15 (0.71, 1.85) 1,099 20,481 0.95 (0.53, 1.71)
No 31,269 683,413 1.04 (0.92, 1.17) 27,157 1,247,364 1.08 (0.96, 1.21)
p-for-interaction a 0.43 0.93
Family History of Hypertension
Yes 13,622 254,140 1.01 (0.84, 1.21) 16,930 594,914 1.08 (0.93, 1.25)
No 19,568 457,289 1.07 (0.93, 1.24) 11,326 672,931 1.09 (0.91, 1.31)
p-for-interaction a 0.45 0.93
Statin Use
Yes 6,407 112,069 1.13 (0.87, 1.46) 3,260 83,325 0.96 (0.65, 1.41)
No 26,783 599,359 1.05 (0.92, 1.19) 24,996 1,184,520 1.10 (0.98, 1.24)
p-for-interaction a 0.86 0.53
Smoking Status
Smoker 3,544 77,687 0.68 (0.44, 1.03) 2,634 108,976 0.98 (0.67, 1.45)
Non-Smoker 29,586 632,391 1.12 (0.99, 1.26) 25,580 1,157,273 1.10 (0.98, 1.24)
p-for-interaction a <0.01 0.40
Region
Northeast 16,895 358,947 1.04 (0.90, 1.21) 9182 419,274 1.12 (0.94, 1.34)
Midwest 5,621 122,043 0.97 (0.65, 1.43) 9192 413,082 1.03 (0.79, 1.34)
South 6,207 129,824 1.05 (0.78, 1.41) 5824 234,354 1.15 (0.91, 1.45)
West 4,466 100,518 1.25 (0.93, 1.69) 4053 200,775 1.00 (0.72, 1.39)
p-for-interaction a 0.77 0.90
a

p-for-interaction for the multiplicative term of potential effect modifier by noise category.