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Table 3 Association between modifiable risk factors and GBD (HRa and 95% CI) by race/ethnicity

From: Sex and ethnic/racial-specific risk factors for gallbladder disease

 

NH-White N = 2600

African

American N = 2469

Native

Hawaiian

N = 511

Japanese American

N = 3133

Latino US born

N = 2398

Latino Mexico/SA born

N = 2326

BMI (kg/m2)

 < 25

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 25 - < 30

1.30 (1.19–1.43)

1.21 (1.08–1.36)

1.27 (0.99–1.63)

1.37 (1.26–1.48)

1.20 (1.08–1.34)

1.29 (1.15–1.44)

 ≥ 30

1.68 (1.50–1.87)

1.56 (1.39–1.75)

1.62 (1.26–2.10)

1.73 (1.51–1.99)

1.56 (1.39–1.75)

1.74 (1.54–1.97)

  P trend

<.0001

<.0001

0.0002

<.0001

<.0001

<.0001

Diabetes

 No

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 Yes

1.35 (1.16–1.57)

1.58 (1.43–1.76)

1.33 (1.04–1.72)

1.27 (1.14–1.42)

1.57 (1.41–1.74)

1.47 (1.31–1.64)

Smoking (pack-years)

 Never

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 Past, < 20

1.03 (0.93–1.14)

1.17 (1.06–1.29)

1.00 (0.80–1.25)

1.11 (1.02–1.22)

1.12 (1.01–1.23)

1.07 (0.96–1.19)

 Past, ≥ 20

1.10 (0.97–1.24)

1.32 (1.13–1.55)

0.93 (0.68–1.28)

1.34 (1.19–1.51)

1.09 (0.91–1.31)

1.38 (1.11–1.71)

 Current, <20

1.33 (1.11–1.59)

1.26 (1.10–1.44)

1.06 (0.75–1.51)

1.05 (0.87–1.27)

1.10 (0.94–1.29)

1.11 (0.95–1.30)

 Current, ≥ 20

1.30 (1.12–1.50)

1.50 (1.27–1.77)

0.87 (0.61–1.24)

1.3 (1.1–1.54)

1.38 (1.12–1.69)

0.90 (0.66–1.21)

  P trend

<.0001

<.0001

0.5831

<.0001

0.0055

0.1849

Alcohol intake (ethanol g/day)

 0

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 < 24

0.86 (0.78–0.94)

0.89 (0.81–0.98)

0.94 (0.76–1.16)

0.93 (0.86–1.01)

0.89 (0.81–0.98)

0.84 (0.76–0.93)

 24- ≤ 48

0.82 (0.71–0.95)

0.94 (0.76–1.16)

1.05 (0.71–1.56)

0.83 (0.7–0.99)

0.77 (0.63–0.94)

0.74 (0.57–0.94)

 > 48

0.83 (0.69–1.00)

1.16 (0.93–1.46)

0.77 (0.45–1.32)

0.70 (0.52–0.93)

0.82 (0.65–1.03)

0.87 (0.65–1.16)

  P trend

0.0011

0.5926

0.4816

0.0016

0.0016

0.0008

Vigorous activity (hrs/day)

 0

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 > 0- ≤ 0.21

0.91 (0.81–1.03)

0.96 (0.85–1.07)

1.20 (0.91–1.59)

0.91 (0.82–1.01)

0.87 (0.77–0.99)

0.79 (0.69–0.91)

 > 0.21- ≤ 0.46

0.88 (0.77–1.00)

0.80 (0.69–0.93)

1.10 (0.83–1.46)

1.05 (0.94–1.18)

0.94 (0.82–1.07)

0.79 (0.68–0.92)

 > 0.46

0.79 (0.71–0.89)

0.68 (0.59–0.80)

0.96 (0.75–1.24)

0.92 (0.82–1.03)

0.97 (0.86–1.09)

0.80 (0.71–0.91)

  P trend

<.0001

<.0001

0.7369

0.3474

0.4939

0.0001

Parityb

 0 children

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 1 child

1.12 (0.91–1.37)

1.13 (0.94–1.35)

1.26 (0.61–2.60)

1.04 (0.84–1.29)

1.19 (0.88–1.62)

0.89 (0.66–1.20)

 2–3 children

1.11 (0.95–1.31)

1.01 (0.86–1.19)

0.97 (0.55–1.72)

1.14 (0.97–1.34)

1.00 (0.79–1.27)

0.89 (0.70–1.12)

 ≥ 4 children

1.09 (0.91–1.29)

1.12 (0.95–1.32)

1.14 (0.65–1.99)

1.14 (0.94–1.37)

1.15 (0.92–1.45)

1.08 (0.87–1.33)

  P trend

0.4436

0.3186

0.6047

0.0987

0.1931

0.0851

Age at first live birth (years)b

 No children

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 ≤ 20

1.20 (1.00–1.44)

1.04 (0.89–1.22)

1.19 (0.68–2.10)

1.09 (0.86–1.38)

1.10 (0.87–1.39)

0.99 (0.79–1.23)

 21–30

1.07 (0.91–1.25)

1.06 (0.90–1.24)

0.94 (0.54–1.65)

1.15 (0.98–1.34)

1.07 (0.85–1.34)

0.99 (0.80–1.23)

 > 30

0.98 (0.76–1.27)

1.14 (0.87–1.50)

1.03 (0.40–2.67)

1.11 (0.89–1.38)

1.10 (0.76–1.60)

0.97 (0.72–1.30)

  P trend

0.6757

0.3744

0.2289

0.1600

0.8651

0.9194

Ever used birth controlb

 No

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 Yes

1.11 (0.98–1.25)

1.01 (0.89–1.13)

0.80 (0.59–1.08)

1.10 (0.96–1.25)

1.02 (0.89–1.17)

1.06 (0.92–1.21)

Menopausal Hormone Useb

 Never users

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

1.00 (ref.)

 Past users

0.94 (0.81–1.10)

0.95 (0.84–1.08)

0.90 (0.63–1.28)

1.03 (0.88–1.20)

1.09 (0.93–1.27)

0.89 (0.75–1.04)

 Current estrogen only

1.24 (1.07–1.43)

1.14 (0.98–1.34)

0.83 (0.55–1.24)

1.06 (0.92–1.23)

0.94 (0.79–1.13)

1.14 (0.92–1.40)

 Current estrogen + progesterone

1.23 (1.06–1.42)

1.14 (0.93–1.39)

0.85 (0.57–1.27)

0.97 (0.84–1.11)

1.07 (0.88–1.28)

0.96 (0.76–1.21)

  1. aHR stratified by set number (defined by matching factors: birth year, ethnicity, study area, duration of Medicare enrollment—for cases identified from Medicare) and adjusted for smoking-pack years (never, past <20, past ≥20, current <20, current ≥20), alcohol intake (0, <24, 24- ≤ 48, >48 ethanol g/day), body mass index (<25, 25- < 30, 30+ kg/m2), diabetes (no/yes), and education (≤ High School, some college, ≥college graduate)
  2. bFemales only