| Model 1b | Model 2c | Model 3d | Model 4e | ||||
---|---|---|---|---|---|---|---|---|
IRR (95% CI) | p-value | IRR (95% CI) | p-value | IRR (95% CI) | p-value | IRR (95% CI) | p-value | |
Period | Â | Â | Â | Â | Â | Â | Â | Â |
 1 (Wave 1 – Wave 2) | Reference |  | Reference |  | Reference |  | Reference |  |
 2 (Wave 2 – Wave 3) | 1.38 (1.18–1.60) | 0.00006 | 1.38 (1.19–1.60) | 0.00004 | 1.38 (1.19–1.60) | 0.00004 | 1.38 (1.19–1.60) | 0.00005 |
 3 (Wave 3 – Wave 4) | 1.38 (1.18–1.60) | 0.00006 | 1.38 (1.19–1.61) | 0.00004 | 1.38 (1.19–1.61) | 0.00004 | 1.38 (1.19–1.61) | 0.00005 |
 4 (Wave 4 – Wave 5) | 1.15 (0.99–1.34) | 0.07612 | 1.16 (0.99–1.35) | 0.06650 | 1.15 (0.99–1.35) | 0.07271 | 1.16 (0.99–1.36) | 0.06575 |
Time-varying cigarette and cigar use | Â | Â | Â | Â | Â | Â | Â | Â |
 Non-established cigarette and cigar use | Reference |  | Reference |  | Reference |  | Reference |  |
 Former cigarette or cigar use | 1.21 (1.00–1.46) | 0.05240 | 1.09 (0.89–1.32) | 0.40649 | 1.00 (0.79–1.27) | 0.97864 | 1.01 (0.80–1.28) | 0.91494 |
 Exclusive cigarette use | 1.52 (1.26–1.82) | 0.00002 | 1.44 (1.21–1.71) | 0.00007 | 1.29 (1.05–1.59) | 0.01385 | 1.26 (1.03–1.54) | 0.02694 |
 Exclusive cigar use | 0.73 (0.44–1.20) | 0.20933 | 0.76 (0.45–1.27) | 0.29535 | 0.71 (0.42–1.20) | 0.19283 | 0.70 (0.42–1.17) | 0.17201 |
 Dual use | 1.72 (1.31–2.24) | 0.00012 | 1.70 (1.34–2.15) | 0.00003 | 1.50 (1.15–1.98) | 0.00366 | 1.41 (1.08–1.85) | 0.01283 |
Sociodemographic risk factors | Â | Â | Â | Â | Â | Â | Â | Â |
Age |  |  | 1.02 (1.01–1.02) | 0.00000 | 1.02 (1.01–1.02) | 0.00000 | 1.02 (1.01–1.02) | 0.00000 |
Sex | Â | Â | Â | Â | Â | Â | Â | Â |
 Female |  |  | 1.29 (1.08–1.53) | 0.00488 | 1.29 (1.08–1.53) | 0.00488 | 1.19 (1.00–1.41) | 0.04839 |
 Male |  |  | Reference |  | Reference |  | Reference |  |
Race/Ethnicity | Â | Â | Â | Â | Â | Â | Â | Â |
 Hispanic |  |  | 1.21 (0.98–1.49) | 0.07740 | 1.24 (1.00–1.53) | 0.04978 | 1.17 (0.91–1.49) | 0.22339 |
 NH White |  |  | Reference |  | Reference |  | Reference |  |
 NH Black |  |  | 1.02 (0.82–1.27) | 0.84513 | 1.04 (0.84–1.30) | 0.69351 | 1.00 (0.80–1.24) | 0.96988 |
 Another NH race and ethnicity |  |  | 1.15 (0.76–1.74) | 0.50324 | 1.16 (0.77–1.74) | 0.48523 | 1.21 (0.81–1.79) | 0.35106 |
Annual household income | Â | Â | Â | Â | Â | Â | Â | Â |
 $50,000 or more |  |  | 0.59 (0.47–0.75) | 0.00004 | 0.60 (0.47–0.77) | 0.00006 | 0.62 (0.49–0.78) | 0.00005 |
 Less than $50,000 |  |  | Reference |  | Reference |  | Reference |  |
Health insurance status | Â | Â | Â | Â | Â | Â | Â | Â |
 Covered |  |  | 0.83 (0.66–1.05) | 0.11990 | 0.84 (0.67–1.05) | 0.12335 | 0.82 (0.66–1.03) | 0.08357 |
 Not covered |  |  | Reference |  | Reference |  | Reference |  |
History of tobacco use | Â | Â | Â | Â | Â | Â | Â | Â |
Time-varying ENDS use | Â | Â | Â | Â | Â | Â | Â | Â |
 Non-established ENDS use |  |  |  |  | Reference |  | Reference |  |
 Former ENDS use |  |  |  |  | 1.11 (0.94–1.31) | 0.20131 | 1.05 (0.90–1.23) | 0.49642 |
 Current ENDS use |  |  |  |  | 1.25 (1.08–1.46) | 0.00342 | 1.20 (1.02–1.40) | 0.02395 |
Log of baseline cigarette pack-years / 10 |  |  |  |  | 1.11 (0.95–1.28) | 0.17673 | 1.13 (0.97–1.31) | 0.10428 |
Other risk factors | Â | Â | Â | Â | Â | Â | Â | Â |
Time-varying secondhand smoking exposure - mean number of 12 h of exposure in past 7 days |  |  |  |  |  |  | 1.02 (1.00–1.05) | 0.07777 |
Obesity (BMI ≥ 30.0) at baseline |  |  |  |  |  |  |  |  |
 Yes |  |  |  |  |  |  | 1.11 (0.94–1.30) | 0.20851 |
 No |  |  |  |  |  |  | Reference |  |
Asthma exacerbation at baseline | Â | Â | Â | Â | Â | Â | Â | Â |
 Yes |  |  |  |  |  |  | 2.39 (2.09–2.74) | 0.00000 |
 No |  |  |  |  |  |  | Reference |  |