eTable 4. The effect of COCs on mortality*2.
Cause of death | Never COC— number per 100 000 woman years | Ever COC— number per 100 000 woman years | Adjusted relative risk*1 | 95% CI |
All cause mortality | 417.45 | 365.51 | 0.88 | 0.82–0.93 |
All cancers | 194.55 | 165.45 | 0.85 | 0.78–0.93 |
– colorectal | 20.05 | 12.41 | 0.62 | 0.46–0.83 |
– hepatobiliary | 3.12 | 2.03 | 0.65 | 0.30–1.39 |
– lung | 26.08 | 31.70 | 1.22 | 0.96–1.53 |
– melanoma | 2.67 | 1.95 | 0.73 | 0.33–1.61 |
– breast | 43.91 | 39.41 | 0.90 | 0.74–1.08 |
– cervical | 4.02 | 5.38 | 1.34 | 0.74–2.44 |
– endometrial | 4.47 | 1.94 | 0.43 | 0.21–0.88 |
– ovarian | 18.04 | 9.47 | 0.53 | 0.38–0.72 |
– gynecological cancers | 26.51 | 16.80 | 0.63 | 0.49–0.82 |
All vascular diseases | 115.18 | 99.15 | 0.86 | 0.77–0.96 |
– ischemic heart disease | 57.41 | 42.85 | 0.75 | 0.63–0.88 |
– cerebrovascular disease | 27.86 | 29.19 | 1.05 | 0.84–1.30 |
Violent death – suicide | 12.86 | 19.20 | 1.49 | 1.09–2.05 |
4.79 | 6.03 | 1.26 | 0.73–2.18 |
COC, combined oral contraceptives; CI, confidence interval;
*1adjustied for age, parity, smoking, and socioeconomic status;
*2data from Hannaford et al. 2010 (23)