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Table 5 Inverse probability of treatment-weighted estimates of the marginal structural model

From: Marginal structural models for the estimation of the risk of Diabetes Mellitus in the presence of elevated depressive symptoms and antidepressant medication use in the Women’s Health Initiative observational and clinical trial cohorts

Parameter

Estimate

SE

95 % Confidence limits

HR (95 % CI)

P-Value

WHI-OS

Antidepressant medication use

<.0001

  Yes

0.30

0.06

0.19

0.41

1.35 (1.21-1.51)

 

  No

0.00

0.00

0.00

0.00

1

.

Presence of elevated depressive symptoms

0.04

  Yes

0.09

0.05

0.00

0.18

1.09 (1.00-1.20)

 

  No

0.00

0.00

0.00

0.00

1

.

Ethnicity

      

  American Indian/Alaskan Native

0.72

0.20

0.32

1.12

2.05 (1.38-3.06)

0.0004

  Asian or Pacific Islander

0.78

0.09

0.61

0.95

2.18 (1.84-2.59)

<.0001

  Black/African American

0.56

0.06

0.46

0.67

1.75 (1.58-1.95)

<.0001

  Hispanic/Latino

0.52

0.09

0.35

0.69

1.68 (1.42-1.99)

<.0001

  White

0.00

0.00

0.00

0.00

1

.

  Other

0.35

0.15

0.05

0.65

1.42 (1.05-1.92)

0.02

Education level

      

  <= high school

0.37

0.08

0.22

0.52

1.45 (1.25-1.68)

<.0001

  High school or GED

0.29

0.05

0.19

0.39

1.34 (1.21-1.48)

<.0001

  > = High school, but less than 4 years of college

0.22

0.04

0.14

0.30

1.25 (1.15-1.35)

<.0001

  4 or more years of college

0.00

0.00

0.00

0.00

1

.

Minutes or recreational physical activity per week

-0.0006

0.0001

-0.0008

-0.0004

0.9994 (0.9992-0.9996)

<.0001

Family history of diabetes

 

  No

-0.78

0.04

-0.85

-0.71

0.46 (0.43-0.49)

<.0001

  Yes

0.00

0.00

0.00

0.00

1

.

  Don’t know

-0.41

0.08

-0.57

-0.24

0.66 (0.57-0.79)

<.0001

Hormone therapy use

      

  Never

0.00

0.00

0.00

0.00

1

.

  Former

0.01

0.05

-0.09

0.10

1.01 (0.91-1.11)

0.89

  Current

-0.12

0.04

-0.20

-0.04

0.89 (0.82-0.96)

0.004

Smoking status

      

  Never smoked

0.00

0.00

0.00

0.00

1

.

  Past smoker

0.05

0.04

-0.03

0.12

1.05 (0.97-1.13)

0.21

  Current smoker

0.17

0.07

0.03

0.31

1.19 (1.03-1.36)

0.02

BMI

0.08

0.00

0.08

0.08

1.08 (1.08-1.09)

<.0001

Age

0.02

0.00

0.01

0.02

1.02 (1.01-1.02)

<.0001

Baseline total energy intake

 

  4.87- 1100.54

-0.21

0.05

-0.30

-0.11

0.81 (0.74-0.90)

<.0001

  1100.55- 1437.42

-0.24

0.05

-0.33

-0.14

0.79 (0.72-0.87)

<.0001

  1437.44- 1828.01

-0.18

0.05

-0.27

-0.08

0.84 (0.76-0.92)

0.00

  > = 1828.02

0.00

0.00

0.00

0.00

1

.

WHI-CT

Antidepressant medication use

<.0001

  Yes

0.24

0.06

0.13

0.36

1.27 (1.14-1.43)

 

  No

0.00

0.00

0.00

0.00

1

.

Presence of elevated depressive symptoms

0.04

  Yes

0.09

0.05

0.00

0.18

1.09 (1.00-1.20)

 

  No

0.00

0.00

0.00

0.00

1

.

Ethnicity

      

  American Indian/Alaskan Native

0.09

0.26

-0.41

0.60

1.09 (0.66-1.82)

0.71

  Asian or Pacific Islander

0.73

0.10

0.54

0.91

2.08 (1.72-2.48)

<.0001

  Black/African American

0.41

0.05

0.32

0.51

1.51 (1.38-1.67)

<.0001

  Hispanic/Latino

0.50

0.08

0.35

0.65

1.65 (1.42-1.92)

<.0001

  White

0.00

0.00

0.00

0.00

1

.

  Other

0.38

0.14

0.10

0.65

1.46 (1.11-1.92)

0.007

Education

      

  <= high school

0.32

0.07

0.18

0.46

1.38 (1.20-1.58)

<.0001

  High school or GED

0.20

0.05

0.10

0.29

1.22 (1.11-1.34)

<.0001

  > = High school, but less than 4 years of college

0.22

0.04

0.14

0.30

1.25 (1.15-1.35)

<.0001

  4 or more years of college

0.00

0.00

0.00

0.00

1

.

Minutes or recreational physical activity per week

-0.001

0.000

-0.001

0.000

0.999 (0.999-1.000)

<.0001

Family history of diabetes

 

  Yes

0.00

0.00

0.00

0.00

1

.

  No

-0.68

0.03

-0.75

-0.61

0.51 (0.47-0.54)

<.0001

  Don’t know

-0.32

0.07

-0.47

-0.18

0.73 (0.63-0.84)

<.0001

Hormone therapy use

      

  Never

0.00

0.00

0.00

0.00

1

.

  Former

-0.002

0.04

-0.08

0.08

0.998 (0.92-1.08)

0.97

  Current

-0.17

0.05

-0.26

-0.09

0.84 (0.77-0.91)

0.0001

Smoking status

      

  Never smoked

0.00

0.00

0.00

0.00

1

.

  Past smoker

-0.01

0.04

-0.08

0.06

0.99 (0.92-1.06)

0.78

  Current smoker

0.19

0.06

0.07

0.32

1.21 (1.07-1.38)

0.002

BMI

0.07

0.00

0.07

0.08

1.07 (1.07-1.08)

<.0001

Age

0.02

0.00

0.01

0.02

1.02 (1.01-1.02)

<.0001

Baseline total energy intake

 

  4.87- 1100.54

-0.04

0.05

-0.13

0.06

0.96 (0.88-1.06)

0.46

  1100.55- 1437.42

-0.04

0.05

-0.13

0.05

0.96 (0.88-1.05)

0.43

  1437.44- 1828.01

-0.06

0.04

-0.15

0.03

0.94 (0.86-1.03)

0.17

  1828.02- 23020.93

0

0

0

0

1

.

Participated in hormone therapy trial

0.07

  Yes

0.09

0.05

-0.01

0.20

1.09 (0.99-1.22)

 

  No

0

0

0

0

1

.

Participated in dietary modification trial

0.07

  Yes

0.10

0.05

-0.01

0.20

1.11 (0.99-1.22)

 

  No

0

0

0

0

1

.

Participated in calcium/ vitamin D supplementation

0.44

  Yes

-0.03

0.03

-0.09

0.04

0.97 (0.91-1.04)

 

  No

0

0

0

0

1

.