Table 2.
Adjusted Relative Risks and 95% Confidence Intervals for Type I and Type II Endometrial Carcinoma in Relation to Hormonal and Reproductive Factors in the NIH-AARP Diet and Health Study, 1995–2006
No. of Noncases | Subtypes |
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---|---|---|---|---|---|---|---|
Type I (n = 1,312) |
Type II (n = 138) |
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No. | RRa | 95% CI | No. | RRa | 95% CI | ||
Age at menarche, years | |||||||
<13 | 53,393 | 681 | 1 | Referent | 74 | 1 | Referent |
13–14 | 48,277 | 527 | 0.92 | 0.82, 1.03 | 55 | 0.84 | 0.59, 1.20 |
≥15 | 10,852 | 102 | 0.82 | 0.67, 1.01 | 8 | 0.53 | 0.25, 1.10 |
Pheterogeneityb = 0.22 | |||||||
Age at menopause, years | |||||||
<45 | 12,110 | 101 | 1 | Referent | 12 | 1 | Referent |
45–49 | 28,674 | 271 | 1.20 | 0.96, 1.51 | 28 | 1.05 | 0.53, 2.07 |
50–54 | 49,660 | 590 | 1.45 | 1.17, 1.79 | 64 | 1.32 | 0.71, 2.46 |
≥55 | 11,115 | 203 | 2.06 | 1.63, 2.63 | 16 | 1.40 | 0.66, 2.97 |
Pheterogeneityb = 0.40 | |||||||
Menopausal hormone therapy | |||||||
Never user | 67,831 | 787 | 1 | Referent | 93 | 1 | Referent |
Ever user | 45,087 | 525 | 1.18 | 1.05, 1.32 | 45 | 0.84 | 0.57, 1.22 |
Pheterogeneityb = 0.01 | |||||||
Duration of MHT use, years | |||||||
Never user | 67,831 | 787 | 1 | Referent | 93 | 1 | Referent |
<5 | 22,549 | 183 | 0.81 | 0.69, 0.95 | 20 | 0.76 | 0.46, 1.25 |
5–9 | 13,336 | 160 | 1.23 | 1.03, 1.47 | 10 | 0.62 | 0.33, 1.22 |
≥10 | 9,072 | 182 | 2.09 | 1.77, 2.48 | 15 | 1.33 | 0.75, 2.36 |
Pheterogeneityb = 0.01 | |||||||
Oral contraceptive use | |||||||
Never user | 66,327 | 901 | 1 | Referent | 100 | 1 | Referent |
Ever user | 45,792 | 405 | 0.73 | 0.64, 0.83 | 37 | 0.63 | 0.42, 0.95 |
Pheterogeneityb = 0.12 | |||||||
Duration of oral contraceptive use, years | |||||||
Never user | 66,327 | 901 | 1 | Referent | 100 | 1 | Referent |
1–4 | 19,885 | 176 | 0.74 | 0.62, 0.87 | 20 | 0.78 | 0.47, 1.29 |
5–9 | 14,197 | 142 | 0.83 | 0.69, 1.00 | 10 | 0.56 | 0.29, 1.10 |
≥10 | 11,710 | 87 | 0.61 | 0.49, 0.77 | 7 | 0.47 | 0.21, 1.02 |
Pheterogeneityb = 0.05 | |||||||
Parous | |||||||
Nulliparous | 19,717 | 302 | 1 | Referent | 31 | 1 | Referent |
Parous | 92,745 | 1,002 | 0.69 | 0.60, 0.78 | 107 | 0.76 | 0.50, 1.14 |
Pheterogeneityb = 0.83 | |||||||
Age at first birth, years | |||||||
Nulliparous | 19,717 | 302 | 1 | Referent | 31 | 1 | Referent |
<20 | 15,441 | 164 | 0.69 | 0.56, 0.83 | 18 | 0.72 | 0.40, 1.30 |
20–<25 | 46,930 | 513 | 0.70 | 0.60, 0.81 | 59 | 0.82 | 0.53, 1.27 |
25–<30 | 22,186 | 254 | 0.74 | 0.62, 0.87 | 23 | 0.67 | 0.39, 1.15 |
≥30 | 8,180 | 76 | 0.61 | 0.47, 0.78 | 7 | 0.54 | 0.24, 1.23 |
Pheterogeneityb = 0.43 | |||||||
Parity, no. of previous births | |||||||
Nulliparous | 19,717 | 302 | 1 | Referent | 31 | 1 | Referent |
1 | 12,254 | 139 | 0.78 | 0.64, 0.95 | 13 | 0.71 | 0.37, 1.36 |
2 | 29,626 | 330 | 0.75 | 0.64, 0.88 | 37 | 0.85 | 0.53, 1.38 |
≥3 | 50,865 | 533 | 0.64 | 0.55, 0.73 | 57 | 0.68 | 0.43, 1.06 |
Pheterogeneityb = 0.86 |
Abbreviations: CI, confidence interval; MHT, menopausal hormone therapy; NIH, National Institutes of Health; RR, relative risk.
a Adjusted for age (continuous), oral contraceptive use (ever/never), MHT use (ever/never), parity (nulliparous, 1, 2, ≥3 births), body mass index (<30 vs. ≥30 kg/m2), menarche (<13, 13–14, ≥15 years), age at menopause (premenopausal, <45, 45–49, 50–54, ≥55 years), race (white/nonwhite), and smoking status (never, former, current smoker). Unknown/missing was set as a separate category within each factor.
b P value from logistic regression of case-only analysis comparing each risk factor.