Table 2. Relative risk associated with the use of progestagens according to duration, time since first use and time since last use, compared with never use (n=73 664). E3N cohort study (1990–2002).
| PYa | Cases | RRa,b | 95% CIa | |
|---|---|---|---|---|
| Never use | 443 802 | 1510 | 1.00 | |
| Ever use | 224 231 | 880 | 1.01 | 0.93–1.11 |
| Duration (years) c | ||||
| <1 | 83 449 | 272 | 0.90 | 0.79–1.03 |
| 1–2.5 | 63 932 | 272 | 1.00 | 0.85–1.17 |
| 2.5–4.5 | 43 712 | 174 | 1.10 | 0.96–1.26 |
| >4.5 | 33 138 | 162 | 1.13 | 0.96–1.33 |
| Trend (per year of use) | 1.03 | 1.01–1.06 | ||
| Interval since first use (years) c | ||||
| <4 | 70 591 | 235 | 1.03 | 0.89–1.18 |
| 4–7.5 | 61 804 | 235 | 1.04 | 0.90–1.20 |
| 7.5–11.5 | 48 026 | 209 | 1.04 | 0.90–1.21 |
| >11.5 | 43 810 | 201 | 0.95 | 0.81–1.11 |
| Trend (per year since first use) | 0.99 | 0.98–1.01 | ||
| Interval since last use (years) c | ||||
| Current use | 68 697 | 235 | 1.14 | 0.97–1.33 |
| <3 | 68 108 | 265 | 0.96 | 0.84–1.10 |
| 3–6 | 40 004 | 175 | 1.07 | 0.91–1.26 |
| 6–9.5 | 25 511 | 111 | 0.97 | 0.80–1.19 |
| >9.5 | 21 863 | 94 | 0.92 | 0.75–1.14 |
| Trend (per year since last use) | 0.99 | 0.98–1.01 | ||
PY=person-year; RR=relative risk; CI=confidence interval.
Adjusted for BMI before and after menopause (<22/22-25/25-30/>=30), menopausal status°(premenopausal/artificial menopause/natural menopause), age at menopause (<48/48–52/>52), parity and age at first FTP (nulliparous/first FTP at age < 30/first FTP at age ⩾30, num=1/first FTP at age ⩾−30, num>1), age at menarche (<13/13–15/>15), familial history of breast cancer in sisters, mother, children (no/1/more than 1), familial history of breast cancer in other relatives (yes/no), personal history of benign breast disease °(yes/no), personal history of benign uterin or ovarian disease (yes/no), use of oral contraceptive (never/current or < 5 years after stop/ > 5 years after stop), use of HRT °(No/oestrogen alone/oestrogen+progestin/oestrogen+progesterone/others) and previous mammography (yes/no) °Time-dependent variables.
Categories correspond to quartiles.