Table 3. RRs and 95% CIs for squamous cell and adenocarcinomas of the oesophagus in relation to reproductive factors.
Oesophagus, squamous cell carcinoma
|
Oesophagus, adenocarcinoma
|
||||
---|---|---|---|---|---|
n Cases | RR, 95% CI | n Cases | RR, 95% CI | Test for difference, squamous cell and adenocarcinoma (P) | |
Menarche and menopause | |||||
Age at menarche | |||||
<13 Years | 184 | 0.95, 0.78–1.15 | 178 | 1.29, 1.04–1.60 | 0.003 |
13–14 Years | 259 | Ref | 158 | Ref | |
15+ Years | 119 | 1.04, 0.84–1.30 | 53 | 0.80, 0.59–1.10 | |
Trend per year older | 1.02, 0.97–1.09 | 0.89, 0.82–0.95 | |||
Ptrend=0.4 | Ptrend=0.001 | ||||
Menopausal status | |||||
Pre/perimenopausal | |||||
Postmenopausal | 31 | Ref | 20 | Ref | 0.4 |
258 | 1.65, 1.08–2.53 | 183 | 1.18, 1.69–2.04 | ||
Pheterogeneity=0.02 | Pheterogeneity=0.5 | ||||
Age at menopause | |||||
50+ Years | 101 | Ref | 96 | Ref | 0.04 |
45–49 Years | 102 | 1.69, 1.28–2.24 | 55 | 1.12, 0.80–1.57 | |
<45 Years | 42 | 1.65, 1.14–2.39 | 19 | 0.89, 0.54–1.47 | |
Trend per 5 years younger | 1.32, 1.11–1.56 | 0.98, 0.78–1.23 | |||
Ptrend=0.002 | Ptrend=0.9 | ||||
Type of menopause | |||||
Natural | 253 | Ref | 176 | Ref | 0.4 |
Bilateral oophorectomy | 5 | 0.59, 0.24–1.14 | 7 | 1.13, 0.52–2.46 | |
Pheterogeneity=0.2 | Pheterogeneity=0.8 | ||||
Childbearing | |||||
Parity | |||||
Nulliparous | 97 | 1.60, 1.28–2.00 | 36 | 0.86, 0.61–1.21 | 0.003 |
Parous | 480 | Ref | 362 | Ref | |
Pheterogeneity<0.0001 | Pheterogeneity=0.4 | ||||
Number of full-term pregnanciesa | |||||
1 | 78 | 0.91, 0.69–1.22 | 55 | 0.86, 0.61–1.19 | 0.3 |
2 | 206 | Ref | 168 | Ref | |
3+ | 196 | 1.11, 0.91–1.37 | 139 | 0.84, 0.66–1.07 | |
Trend per birth | 1.08, 0.97–1.20 | 0.95, 0.84–1.08 | |||
Ptrend=0.2 | Ptrend=0.5 | ||||
Age at first birtha | |||||
<20 Years | 59 | 0.87, 0.65–1.16 | 40 | 0.69, 0.48–0.97 | 0.6 |
20–24 Years | 224 | Ref | 194 | Ref | |
25–29 Years | 135 | 1.12, 0.90–1.40 | 88 | 0.84, 0.65–1.09 | |
30+ Years | 45 | 1.11, 0.80–1.54 | 31 | 0.85, 0.57–1.25 | |
Trend per 5 years older | 1.10, 0.96–1.35 | 1.00, 0.86–1.17 | |||
Ptrend=0.2 | Ptrend=0.9 | ||||
Breastfeedinga | |||||
Never | 120 | Ref | 105 | Ref | 0.1 |
Ever | 256 | 0.97, 0.77–1.22 | 168 | 0.75, 0.58–0.97 | |
Pheterogeneity=0.8 | Pheterogeneity=0.03 |
Abbreviations: CI=confidence intervals; ref=reference; RRs=relative risks.
RRs stratified by age, region and socioeconomic status and adjusted for body mass index, smoking, alcohol, strenuous exercise, use of oral contraceptives and, as appropriate, for all other reproductive factors and for use of hormone therapy for the menopause (HT). Analyses of all menopausal factors restricted to never HT users; analyses of age at menopause restricted to women with natural menopause.
Restricted to parous women.