Table 2.
Multivariate hazard ratios (HR) and 95% confidence intervals (CI) for risk of epithelial ovarian cancer by years of rotating night shift work in NHS and NHSII
| NHS |
NHSII |
NHS and NHSII |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cases | Person- years |
Age-adjusted HR |
Multivariatea HR (95% CI) |
Cases | Person- years |
Age-adjusted HR |
Multivariatea HR (95% CI) |
Cases | Person- years |
Age-adjusted HR |
Multivariatea HR (95% CI) |
p-hetb | |
|
Years of rotating
shift work | |||||||||||||
| none | 202 | 454,004 | 1.00 | 1.00 (ref.) | 68 | 602,593 | 1.00 | 1.00 (ref.) | 270 | 1,056,596 | 1.00 | 1.00 (ref.) | |
| 1-2 | 143 | 270,522 | 1.20 | 1.20 (0.97-1.49) | 54 | 591,716 | 0.82 | 0.80 (0.56-1.14) | 197 | 862,237 | 1.08 | 1.07 (0.89-1.29) | 0.06 |
| 3-5 | 80 | 183,352 | 0.96 | 0.95 (0.73-1.23) | 35 | 386,364 | 0.82 | 0.79 (0.52-1.18) | 115 | 569,716 | 0.93 | 0.90 (0.72-1.13) | 0.46 |
| 6-9 | 33 | 74,671 | 0.98 | 0.96 (0.67-1.40) | 18 | 178,426 | 0.89 | 0.80 (0.47-1.35) | 51 | 253,098 | 0.96 | 0.92 (0.68-1.25) | 0.55 |
| 10-14 | 25 | 48,771 | 1.12 | 1.06 (0.70-1.62) | 14 | 76,496 | 1.42 | 1.25 (0.70-2.24) | 39 | 125,268 | 1.22 | 1.14 (0.81-1.60) | 0.65 |
| 15-19 | 19 | 29,849 | 1.33 | 1.30 (0.81-2.10) | 5 | 24,001 | 1.41 | 1.21 (0.48-3.02) | 24 | 53,850 | 1.34 | 1.28 (0.84-1.94) | 0.90 |
| 20+ | 22 | 47,034 | 0.90 | 0.88 (0.56-1.37) | 0 | 6,873 | NA | NA | 22 | 53,907 | 0.84 | 0.80 (0.51-1.23) | NA |
| p-trendc | 0.97 | 0.84 | 0.77 | 0.78 | 0.88 | 0.74 | 0.87 | ||||||
Multivariate analyses adjusted for age (continuous), duration of oral contraceptive use (continuous), parity (continuous), BMI (continuous), smoking status (current/past/never/missing), tubal ligation history (yes/no), menopausal status (postmenopausal/premenopausal or unknown), family history of ovarian cancer (yes/no), duration of breastfeeding (none/≤6 months/7-11 months/12-17 months/18+ months/missing), and cohort (combined analyses only).
P-heterogeneity by cohort was assessed using the DerSimonian and Laird random effects model.
P-value for multivariate model including duration of shift work as a continuous variable.