Table 4. Association between menopausal hormone use categories and ovarian cancer risk by oral contraceptive use status, NIH-AARP Diet and Health Study Cohort, 1995–2006.
Oral contraceptive use
|
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---|---|---|---|---|---|---|---|
Never or <1 years
|
⩾1 years |
||||||
Number of cancers | Person-years | HRa (95% CI) | Number of cancers | Person-years | HRa (95% CI) | P -intx b | |
ET only among women with a hysterectomy at baseline (n=23 584) | |||||||
No MHT use | 17 | 39 722 | 1.00 (reference) | 6 | 17 600 | 1.03 (0.54, 1.98) | |
ET only | 54 | 65 118 | 1.97 (1.17, 3.30) | 22 | 50 841 | 1.12 (0.60, 2.10) | 0.15 |
Duration of ET only use (years) | |||||||
<10 | 19 | 31 107 | 1.54 (0.81, 2.92) | 8 | 27 145 | 0.80 (0.34, 1.89) | 0.38 |
⩾10 | 35 | 32 886 | 2.52 (1.43, 4.43) | 14 | 22 961 | 1.50 (0.74, 3.03) | |
EPT only among women with an intact uteri at baseline (n=68 596) | |||||||
No MHT use | 117 | 220 524 | 1.00 (reference) | 32 | 95 645 | 0.83 (0.60, 1.14) | |
EPT only | 55 | 81 534 | 1.46 (1.06, 2.01) | 41 | 88 566 | 1.11 (0.76, 1.63) | 0.75 |
Duration of EPT only use (years) | |||||||
<10 | 37 | 60 414 | 1.30 (0.90, 1.90) | 30 | 65 755 | 1.11 (0.73, 1.71) | 0.65 |
⩾10 | 18 | 20 903 | 1.88 (1.17, 3.03) | 11 | 22 670 | 1.09 (0.59, 2.04) | |
Regimen of EPT only use | |||||||
Sequential | 19 | 26 799 | 1.60 (0.99, 2.58) | 16 | 29 744 | 1.29 (0.76, 2.22) | 0.80 |
Continuous | 29 | 38 970 | 1.55 (1.03, 2.34) | 19 | 44 147 | 1.04 (0.63, 1.72) |
Abbreviations: CI=confidence interval; EPT=oestrogen plus progestin therapy; ET=unopposed oestrogen therapy; HR, hazard ratio; MHT=menopausal hormone therapy; NIH-AARP=National Institutes of Health-AARP; RR=hazard rate ratio.
HR adjusted for continuous age (years), race (white, other/unknown), parity (nulliparous, 1, 2, 3+, unknown), and body mass index (<25, 25–29.9, ⩾30 kg m−2, or unknown); models also contained terms for other formulations of menopausal hormone use and unknown use.
P-value (two-sided) from likelihood ratio test for the interaction of BMI and MHT formulations based on the categories and referent group shown.