Table 2.
Prevalence ratio (PR) estimates of assisted reproductive technology (ART) use among women diagnosed with breast cancer in California between 2000 and 2015 (n=36,468)
| Full sample (n=36,468) | Received chemotherapy (n=24,908) | ||
|---|---|---|---|
|
| |||
| Characteristic | Unadjusted PR (95% CI) | Adjusted PR (95% CI)a | |
|
| |||
| Age at diagnosis, years | Unadjusted | ||
| 18–35 | 1.00 | n/a | 1.00 |
| 36–45 | 0.17 (0.13 to 0.22) | 0.18 (0.13 to 0.25) | |
| Race and ethnicity | Unadjusted | ||
| Non-Hispanic White | 1.00 | 1.00 | |
| Non-Hispanic | n/a | ||
| Asian/Pacific | 0.88 (0.63 to 1.25) | 0.67 (0.43 to 1.04) | |
| Islander | |||
| Non-Hispanic Black or Hispanic | 0.31 (0.21 to 0.46) | 0.30 (0.19 to 0.47) | |
| Charlson comorbidity score at diagnosis | |||
| 0 | 1.00 | 1.00 | 1.00 |
| ≥1 | 0.83 (0.49 to 1.39) | 1.04 (0.60 to 1.79) | 1.19 (0.63 to 2.25) |
| Marital status at diagnosis | |||
| Single/other | 1.00 | 1.00 | 1.00 |
| Married | 0.68 (0.52 to 0.90) | 0.64 (0.47 to 0.86) | 0.74 (0.52 to 1.06) |
| Parity at diagnosis | |||
| 0 children | 1.00 | 1.00 | 1.00 |
| ≥1 child | 0.43 (0.29 to 0.63) | 0.39 (0.25 to 0.60) | 0.42 (0.26 to 0.68) |
| Health insurance at diagnosis | |||
| Public/other | 1.00 | 1.00 | 1.00 |
| Private | 3.87 (2.11 to 7.11) | 2.89 (1.56 to 5.38) | 2.06 (1.07 to 3.97) |
| Census tract–level SES at diagnosis | |||
| Low or middle | 1.00 | 1.00 | 1.00 |
| High | 3.59 (2.56 to 5.01) | 2.96 (2.07 to 4.25) | 3.48 (2.18 to 5.55) |
| Rurality at diagnosis | |||
| Urban | 1.00 | 1.00 | 1.00 |
| Non-urban | 0.16 (0.06 to 0.42) | 0.28 (0.10 to 0.75) | 0.31 (0.10 to 0.97) |
Abbreviations: CI, confidence interval; SES, socioeconomic status.
Adjusted models included the following covariates: age at diagnosis, race and ethnicity, Charlson comorbidity score, marital status, parity, health insurance, census tract–level SES, and rurality.