Table 5

Associations of chronic obstructive pulmonary disease (COPD)* with (A) individual childhood disadvantage factors and (B) with the number of childhood disadvantage factors

MenWomen
OR† (95% CI)p ValueOR† (95% CI)p Value
(A)1 (reference)1 (reference)
Maternal asthma1.26 (0.56 to 2.82)0.5761.55 (0.73 to 3.31)0.255
Paternal asthma2.69 (1.53 to 4.74)0.0012.94 (1.60 to 5.41)0.001
Childhood asthma10.48 (6.10 to 18.03)<0.0013.74 (1.55 to 9.02)0.003
Severe respiratory infection before 5 years1.34 (0.77 to 2.35)0.3030.69 (0.31 to 1.53)0.362
Maternal smoking1.41 (0.89 to 2.25)0.143
(B)
Number of childhood factors
    0 (reference)1 (reference)1 (reference)
    11.71 (1.10 to 2.64)0.0171.62 (1.01 to 2.60)0.046
    25.23 (3.14 to 8.73)<0.0012.41 (1.26 to 4.61)0.008
    36.32 (2.35 to 16.98)<0.0017.16 (2.75 to 18.64)<0.001
For comparison
Adult smoking status
    Former2.44 (1.39 to 4.27)0.0021.00 (0.51 to 1.94)0.999
    Current <10 cig/day2.50 (1.27 to 4.91)0.0080.62 (0.20 to 1.88)0.398
    Current 10–20 cig/day2.16 (1.07 to 4.34)0.0312.32 (1.16 to 4.66)0.018
    Current >20 cig/day3.70 (2.05 to 6.69)<0.0013.82 (2.04 to 7.13)<0.001
  • Analyses include 8201 measurements in men and 8633 measurements in women with complete data.

  • *COPD defined as forced expiratory volume in 1 s/forced vital capacity (FEV1/FVC) ratio <0.70 and FEV1 <80% predicted; based on prebronchodilator lung function measurements from ECRHS I and ECRHS II.

  • †Odds ratio (OR) for COPD (A) comparing subjects with and without each childhood factor when adjusting for other childhood factors in the table and (B) comparing subjects with a specific number of childhood factors with subjects with zero childhood factors. Adjusted for smoking status, age completed education, social class, age, height and centre.

  • ‡Estimates for adult smoking are presented in order to enable comparisons of estimates. The estimates are from model B, but are practically identical for model A.