Table 3

Analyses of cumulative expected lead and ALS case status in men

Controls N (%)Cases N (%)OR (95% CI)*aOR (95% CI)†
No lag (n=93 508)
 No exposure78 975 (85.36)827 (83.87)1.00 (Ref)1.00 (Ref)
 Ever exposure (µmol/L)‡13 547 (14.64)159 (16.13)1.13 (0.95 to 1.33)1.15 (0.96 to 1.38)
 <50.003172 (3.43)37 (3.75)1.19 (0.85 to 1.68)1.20 (0.85 to 1.69)
 50.00–222.003269 (3.53)33 (3.35)0.92 (0.63 to 1.34)0.93 (0.63 to 1.35)
 >222.007106 (7.68)89 (9.30)1.22 (0.97 to 1.53)1.23 (0.99 to 1.55)
 Test for trend1.01 (0.99 to 1.02)1.00 (0.99 to 1.02)
5-year lag
 No exposure81 107 (87.66)848 (86.00)1.00 (Ref)1.00 (Ref)
 Ever exposure (µmol/L)‡11 415 (12.34)138 (14.00)1.16 (0.97 to 1.39)1.19 (0.98 to 1.44)
 <50.003276 (3.54)39 (3.96)1.14 (0.83 to 1.58)1.22 (0.87 to 1.70)
 50.00–222.003348 (3.62)32 (3.25)0.92 (0.65 to 1.31)0.93 (0.64 to 1.35)
 >222.04791 (5.18)67 (6.80) 1.35 (1.05 to 1.73) 1.35 (1.04 to 1.76)
 Test for trend1.02 (0.99 to 1.04)1.01 (0.99 to 1.04)
10-year lag
 No exposure81 802 (88.41)858 (87.02)1.00 (Ref)1.00 (Ref)
 Ever exposure (µmol/L)‡10 720 (11.59)128 (12.98)1.15 (0.95 to 1.38)1.16 (0.95 to 1.41)
 <50.003208 (3.47)37 (3.75)1.11 (0.80 to 1.54)1.16 (0.83 to 1.64)
 50.00–222.003223 (3.48)32 (3.25)0.95 (0.67 to 1.36)0.95 (0.65 to 1.38)
 >222.004289 (4.64)59 (5.98) 1.32 (1.01 to 1.73) 1.33 (1.03 to 1.72)
 Test for trend1.01 (0.99 to 1.05)1.01 (0.98 to 1.04)
  • Bold values are statistically significant (p <0.05) 

  • *Controls were individually matched to cases on age and sex.

  • †Models adjusted for SES and residential location.

  • ‡Cumulative expected exposure=level of exposure*days employed for jobs with >50% probability of exposure.

  • ALS, amyotrophic lateral sclerosis; aOR, adjusted OR; SES, socioeconomic status.