TABLE 4

Associations between parental respiratory disease history, combined life-course factors and symptomatic airflow obstruction (outcome)

Model 5aModel 5b
Parental respiratory disease history1.29 (0.80–2.09)1.34 (0.84–2.14)
Childhood passive smoke exposure1.18 (0.91–1.52)
Adulthood smoking
 Ever-smoker1.71 (1.27–2.31)***
 Persistent smoker5.42 (4.19–7.01)***
SC at 42 years of age
 SC11.00 (ref)
 SC21.20 (0.87–1.67)
 SC31.29 (0.92–1.81)
 SC41.41 (1.00–1.99)
Asthma
 Childhood1.33 (1.02–1.72)*
 Adulthood6.44 (5.01–8.27)***
Pneumonia (childhood)1.33 (0.82–2.16)1.13 (0.71–1.79)
Occupational exposure1.00 (0.76–1.30)1.09 (0.84–1.40)
Cumulative SC1.03 (0.98–1.08)
Cumulative smoking exposure
 0 (never)1.00 (ref.)
 10.98 (0.63–1.52)
 21.07 (0.68–1.67)
 32.38 (1.55–3.64)***
 4 (persistent)5.39 (3.51–8.27)***
Cumulative asthma
 0 (never)1.00 (ref.)
 12.51 (1.95–3.23)***
 2 (persistent)8.13 (5.98–11.07)***
Total effects estimate (se)0.614 (0.258)**0.603 (0.250)**
Total indirect effects estimate (se)0.359 (0.082)***0.308 (0.075)***
Model fit
 AIC57 978.79668 436.130
 BIC58 295.30668 718.968

Data are presented as OR (95% CI) unless otherwise stated. All models were adjusted for sex and recent chest infection (past 3 weeks prior to when spirometry was performed at age 45 years). SC: social class (SC1: professional/managerial; SC2: unskilled nonmanual; SC3: skilled manual; SC4: unskilled manual); AIC: Akaike information criterion; BIC: Bayesian information criterion. *: p<0.05; **: p<0.005; ***: p<0.001.