Table 4.

The associations between healthy lifestyle scores and colorectal cancer risk with adjustment for sociocultural factors and access to care.

			Model 1	Model 2 Model 1 + SES	Model 3 Model 2 + access to care
Healthy Lifestyle Scorea	Cohort (N)	Cases (N)	HR (95%CI) c	HR (95%CI) d	HR (95%CI) e
0–1	21193	202	1 (ref.)	1 (ref.)	1 (ref.)
2	30137	319	0.98 (0.82 to 1.17)	0.99 (0.83 to 1.19)	1.01 (0.85 to 1.21)
3–4	23852	221	0.81 (0.66 to 0.99)	0.84 (0.69 to 1.03)	0.87 (0.71 to 1.06)
Healthy Lifestyle Score including BMIb
0–1	16020	148	1 (ref.)	1 (ref.)	1 (ref.)
2	28671	319	1.07 (0.88 to 1.31)	1.09 (0.89 to 1.32)	1.10 (0.91 to 1.35)
3–5	30491	275	0.83 (0.68 to 1.02)	0.86 (0.70 to 1.06)	0.88 (0.71 to 1.08)

Abbreviations: CI, confidence interval; HR, hazard ratio; Ref., reference; SES, socioeconomic status.

^a“Healthy lifestyle score” is a composite variable including smoking status, alcohol, physical activity, and the ACS diet score.

^b“Healthy lifestyle score including BMI” is a composite variable including BMI, smoking status, alcohol use, physical activity, and the ACS diet score.

^cAdjusted for sex, race, enrollment source, family history of colorectal cancer.

^dAdditionally adjusted for household income, education, and neighborhood deprivation.

^eAdditionally adjusted for and BMI (in the Healthy Lifestyle Score model), colorectal cancer screening participation, and insurance coverage