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Table 2 Associations between modifiable risk factors and GBD risk by sex

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

 

Men

Women

Risk Factors

No. Cases

HRa(95% CI)

No. Cases

HRa(95% CI)

BMI (kg/m2)

 < 25

1577

1.00 (ref.)

2463

1.00 (ref.)

 25 - < 30

2612

1.23 (1.15–1.31)

2444

1.33 (1.25–1.41)

 ≥ 30

1076

1.55 (1.43–1.69)

2213

1.74 (1.63–1.85)

  P trend

 

< .0001

 

< .0001

Diabetes

 No

4360

1.00 (ref.)

5968

1.00 (ref.)

 Yes

905

1.44 (1.34–1.55)

1152

1.46 (1.37–1.56)

Smoking (pack-years)

 Never

1537

1.00 (ref.)

4003

1.00 (ref.)

 Past, < 20

2013

1.09 (1.01–1.16)

1740

1.10 (1.04–1.16)

 Past, ≥ 20

888

1.16 (1.07–1.27)

418

1.30 (1.17–1.44)

 Current, < 20

411

1.16 (1.04–1.30)

582

1.17 (1.08–1.28)

 Current, ≥ 20

416

1.22 (1.09–1.37)

377

1.37 (1.23–1.53)

  P trend

 

< .0001

 

< .0001

Alcohol intake (ethanol g/day)

 0

2185

1.00 (ref.)

4755

1.00 (ref.)

 < 24

2256

0.92 (0.86–0.97)

2083

0.86 (0.82–0.91)

 24- ≤ 48

501

0.85 (0.77–0.94)

190

0.80 (0.69–0.93)

 > 48

323

0.86 (0.76–0.97)

92

0.92 (0.74–1.14)

  P trend

 

0.0001

 

< .0001

Vigorous Activity (hrs/day)

 0

2063

1.00 (ref.)

4567

1.00 (ref.)

 > 0- ≤ 0.21

892

0.89 (0.82–0.96)

1078

0.90 (0.84–0.97)

 > 0.21- ≤ 0.46

831

0.86 (0.79–0.94)

740

0.95 (0.87–1.03)

 > 0.46

1479

0.80 (0.74–0.86)

735

0.90 (0.83–0.98)

  P trend

 

< .0001

 

0.0041

Parityb

 0 children

  

771

1.00 (ref.)

 1 child

  

746

1.09 (0.98–1.20)

 2–3 children

  

2906

1.05 (0.97–1.14)

 ≥ 4 children

  

2899

1.14 (1.05–1.23)

  P trend

   

0.0036

Age at First Live Birth (years)b

 No children

  

771

1.00 (ref.)

 ≤ 20

  

2505

1.10 (1.01–1.20)

 21–30

  

3613

1.07 (0.99–1.15)

 > 30

  

433

1.05 (0.94–1.19)

  P trend

   

0.5200

Ever Used Birth Controlb

 No

  

4714

1.00 (ref.)

 Yes

  

2608

1.05 (0.99–1.11)

Menopausal Hormone Useb

 Never users

  

3383

1.00 (ref.)

 Past users

  

1442

0.97 (0.91–1.04)

 Current estrogen-only

  

1113

1.09 (1.02–1.17)

 Current estrogen + progesterone

  

1099

1.06 (0.99–1.14)

  1. aHR stratified by set number (defined by matching factors: birth year, sex, 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). Menopausal hormone use limited to postmenopausal women
  2. bFemales only