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Table 2 Crude and adjusted ORs for PTB (< 37 weeks’ gestation) based on tract-level metal concentrations in private wells

From: Toxic metal mixtures in private well water and increased risk for preterm birth in North Carolina

Metal

ppb

Non-cases

Cases

Crude OR (95% CI)

Adjusted* OR (95% CI)

Arsenic

 <  = 50th perc

0.220

609,926

55,433

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

487,868

43,709

0.99 (0.97,1.00)

0.98 (0.97,1.00)

 >  = 90th perc

2.838

121,378

10,757

0.98 (0.95,1.00)

0.97 (0.94,0.99)

 tract with < 25% of tests >  = EPA standard

Standard=10

1,197,886

21,286

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

107,999

1900

0.99 (0.94,1.04)

0.97 (0.92,1.02)

Cadmium

 <  = 50th perc

0.007

609,466

55,164

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

488,279

43,653

0.99 (0.98,1.00)

1.02 (1.00,1.04)

 >  = 90th perc

0.127

121,427

11,082

1.01 (0.99,1.03)

1.02 (0.99,1.05)

 tract with < 25% of tests >  = EPA standard

Standard=5

1,214,353

4819

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

109,433

466

1.07 (0.97,1.18)

1.11 (1.00,1.23)

Chromium

 <  = 50th perc

0.579

608,834

55,735

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

488,409

43,538

0.97 (0.96,0.99)

1.02 (1.00,1.03)

 >  = 90th perc

2.872

121,929

10,626

0.95 (0.93,0.97)

0.99 (0.97,1.02)

 tract with < 25% of tests >  = EPA standard

Standard= 100

1,214,353

435

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

109,850

49

1.25 (0.92,1.66)

1.06 (0.77,1.43)

Copper

 <  = 50th perc

21.096

608,590

56,031

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

488,791

43,089

0.96 (0.95,0.97)

1.01 (0.99,1.03)

 >  = 90th perc

141.545

121,791

10,779

0.96 (0.94,0.98)

0.98 (0.95,1.01)

 tract with < 25% of tests >  = EPA standard

Standard = 1300

1,214,840

4332

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

109,510

389

1.00 (0.90,1.10)

0.52 (0.13,1.34)

Lead

 <  = 50th perc

1.433

609,888

54,784

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

487,904

43,740

1.00 (0.99,1.01)

1.01 (1.00,1.03)

 >  = 90th perc

9.104

121,380

11,375

1.04 (1.02,1.06)

1.04 (1.02,1.07)

 tract with < 25% of tests >  = EPA standard

Standard= 15

1,191,607

27,565

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

107,257

2642

1.07 (1.02,1.11)

1.10 (1.02,1.18)

Manganese

 <  = 50th perc

33.626

609,411

55,515

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

488,057

43,761

0.98 (0.97,1.00)

0.99 (0.97,1.00)

 >  = 90th perc

188.923

121,704

10,623

0.96 (0.94,0.98)

0.98 (0.95,1.00)

 tract with < 25% of tests >  = EPA standard

Standard= 300

1,176,657

42,515

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

106,221

3678

0.96 (0.93,0.99)

0.96 (0.92,1.01)

Zinc

 <  = 50th perc

126.764

608,922

55,763

1.00 (ref.)

1.00 (ref.)

 > 50th perc to < 90th perc

 

487,844

43,642

0.98 (0.96,0.99)

1.01 (0.99,1.02)

 >  = 90th perc

1592.883

122,406

10,494

0.94 (0.92,0.96)

0.95 (0.92,0.97)

 tract with < 25% of tests >  = EPA standard

Standard= 5000

1,210,117

9055

1.00 (ref.)

1.00 (ref.)

 tract with >  = 25% of tests >  = EPA standard

 

109,200

699

0.86 (0.79,0.92)

0.77 (0.56,1.02)

  1. Note that for each metal, two models were fit. First, models were fit comparing individuals in tracts with low (mean tract-level metal concentration =  < 50th percentile of state-wide metal concentration), medium (mean tract-level metal concentration > 50th and < 90th percentile of state-wide metal concentration) and high (mean tract-level metal concentration >  = 90th percentile of state-wide metal concentration). Second, models were fit comparing individuals in tracts in which at or over 25% of well water test reported concentrations above the EPA standard. Models were adjusted for smoking, age, race/ethnicity, education, season of conception, tract-level poverty, tract-level nitrates and nitrites