Table 2

Spirometry and health outcomes according to ethnicity

CharacteristicWhite Americans N=3506African Americans N=1860Mexican Americans N=1749Adjusted p value
n% (95% CI)n% (95% CI)n% (95% CI)W vs AW vs MA vs M
Spirometry*
 Normal277879.3 (77.8 to 80.7)148279.7 (77.7 to 81.7)150486.0 (84.3 to 87.8)0.780<0.001<0.001
 Airflow limitation53115.1 (13.9 to 16.4)23012.4 (10.7 to 14.0)1448.2 (6.7 to 9.8)0.014<0.0010.002
 Restrictive pattern1965.6 (4.6 to 6.5)1488.0 (6.9 to 9.0)1005.7 (4.5 to 6.9)0.0020.8630.016
Health outcomes
 Respiratory symptoms†145241.5 (39.2 to 43.8)66836.0 (33.5 to 38.5)60434.6 (31.9 to 37.3)<0.001<0.0010.541
 Deaths, n (%)‡3088.8 (7.6 to 10.0)1739.3 (8.0 to 10.6)1216.9 (5.4 to 8.4)0.6320.0630.039
  • *Recorded at baseline: normal spirometry was defined by FEV1/FVC and FVC, both >LLN; airflow limitation by FEV1/FVC<LLN; and restrictive pattern by FEV1/FVC>LLN and FVC<LLN. Missing data: white Americans (n=1); Mexican Americans (n=1).

  • †Recorded at baseline: chronic cough or sputum production, dyspnoea on exertion, or wheezing. Missing data: white Americans (n=6); Mexican Americans (n=3); African Americans (n=4).

  • ‡Over 5 years of follow-up. Vital status was missing for three white Americans and two Mexican Americans.

  • A, African Americans; FEV1, forced expiratory volume in 1 s; FVC, forced vital capacity; LLN, lower limit of normal; M, Mexican Americans; W, white Americans.