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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 3. Association between mammographic density and invasive breast cancer and ductal carcinoma in situ, overall and by menopausal status.

Mammographic
parenchymal
composition
Number Breast cancer IR per 1000
Women/y
Adjusted HR(95% CI)
Invasive cancer Overall 25%< 1933840 7119 0.71 1(reference)
25-50% 1848284 10670 1.18 1.55(1.50,1.59)
51-75% 1780992 14813 1.72 2.14(2.07,2.21)
76-100% 802406 8364 2.13 2.59(2.50,2.69)
Premenopausal 25%< 133834 790 1.07 1(reference)
25-50% 302196 2029 1.25 1.18(1.09,1.28)
51-75% 700600 6699 1.86 1.76(1.63,1.90)
76-100% 495971 5673 2.26 2.16(2.01,2.34)
Postmenopausal 25%< 1800006 6329 0.68 1(reference)
25-50% 1546088 8641 1.16 1.60(1.54,1.65)
51-75% 1080392 8114 1.62 2.16(2.08,2.24)
76-100% 306435 2691 1.90 2.53(2.40,2.65)
Ductal carcinoma in situ Overall 25%< 1926721 507 0.05 1(reference)
25-50% 1837614 876 0.09 1.65(1.47,1.84)
51-75% 1766179 1317 0.15 2.20(1.97,2.47)
76-100% 794042 802 0.20 2.62(2.31,2.98)
Premenopausal 25%< 133044 68 0.09 1(reference)
25-50% 300167 187 0.11 1.23(0.93,1.63)
51-75% 693901 678 0.18 1.90(1.48,2.45)
76-100% 490298 605 0.24 2.31(1.79,2.98)
Postmenopausal 25%< 1793677 439 0.04 1(reference)
25-50% 1537447 689 0.09 1.75(1.55,1.98)
51-75% 1072278 639 0.12 2.24(1.96,2.56)
76-100% 303744 197 0.13 2.37(1.98,2.84)

Abbreviation: IR – incidence rate, y – year, 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.