Table 3.
Hazard Ratios and 95% Confidence Intervals for the Association of Thyroid Cancer With Reproductive and Hormonal Factors, US Radiologic Technologists Study, 1983–2006a
No. of Casesb | HRc | 95% CI | |
No. of births | |||
Nulliparous | 59 | 1.00 | Reference |
1 | 39 | 0.95 | 0.63, 1.42 |
2 | 85 | 0.97 | 0.69, 1.36 |
≥3 | 50 | 0.87 | 0.59, 1.29 |
P-trend* | 0.61 | ||
Age at menarche, years | |||
<12 | 71 | 1.00 | Reference |
12–13 | 122 | 0.65 | 0.49, 0.88 |
14–15 | 35 | 0.63 | 0.42, 0.94 |
≥16 | 9 | 1.45 | 0.72, 2.92 |
P-trend* | 0.14 | ||
Oral contraceptive use | |||
Never user | 44 | 1.00 | Reference |
Ever user | 197 | 1.28 | 0.91, 1.82 |
<5 years of use | 100 | 1.29 | 0.89, 1.87 |
≥5 years of use | 90 | 1.24 | 0.84, 1.81 |
Menopausal status | |||
Premenopausal | 196 | 1.00 | Reference |
Natural menopause | 18 | 0.69 | 0.37, 1.28 |
Hysterectomy, both ovaries removed | 18 | 0.85 | 0.49, 1.45 |
Hysterectomy, still has ≥1 ovaries/unknown | 4 | 0.65 | 0.21, 1.96 |
Other/unknown reason | 6 | 1.49 | 0.64, 3.46 |
Menopausal hormone therapy used | |||
Never user | 13 | 1.00 | Reference |
Ever user | 33 | 1.16 | 0.61, 2.24 |
Abbreviations: CI, confidence interval; HR, hazard ratio.
*P-trend based on ordinal score variable.
Women only (n = 69,506).
Number of cases may be inconsistent because of missing values.
Adjusted for birth year, smoking status, body mass index, number of personal radiographs to the head or neck, cumulative occupational radiation dose, and medical history of benign thyroid conditions.
Among postmenopausal women only.