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Table 3 Odds ratios (OR) with 95 % confidence intervals (CI) between lung cancer and transition in time-weighted average occupational social prestige categories for first occupation to last occupation and first occupation to longest occupation

From: Occupational prestige, social mobility and the association with lung cancer in men

Transitions in social prestige categories a

Cases [N]

Controls [N]

OR1 b (95 % CI)

OR2 c (95 % CI)

OR3 d (95 % CI)

OR4 e (95 % CI)

Change in social prestige from first to last occupation

 Consistent

H to H

1,088

2,333

1.0

1.0

1.0

1.0

M to M

1,796

2,106

1.71 (1.55–1.88)

1.40 (1.25–1.56)

1.37 (1.23–1.53)

1.20 (1.06–1.35)

L to L

3,960

3,567

2.29 (2.10–2.50)

1.63 (1.48–1.80)

1.57 (1.42–1.74)

1.31 (1.17–1.45)

 Downward

H to L

168

210

1.70 (1.37–2.11)

1.33 (1.03–1.71)

1.28 (0.99–1.65)

1.13 (0.88–1.46)

H to M

144

244

1.20 (0.96–1.49)

1.03 (0.81–1.32)

1.03 (0.80–1.32)

0.95 (0.74–1.22)

M to L

1,386

1,303

2.08 (1.87–2.31)

1.52 (1.34–1.71)

1.46 (1.29–1.65)

1.24 (1.08–1.41)

 Upward

M to H

963

1,781

1.04 (0.93–1.16)

0.94 (0.83–1.07)

0.93 (0.82–1.05)

0.87 (0.77–0.99)

L to H

832

1,451

1.15 (1.03–1.29)

0.94 (0.83–1.07)

0.92 (0.81–1.05)

0.83 (0.73–0.95)

L to M

1,096

1,152

1.88 (1.68–2.10)

1.45 (1.28–1.65)

1.40 (1.23–1.59)

1.19 (1.04–1.36)

Change in social prestige from first occupation to longest occupation

 Consistent

H to H

1,155

2,417

1.0

1.0

1.0

1.0

M to M

2,154

2,497

1.69 (1.54–1.85)

1.38 (1.24–1.53)

1.35 (1.21–1.50)

1.17 (1.05–1.31)

L to L

4,108

3,799

2.18 (2.0–2.38)

1.57 (1.42–1.73)

1.51 (1.37–1.66)

1.26 (1.13–1.40)

 Downward

H to L

123

155

1.63 (1.27–2.10)

1.22 (0.91–1.62)

1.17 (0.88–1.56)

1.02 (0.77–1.37)

H to M

122

215

1.10 (0.87–1.39)

0.93 (0.72–1.21)

0.93 (0.71–1.21)

0.85 (0.65–1.11)

M to L

1,157

1,092

2.0 (1.79–2.23)

1.43 (1.27–1.63)

1.38 (1.22–1.57)

1.16 (1.01–1.32)

 Upward

M to H

834

1,601

0.97 (0.86–1.08)

0.90 (0.80–1.02)

0.89 (0.79–1.01)

0.84 (0.74–0.96)

L to H

724

1,260

1.11 (0.99–1.25)

0.92 (0.81–1.05)

0.90 (0.79–1.03)

0.82 (0.71–0.94)

L to M

1,056

1,111

1.83 (1.63–2.04)

1.40 (1.23–1.59)

1.35 (1.18–1.53)

1.14 (0.99–1.31)

  1. a Categories for occupational social prestige scores according to tertiles among control subjects: Low (L) = 13- ≤ 35, Medium (M) = >35- ≤ 45, and High (H) = >45–78 points
  2. b Odds ratios for model 1 are adjusted for study center and log(age)
  3. c Odds ratios for model 2 are additionally adjusted for smoking status with time since quitting (2–7, 8–15, 16–25 or ≥26 years before interview/diagnosis, other types of tobacco only, non-smokers), and log(pack-years + 1)
  4. d Odds ratios for model 3 are additionally adjusted for ever working in “List A” occupation
  5. e Odds ratios for model 4 are additionally adjusted for highest education