Associations of chronic obstructive pulmonary disease (COPD)* with (A) individual childhood disadvantage factors and (B) with the number of childhood disadvantage factors
Men | Women | |||
OR† (95% CI) | p Value | OR† (95% CI) | p Value | |
(A) | 1 (reference) | 1 (reference) | ||
Maternal asthma | 1.26 (0.56 to 2.82) | 0.576 | 1.55 (0.73 to 3.31) | 0.255 |
Paternal asthma | 2.69 (1.53 to 4.74) | 0.001 | 2.94 (1.60 to 5.41) | 0.001 |
Childhood asthma | 10.48 (6.10 to 18.03) | <0.001 | 3.74 (1.55 to 9.02) | 0.003 |
Severe respiratory infection before 5 years | 1.34 (0.77 to 2.35) | 0.303 | 0.69 (0.31 to 1.53) | 0.362 |
Maternal smoking | 1.41 (0.89 to 2.25) | 0.143 | ||
(B) | ||||
Number of childhood factors | ||||
0 (reference) | 1 (reference) | 1 (reference) | ||
1 | 1.71 (1.10 to 2.64) | 0.017 | 1.62 (1.01 to 2.60) | 0.046 |
2 | 5.23 (3.14 to 8.73) | <0.001 | 2.41 (1.26 to 4.61) | 0.008 |
3 | 6.32 (2.35 to 16.98) | <0.001 | 7.16 (2.75 to 18.64) | <0.001 |
For comparison | ||||
Adult smoking status | ||||
Former | 2.44 (1.39 to 4.27) | 0.002 | 1.00 (0.51 to 1.94) | 0.999 |
Current <10 cig/day | 2.50 (1.27 to 4.91) | 0.008 | 0.62 (0.20 to 1.88) | 0.398 |
Current 10–20 cig/day | 2.16 (1.07 to 4.34) | 0.031 | 2.32 (1.16 to 4.66) | 0.018 |
Current >20 cig/day | 3.70 (2.05 to 6.69) | <0.001 | 3.82 (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.