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. Author manuscript; available in PMC: 2026 Jun 1.
Published in final edited form as: Breast Cancer Res Treat. 2025 Feb 28;211(2):341–350. doi: 10.1007/s10549-025-07648-z

Table 2. Association between mammographic density and breast cancer risk, overall and by menopausal status.

Mammographic
parenchymal
composition
Subjects
N
Breast cancer
event N
IR
per 1000 PY
Crude HR
(95% CI)
Adjusted HR
(95% CI)
Overall 25%< 1933840 7626 0.76 1(reference) 1(reference)
25-50% 1848284 11546 1.27 1.66(1.62,1.71) 1.55(1.51,1.60)
51-75% 1780992 16130 1.88 2.45(2.38,2.51) 2.14(2.08,2.21)
76-100% 802406 9166 2.33 3.05(2.95,3.14) 2.59(2.50,2.69)
Premenopausal 25%< 133834 858 1.17 1(reference) 1(reference)
25-50% 302196 2216 1.37 1.17(1.08,1.26) 1.19(1.10,1.28)
51-75% 700600 7377 2.05 1.75(1.63,1.87) 1.77(1.65,1.90)
76-100% 495971 6278 2.50 2.13(1.99,2.29) 2.17(2.02,2.34)
Postmenopausal 25%< 1800006 6768 0.73 1(reference) 1(reference)
25-50% 1546088 9330 1.25 1.71(1.65,1.76) 1.61(1.56,1.66)
51-75% 1080392 8753 1.75 2.39(2.31,2.46) 2.16(2.09,2.24)
76-100% 306435 2888 2.04 2.77(2.66,2.90) 2.51(2.40,2.63)

Abbreviation: IR, incidence rate; PY, person-years; HR (95% CI), hazard ratio (95% confidence interval)

Adjusted for age (continuous), height (continuous), BMI (continuous), hormone therapy (never, <2 years, <5 and ≥2 years, ≥5 years, unknown), parity (0, 1, ≥2 births), duration of breast feeding (none, <6 months, <12 and ≥6 months, ≥12 months, unknown), use of oral contraceptives (never, <1 year, ≥1 year, unknown), age at menarche (<14, ≥14 years), alcohol consumption (never drinker, mild to moderate, heavy), smoking status (never, current, or past), regular exercise (binary), and baseline menopausal status.