Table 2.
Odds Ratios for the Association Between DM and Risk of Colorectal Adenomas in a Matched Case-Control Studya Nested in the Black Women's Health Study, 1997–2009
DM Status by Adenoma Type | No. of Cases | No. of Controls | Age-adjusted ORb | 95% CI | Multivariable- adjustedc ORb | 95% CI |
---|---|---|---|---|---|---|
Colorectal adenoma | ||||||
No DM | 804 | 2,378 | 1.00 | Referent | 1.00 | Referent |
DM | 113 | 373 | 0.89 | 0.71, 1.12 | 0.83 | 0.64, 1.09 |
DM without insulin use | 81 | 306 | 0.78 | 0.60, 1.01 | 0.75 | 0.56, 1.00 |
DM with insulin use | 32 | 67 | 1.41 | 0.92, 2.17 | 1.23 | 0.75, 2.02 |
Colon adenoma | ||||||
No DM | 734 | 2,160 | 1.00 | Referent | 1.00 | Referent |
DM | 99 | 339 | 0.86 | 0.67, 1.09 | 0.80 | 0.60, 1.05 |
DM without insulin use | 71 | 279 | 0.75 | 0.57, 0.99 | 0.71 | 0.52, 0.97 |
DM with insulin use | 28 | 60 | 1.37 | 0.86, 2.17 | 1.21 | 0.71, 2.07 |
Distal adenoma | ||||||
No DM | 318 | 940 | 1.00 | Referent | 1.00 | Referent |
DM | 41 | 137 | 0.88 | 0.60, 1.29 | 0.81 | 0.52, 1.28 |
DM without insulin use | 30 | 110 | 0.80 | 0.52, 1.23 | 0.76 | 0.46, 1.24 |
DM with insulin use | 11 | 27 | 1.20 | 0.58, 2.45 | 1.07 | 0.45, 2.58 |
Proximal adenoma | ||||||
No DM | 480 | 1,417 | 1.00 | Referent | 1.00 | Referent |
DM | 72 | 239 | 0.89 | 0.67, 1.18 | 0.83 | 0.60, 1.14 |
DM without insulin use | 52 | 198 | 0.78 | 0.56, 1.07 | 0.72 | 0.50, 1.04 |
DM with insulin use | 20 | 41 | 1.45 | 0.83, 2.53 | 1.38 | 0.74, 2.59 |
Rectal adenoma | ||||||
No DM | 80 | 237 | 1.00 | Referent | 1.00 | Referent |
DM | 12 | 39 | 0.91 | 0.45, 1.84 | 0.99 | 0.41, 2.35 |
DM without insulin use | 11 | 31 | 1.06 | 0.50, 2.24 | 1.40 | 0.56, 3.52 |
DM with insulin use | 1 | 8 | 0.38 | 0.05, 3.02 | 0.11 | 0.01, 1.48 |
Abbreviations: CI, confidence interval; DM, diabetes mellitus; OR, odds ratio.
a Cases and controls were matched on age and follow-up time.
b Based on a conditional logistic regression model.
c Adjusted for age, educational status, body mass index (weight (kg)/height (m)2), physical activity, family history of colorectal cancer in a first-degree relative, menopausal status, smoking status, alcohol intake, total energy intake, red meat intake, fruit and vegetable intake, and regular aspirin use.