Table 2

Serially adjusted HRs for the association between education level and stroke, stratified by sex

Education level
College/university degreeCertificate/diploma/
trade/apprenticeship
Higher school certificateSchool/intermediate certificateNo qualifications
ReferenceHR (95% CI)HR (95% CI)HR (95% CI)HR (95% CI)
Men (2031 strokes among n=116 810)
 Model 1*1.001.20 (1.06 to 1.37)1.23 (1.04 to 1.47)1.31 (1.13 to 1.51)1.25 (1.07 to 1.46)
 Model 2 1.001.20 (1.06 to 1.36)1.22 (1.03 to 1.46)1.29 (1.12 to 1.49)1.23 (1.05 to 1.44)
 Model 3 1.001.19 (1.05 to 1.35)1.21 (1.02 to 1.44)1.27 (1.10 to 1.47)1.19 (1.02 to 1.39)
 Model 4§ 1.001.17 (1.03 to 1.33)1.17 (0.98 to 1.39)1.23 (1.06 to 1.42)1.12 (0.96 to 1.32)
 Model 5 1.001.16 (1.02 to 1.32)1.16 (0.97 to 1.38)1.21 (1.05 to 1.40)1.10 (0.94 to 1.30)
Women (1528 strokes among n=136 847)
 Model 1*1.001.21 (1.00 to 1.46)1.21 (0.97 to 1.51)1.23 (1.03 to 1.47)1.41 (1.16 to 1.71)
 Model 2 1.001.22 (1.01 to 1.47)1.23 (0.99 to 1.53)1.25 (1.04 to 1.50)1.44 (1.19 to 1.75)
 Model 3 1.001.21 (1.00 to 1.46)1.22 (0.98 to 1.52)1.23 (1.03 to 1.48)1.37 (1.13 to 1.67)
 Model 4§ 1.001.18 (1.98 to 1.43)1.17 (0.94 to 1.46)1.17 (0.98 to 1.41)1.26 (1.04 to 1.54)
 Model 5 1.001.16 (0.96 to 1.40)1.17 (0.93 to 1.53)1.15 (0.96 to 1.38)1.22 (1.00 to 1.49)
 Model 6** 1.001.12 (0.90 to 1.38)1.09 (0.85 to 1.40)1.15 (0.94 to 1.41)1.21 (0.97 to 1.51)
  • *Adjusted for age.

  • †Model 1+ marital status and remoteness.

  • ‡Model 2+ psychological distress.

  • §Model 3+ smoking, alcohol intake, body mass index, physical activity, fruit and vegetable intake, fish consumption.

  • ¶Model 4+ history of hypertension, heart disease, diabetes and treatment for raised cholesterol, Charlson Comorbidity Index and family history of stroke/heart disease.

  • **In women, model 4+ oral contraceptive use, hormone replacement therapy use and menopausal status.