Table 2

Incident RA in relation to crops and livestock at enrolment

Raised for incomeOverall sample (applicators and spouses)*
RA cases
n=427
N (%)HR† (95% CI)P value
Crops only
 ≤62103 (37)Reference
 >6254 (36)Reference
Animals only
 ≤625 (1)0.83 (0.34 to 2.04)0.69
 >622 (0)NC
Both
 ≤62148 (35)0.68 (0.51 to 0.89)0.005
 >6280 (19)1.08 (0.75 to 1.55)0.67
Neither
 ≤6223 (5)1.16 (0.73 to 1.85)0.53
 >6212 (3)0.82 (0.43 to 1.56)0.54
Crops‡
 Alfalfa
  ≤6266 (15)1.08 (0.80 to 1.49)0.57
  >6239 (9)1.66 (1.10 to 2.50)0.015
 Field corn
  ≤62203 (48)0.92 (0.65 to 1.30)0.64
  >62112 (26)1.65 (1.05 to 2.61)0.031
 Hay
  ≤6272 (17)0.71 (0.53 to 0.93)0.014
  >6256 (13)1.37 (0.97 to 1.92)0.074
 Oats96 (22)1.06 (0.31 to 1.35)0.64
 Soybeans289 (68)0.98 (0.77 to 1.25)0.86
 Sweet corn45 (11)1.25 (0.91 to 1.72)0.18
 Wheat50 (12)0.91 (0.66 to 1.26)0.56
Livestock†
 Beef cattle143 (33)0.80 (0.65 to 0.83)0.034
 Hogs
  ≤6291 (21)0.80 (0.60 to 1.06)0.12
  >6237 (9)1.06 (0.70 to 1.59)0.79
  • *Numbers shown are for overall sample with complete data on pesticide covariates and diagnosis age, including all enrolled applicators (196 cases and 24 357 non-cases) and spouses (231 cases and 20 842 non-cases).

  • †HRs and 95% CIs estimated by Cox proportional hazards model adjusting for state, participant type (applicator/spouse), smoking pack-years, education and specific pesticides. HRs allowed to vary by the median age (ie, 62 years) when proportional hazards assumption was not met (p≤0.10).

  • ‡ Common crops or livestock (with at least 10% cases exposed)

  • RA, rheumatoid arthritis.