South Boston Scleroderma and Lupus Health Study Massachusetts Department of Public Health Bureau of Environmental Health January 2010


Table 35: Frequency of Residential Exposures



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Table 35: Frequency of Residential Exposures





Cases (%)

Controls (%)

Odds Ratio

95% Confidence Interval

Basement Level Residence

Yes

2 (4.9)

20 (13.0)

0.3

0.1

1.5

No

39 (95.1)

134 (87.0)

Portable Heater

Yes

8 (19.5)

26 (16.9)

1.2

0.5

2.9

No

33 (80.5)

128 (83.1)


Table 36: Frequency of Chlorinated Solvent Exposures





Cases (%)

Controls (%)

Odds Ratio

95 % Confidence Interval

Occupational Exposure*

Yes

9 (22.0)

46 (29.9)

0.7

0.3

1.5

No

32 (78.0)

108 (70.1)




Specific

Yes

1 (2.4)

5 (3.2)

0.8

0.1

6.6

No

40 (97.6)

149 (96.8)

Possible

Yes

8 (19.5)

41 (26.6)

0.7

0.3

1.6

No

33 (80.5)

113 (73.4)

* Category includes both possible and specific exposures.

Specific refers to either an occupational or hobby related exposure that was confirmed by the participant (e.g., Yes, I worked in printing/publishing and yes, I used benzene.).

Possible is defined as having worked in an occupation or participated in a hobby where exposure was possible (e.g., Yes, I worked in printing/publishing but I did not use benzene.).


Table 37: Univariate Analysis of SSc/SLE Risk and Residential Proximity within 30 Feet of Hazardous Waste Sites in South Boston (Residence at Index Date)





Odds Ratio

95% Confidence Interval

Hazardous Waste Site w/Petroleum Compounds

1.3

0.2

8.5

Hazardous Waste Site w/Compounds Other than Petroleum

---

---

---

Any Hazardous Waste Site

1.3

0.2

8.5



Table 38: Univariate Analysis of SSc/SLE Risk and Residential Proximity within 500 Feet of Hazardous Waste Sites in South Boston (Residence at Index Date)





Odds Ratio

95% Confidence Interval

Hazardous Waste Site w/Petroleum Compounds

0.4

0.2

1.0

Hazardous Waste Site w/Compounds Other than Petroleum

0.5

0.1

3.1

Any Hazardous Waste Site

0.5

0.2

1.1



Table 39: Univariate Analysis of SSc/SLE Risk and Residential Proximity within 30 Feet of Hazardous Waste Sites in South Boston (Longest South Boston Residence)





Odds Ratio

95% Confidence Interval

Hazardous Waste Site w/Petroleum Compounds

---

---

---

Hazardous Waste Site w/Compounds Other than Petroleum

---

---

---

Any Hazardous Waste Site

---

---

---



Table 40: Univariate Analysis of SSc/SLE Risk and Residential Proximity within 500 Feet of Hazardous Waste Sites in South Boston (Longest South Boston Residence)





Odds Ratio

95% Confidence Interval

Hazardous Waste Site w/Petroleum Compounds

0.8

0.5

1.2

Hazardous Waste Site w/Compounds Other than Petroleum

0.4

0.1

2.7

Any Hazardous Waste Site

0.8

0.5

1.2



Table 41: Univariate Analysis of SSc/SLE Risk and Historical Exposure to Emissions from Boston Edison Power Plant Based on Residential History (High versus Low Impact Area)





Cases

Controls

Odds Ratio

95% Confidence Interval

Residence at Index

High

21

71

1.2

0.4

3.8

Low

4

16

Longest Residence

High

35

119

1.9

0.7

5.3

Low

5

31


Table 42: Frequency of Swimming





Cases (%)

Controls (%)

Odds Ratio

95 % Confidence Interval

Pleasure Bay

Yes

28 (68.3)

103 (66.9)

1.2

0.6

2.7

No

11 (26.8)

50 (32.5)

Unknown

2 (4.9)

1 (0.6)

Castle Island

Yes

17 (41.5)

55 (35.7)

1.3

0.7

2.7

No

23 (56.1)

99 (64.3)

Unknown

1 (2.4)

0 (0)

L Street Beach

Yes

28 (68.3)

112 (72.7)

1.0

0.4

2.1

No

11 (26.8)

42 (27.3)

Unknown

2 (4.9)

0 (0)

Carson Beach

Yes

32 (78.0)

82 (53.2)

3.5

1.5

8.0

No

8 (19.5)

71 (46.1)

Unknown

1 (2.4)

1 (0.6)

Reserve Channel

Yes

4 (9.8)

7 (4.5)

2.5

0.7

9.0

No

32 (78.0)

139 (90.3)

Unknown

5 (12.2)

8 (5.2)

Pleasure Bay and/or Castle Island

Yes

23 (56.1)

66 (42.9)

1.9

0.9

3.9

No

16 (39.0)

87 (56.5)

Unknown

2 (4.9)

1 (0.6)

L Street and/or Carson Beach

Yes

15 (36.6)

51 (33.1)

1.2

0.6

2.5

No

25 (61.0)

103 (66.9)

Unknown

1 (2.4)

0 (0)


Table 43: Frequency of Recreational Park Use





Cases (%)

Controls (%)

Odds Ratio

95 % Confidence Interval

M Street Park

Yes

25 (61.0)

87 (56.5)

1.3

0.6

2.6

No

15 (36.6)

65 (42.2)

Unknown

1 (2.4)

2 (1.3)

Marine Park

Yes

18 (43.9)

78 (50.6)

0.8

0.4

1.6

No

21 (51.2)

74 (48.1)

Unknown

2 (4.9)

2 (1.3)

Columbia Park

Yes

26 (63.4)

87 (56.5)

1.4

0.7

2.9

No

14 (34.1)

65 (42.2)

Unknown

1 (2.4)

2 (1.3)


Table 44: Unmatched Multivariate Regression Analysis of Risk of SSc/SLE and Possible Risk Factors (Complete Model)


Regression Model Covariates

Odds Ratio

95% Confidence Interval

Family History of Autoimmune Disease

1.9

0.9

4.1

Previous Diagnosis of Rheumatoid Arthritis

3.4

1.3

9.3

Use of medication for Psychotic Disorder

2.0

0.8

5.2

Possible Hobby-related Silica Exposure

2.3

1.1

4.4


Table 45: Unmatched Multivariate Regression Analysis of Risk of SSc/SLE and Possible Risk Factors (Final Model)


Regression Model Covariates

Odds Ratio

95% Confidence Interval

Previous Diagnosis of Rheumatoid Arthritis

4.4

1.7

11.5

Possible Hobby-related Silica Exposure

2.4

1.1

5.0



Table 46: Matched Multivariate Regression Analysis of Risk of SSc/SLE and Possible Risk Factors (Complete Model)


Regression Model Covariates

Odds Ratio

95% Confidence Interval

Family History of Autoimmune Disease

2.0

0.9

4.5

Previous Diagnosis of Rheumatoid Arthritis

3.5

1.3

9.8

Use of medication for Psychotic Disorder

1.9

0.7

5.0

Possible Hobby-related Silica Exposure

2.5

1.1

5.6


Table 47: Matched Multivariate Regression Analysis of Risk of SSc/SLE and Possible Risk Factors (Final Model)


Regression Model Covariates

Odds Ratio

95% Confidence Interval

Previous Diagnosis of Rheumatoid Arthritis

4.0

1.5

11.0

Possible Hobby-related Silica Exposure

2.6

1.2

5.7


Table 48: Matched Multivariate Regression Analysis of Risk of SSc/SLE and Residential Proximity to Hazardous Waste Sites Based on Longest South Boston Residence


Regression Model Covariates

Odds Ratio

95% Confidence Interval

Family History of Autoimmune Disease

1.8

0.9

3.9

Previous Diagnosis of Rheumatoid Arthritis

4.2

1.5

11.9

Hazardous Waste Site w/Petroleum Compounds

(30 Feet)



< 0.1

---

---

Hazardous Waste Site w/Petroleum Compounds

(500 Feet)



0.7

0.4

1.2


Table 49: Matched Multivariate Regression Analysis of Risk of SSc/SLE and Historical Exposure to Emissions from Boston Edison Power Plant Based on Longest South Boston Residence

Regression Model Covariates

Odds Ratio

95% Confidence Interval

Family History of Autoimmune Disease

2.0

0.9

4.2

Previous Diagnosis of Rheumatoid Arthritis

4.4

1.6

12.2

Longest Residence in High versus Low Impact Area

2.3

0.8

6.6


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