Research Article

Association of Urinary Phthalates with Self-Reported Eye Affliction/Retinopathy in Individuals with Diabetes: National Health and Nutrition Examination Survey, 2001–2010

Table 1

Outcome and potential confounders considered in the analyses.

VariableValueCode

Outcome
 Self-reported retinopathy [ (%)]
  No157 (13.87)0
  Yes847 (86.13)1
Demographic variables
 Age [mean (SE)] y60.12 (0.56)Raw
 Sex [ (%)††]
  Females 483 (50.6)0
  Males521 (49.4)1
 Ethnicity [ (%)]
  Mexican Americans215 (7.86)1
  Hispanics72 (4.92)1
  Non-Hispanic Whites415 (65.65)0
  Non-Hispanic Blacks267 (16.07)0
  Other non-Hispanics35 (5.50)0
 Marital status [ (%)]
  Married555 (58.64)1
  Others449 (41.36)0
 Educational attainment [ (%)]
  Less than 9th Grade216 (12.73)1
  9–11th Grade191 (16.21)2
  High school grad/GED or equivalent219 (22.51)3
  Some college or AA degree253 (30.08)4
  College graduate or above124 (18.44)5
  Refused or unknown1 (0.03)0
 Poverty income ratio [mean (SE)]2.87 (0.07)0 if unknown, or else raw
Clinical variables
 Total calorie intake per day [ (%)]
  Q1 (<1,200.5 kcal)251 (20.41)0
  Q2 (1,200.5–<1,648.5 kcal)251 (23.60)1
  Q3 (1,648.5–<2,191 kcal)251 (26.02)2
  Q4 (≥2,191 kcal)251 (29.97)3
 Obesity
  BMI ≥30 Kg/m2559 (60.41)2
  BMI <30 Kg/m2416 (37.03)1
  BMI not measured29 (2.55)0
 Physical activity categories
  Active (>6 METS)168 (20.50)2
  Insufficiently active (3–6 METS)350 (37.14)1
  Inactive (<3 METS) or unknown486 (42.36)0
 Glycated hemoglobin [ (%)]
  ≥6.5%433 (42.17)2
  <6.5%178 (18.33)1
  Unknown393 (39.51)0
 High serum total cholesterol [ (%)]
  ≥240 mg/dL129 (14.02)2
  <240 mg/dL814 (81.19)1
  Unknown129 (4.79)0
 Low HDL cholesterol [ (%)]
  Males <40 mg/dL, females <50 mg/dL385 (42.82)2
  Males ≥40 mg/dL, females ≥50 mg/dL559 (52.58)1
  Unknown60 (4.60)0
 High serum triglycerides [ (%)]
  ≥150 mg/dL220 (23.73)2
  <150 mg/dL258 (24.65)1
  Unknown526 (51.61)0
 Hypertension [ (%)]
  Yes305 (28.39)2
  No654 (67.04)1
  Unknown45 (4.57)0
 Duration of diabetes [ (%)]
  ≥14 y225 (19.06)4
  8–13 y190 (18.96)3
  3–7 y242 (25.54)2
  <3 y172 (19.04)1
  Unknown175 (17.38)0
Urinary phthalates, ng/mL [mean (SE)]
 Mono-n-butyl (MBP)47.30 (11.87)Corrected for urinary creatinine and inverse-normalized
 Mono-cyclohexyl (MCP)0.41 (0.02)
 Mono-ethyl (MEP)464.77 (47.07)
 Mono-(2-ethyl)-hexyl (MEHP)6.44 (0.93)
 Mono-isononyl (MNP)1.54 (0.17)
 Mono-n-octyl (MOP)1.13 (0.02)
 Mono-benzyl (MBzP)12.59 (0.75)
 Mono-n-methyl (MNM)3.85 (0.44)
 Mono-(3-carboxypropyl) (MCPP)5.38 (0.49)
 Mono-(2-ethyl-5-hydroxyhexyl) (MEHHP)42.34 (4.12)
 Mono-(2-ethyl-5-oxohexyl) (MEOHP)25.66 (2.42)
 Mono-isobutyl (MiBP)9.00 (0.80)
 Mono-2-ethyl-5-carboxypentyl (MECPP)#58.72 (5.56)Not used
 Mono-(carboxynonyl) (MCNP)##4.37 (0.35)Not used
 Mono-(carboxyoctyl) (MCOP)##20.40 (2.41)Not used

All means and standard errors are adjusted for survey design variables.
††All proportions are adjusted for survey design variables.
Widowed, divorced, separated, never married, living with partner, and refused.
#Data available on 828 participants.
##Data available on 649 participants.