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Table 2 Risk ratios (RRs) between blood lead levels and reported asthma diagnosis by a physician (n = 222)

From: Early life blood lead levels and asthma diagnosis at age 4–6 years

Lead (μg/dL)

Asthma

(n = 52)

n (%)

No asthma

(n = 170)

n (%)

RR (95% CI)

aRRa (95% CI)

Concurrent at 48 months

 < 5

19 (37)

64 (38)

1.00

1.00

 5–9.9

18 (35)

79 (47)

0.81 (0.46, 1.44)

0.66 (0.36, 1.21)

 ≥ 10

15 (29)

27 (16)

1.56 (0.89, 2.75)

1.14 (0.60, 2.15)

P for linear trend b

  

0.04

0.25

 Continuousc

  

1.04 (1.00, 1.08)

1.03 (0.98, 1.09)

Peak at 48 months

 < 5

4 (8)

20 (12)

1.00

1.00

 5–9.9

22 (42)

78 (46)

1.32 (0.50, 3.47)

1.34 (0.44, 4.09)

 ≥ 10

26 (50)

72 (42)

1.59 (0.61, 4.13)

1.31 (0.43, 3.98)

P for linear trend

  

0.21

0.58

 Continuous

  

1.02 (0.99, 1.04)

1.01 (0.98, 1.04)

Lifetime average at 48 months

 <  5

15 (29)

55 (32)

1.00

1.00

 5–9.9

18 (35)

81 (48)

0.85 (0.46, 1.57)

0.81 (0.43, 1.55)

 ≥ 10

19 (37)

34 (20)

1.67 (0.94, 2.97)

1.30 (0.68, 2.48)

P for linear trend

  

0.15

0.52

 Continuous

  

1.03 (0.99, 1.08)

1.02 (0.96, 1.08)

Peak at 24 months

 < 5

4 (8)

28 (17)

1.00

1.00

 5–9.9

23 (44)

75 (44)

1.88 (0.70, 5.02)

2.11 (0.69, 6.42)

 ≥ 10

25 (48)

67 (39)

2.17 (0.82, 5.77)

2.03 (0.67, 6.16)

P for linear trend

  

0.16

0.46

 Continuous

  

1.02 (0.99, 1.04)

1.01 (0.98, 1.05)

Infancy average at 24 months

 < 5

18 (35)

66 (39)

1.00

1.00

 5–9.9

19 (36)

80 (47)

0.90 (0.50, 1.59)

0.89 (0.50, 1.58)

 ≥ 10

15 (29)

24 (14)

1.79 (1.01, 3.17)

1.42 (0.76, 2.66)

P for linear trend

  

0.25

0.73

 Continuous

  

1.03 (0.98, 1.08)

1.01 (0.95, 1.07)

  1. aAdjusted for child sex, child birthweight, maternal race, maternal parity, maternal education, number of cigarettes smoked in the home per day at 72 months visit, average adjusted household income from 56 to 72 months visit, day care attendance at 72 months visit, and any breastfeeding by 6 months of age
  2. bTests of linear trend for categorical blood lead variables were based on the p value for the continuous, quantitative parameterizations of each blood lead variable
  3. cRisk ratios for continuous models represent the risk of asthma diagnosis for every 1 μg/dL increase in blood lead concentrations