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. 2023 Sep 11;103(4):669–683. doi: 10.1111/aogs.14677

TABLE 3.

Associations between incidence of cancer during first year post‐delivery and calendar year, age, parity, immigrant status, education, smoking and BMI by cancer type in Sweden 1990–2017.

All tumor types Malignant melanoma Breast Cervix
n IRR a 95% CI n IRR a 95% CI n IRR a 95% CI n IRR a 95% CI
Year at delivery/diagnosis
1990–1994 369 1.00 Ref 62 1.00 Ref 74 1.00 Ref 39 1.00 Ref
1995–1999 307 1.01 0.87–1.18 49 0.95 0.65–1.38 58 0.88 0.62–1.24 32 1.02 0.64–1.63
2000–2004 352 1.05 0.91–1.22 63 1.10 0.77–1.56 60 0.77 0.55–1.08 54 1.61 1.06–2.44
2005–2009 468 1.22 1.06–1.40 78 1.20 0.85–1.68 113 1.20 0.89–1.62 54 1.48 0.97–2.26
2010–2014 600 1.49 1.30–1.70 127 1.89 1.38–2.59 130 1.28 0.96–1.73 75 2.03 1.36–3.03
2015–2017 341 1.39 1.20–1.62 75 1.88 1.33–2.66 65 1.05 0.74–1.48 47 2.13 1.38–3.30
P < 0.0001 P < 0.0001 P = 0.0136 P = 0.0006
Age at delivery/diagnosis
15–24 161 0.33 0.27–0.39 22 0.28 0.18–0.45 4 0.04 0.02–0.11 18 0.22 0.13–0.36
25–29 525 0.55 0.49–0.62 110 0.64 0.50–0.82 58 0.30 0.22–0.40 71 0.48 0.36–0.64
30–34 929 1.00 Ref 171 1.00 Ref 193 1.00 Ref 139 1.00 Ref
35–39 617 1.44 1.29–1.59 117 1.52 1.20–1.93 181 2.00 1.63–2.46 63 0.98 0.73–1.33
40–44 205 2.43 2.09–2.84 34 2.34 1.61–3.40 64 3.58 2.68–4.77 10 0.79 0.42–1.51
P < 0.0001 P < 0.0001 P < 0.0001 P < 0.0001
Parity prior to current delivery
0 921 1.00 Ref 186 1.00 Ref 155 1.00 Ref 115 1.00 Ref
1 922 0.96 0.88–1.06 181 0.93 0.76–1.15 198 1.04 0.84–1.28 117 0.98 0.75–1.27
2+ 594 0.90 0.80–1.00 87 0.72 0.55–0.95 147 0.95 0.75–1.21 69 0.89 0.64–1.23
Not counting index birth P = 0.1555 P = 0.0607 P = 0.7523 P = 0.7609
Immigrant status
Non‐immigrant 1998 1.00 Ref 424 1.00 Ref 391 1.00 Ref 262 1.00 Ref
Immigrant 439 0.83 0.75–0.92 30 0.27 0.19–0.39 109 1.07 0.86–1.33 39 0.53 0.38–0.75
Imputed 0 0 0 0
P = 0.0006 P < 0.0001 P = 0.5704 P = 0.0004
Education
<10 years 239 0.98 0.84–1.13 27 0.85 0.56–1.29 38 0.82 0.57–1.18 36 1.20 0.81–1.75
10–13 years 995 1.00 Ref 172 1.00 Ref 189 1.00 Ref 140 1.00 Ref
Undergraduate 361 0.95 0.84–1.08 84 1.25 0.96–1.63 81 0.98 0.75–1.27 35 0.67 0.46–0.97
Postgraduate 788 0.92 0.83–1.02 167 1.03 0.81–1.30 182 0.92 0.74–1.15 87 0.70 0.52–0.93
Imputed 54 4 10 3
P = 0.4208 P = 0.2622 P = 0.6897 P = 0.0159
Cigarette smoking
No 1930 1.00 Ref 377 1.00 Ref 414 1.00 Ref 237 1.00 Ref
Yes 350 1.02 0.91–1.14 50 0.84 0.62–1.14 51 0.78 0.58–1.05 52 1.08 0.79–1.48
Imputed 157 27 35 12
P = 0.7710 P = 0.2583 P = 0.1007 P = 0.6298
Pre‐pregnancy BMI
<18.5 47 1.11 0.82–1.48 6 0.76 0.33–1.71 8 1.09 0.52–2.27 7 1.30 0.61–2.77
18.5–24.9 1243 1.00 Ref 244 1.00 Ref 244 1.00 Ref 158 1.00 Ref
25.0–29.9 505 0.98 0.88–1.09 96 1.01 0.78–1.30 103 0.99 0.78–1.25 71 1.09 0.83–1.44
30.0+ 205 0.86 0.74–1.00 36 0.84 0.58–1.20 46 0.97 0.71–1.32 28 0.90 0.60–1.35
Imputed 437 72 99 37
P = 0.2118 P = 0.6963 P = 0.9908 P = 0.7497
Cases with information imputed, total 485 81 108 43
a

Model included year, age, parity, immigration status, education, smoking and body mass index (BMI). Education, smoking and BMI imputed using MICE, 10 cycles of chained equations and 30 sets.