Table 2.
Association between Maternal Hypertension, Preeclampsia before or during Pregnancy and Risk for Offspring Cancer, Stratifying by Cancer Types
| Crude | Adjusted * | ||||
|---|---|---|---|---|---|
| N (%) | N | HR (95%CI) | HR (95%CI) | ||
| Total N | yes | no | |||
| Maternal hypertension (All hypertension including chronic and gestational) | |||||
| Non-cases | 2,291,512 | 72,656 (3.17) | 2,194,415 | 1 (ref) | 1 (ref) |
| All cancers | 2,780 | 92 (3.31) | 2,664 | 1.14 (0.93–1.40) | 1.12 (0.90–1.41) |
| Acute lymphoblastic leukemia | 802 | 37 (4.61) | 760 | 1.62 (1.17–2.26) | 1.87(1.32–2.65) |
| Non-Hodgkin lymphoma | 658 | 33 (5.02) | 623 | 1.81 (1.27–2.57) | 1.96 (1.34–2.86) |
| Central nervous system tumors | 389 | 9 (2.31) | 378 | 0.81 (0.42–1.56) | 0.91(0.46–1.81) |
| Maternal chronic hypertension (pre-pregnancy or diagnosis before 20 weeks gestational age) | |||||
| Non-cases | 2,291,512 | 22,285 (0.97) | 2,228,385 | 1 (ref) | 1 (ref) |
| All cancers | 2,780 | 28 (1.01) | 2,715 | 1.14 (0.78–1.64) | 1.07 (0.72–1.59 |
| Acute lymphoblastic leukemia | 802 | 13 (1.62) | 778 | 1.86 (1.08–3.22) | 1.95 (1.12–3.37) |
| Non-Hodgkin lymphoma | 658 | 13 (1.98) | 640 | 2.33 (1.34–4.03) | 2.25 (1.27–3.99) |
| Maternal gestational hypertension during the index pregnancy | |||||
| Non-cases | 2,291,512 | 18,490 (0.81) | 2,247,883 | 1 (ref) | 1 (ref) |
| All cancers | 2,780 | 29 (1.04) | 2,725 | 1.36 (0.94–1.96) | 1.29 (0.88–1.90) |
| Maternal preeclampsia during pregnancy | |||||
| Preeclampsia during the index pregnancy (any)** | |||||
| Non-cases | 2,291,512 | 44,971 (1.96) | 2,221,659 | 1 (ref) | 1 (ref) |
| All cancers | 2,780 | 53 (1.91) | 2,701 | 1.03 (0.79–1.35) | 1.06 (0.80–1.40) |
| Mild preeclampsia during the index pregnancy | |||||
| Non-cases | 2,291,512 | 32,009 (1.40) | 2,234,621 | 1 (ref) | 1 (ref) |
| All cancers | 2,780 | 35 (1.26) | 2,719 | 0.96 (0.69–1.33) | 0.99 (0.70–1.38) |
Model adjusted for parity, preeclampsia/eclampsia in the index pregnancy, family income, infection in pregnancy and hyperthyroidism.
Preeclampsia during the index pregnancy adjusted for parity, and hyperthyroidism