Table 2. Association of reproductive ages and intervals with breast cancer risk, by menopausal status; the Shanghai Breast Cancer Study.
Risk Factors | All Women | Premenopausal Women | Postmenopausal Women | Pinteration c | ||||||
---|---|---|---|---|---|---|---|---|---|---|
|
|
|
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Cases / Controls(3269 / 3341) | OR 1, 2 | P | Cases / Controls(1970 / 1890) | OR 1, 2 | P | Cases / Controls(1299 / 1450) | OR 1, 2 | P | ||
Ages at: | ||||||||||
First Pregnancy (years) a | ||||||||||
<25 | 1067/1246 | 1 (reference) 1 | - | 441/473 | 1 (reference) 1 | - | 626/773 | 1 (reference) 1 | - | |
25-29 | 1732/1721 | 1.04 (0.92-1.17) | 0.583 | 1229/1180 | 1.06 (0.90-1.25) | 0.458 | 503/541 | 0.96 (0.79-1.16) | 0.673 | |
30-34 | 400/326 | 1.22 (1.01-1.47) | 0.035 | 256/208 | 1.21 (0.95-1.53) | 0.129 | 144/117 | 1.22 (0.91-1.65) | 0.182 | |
>=35 | 70/48 | 1.49 (1.00-2.20) | 0.048 | 44/29 | 1.60 (0.96-2.64) | 0.070 | 26/19 | 1.35 (0.72-2.52) | 0.355 | |
P trend | 0.015 | 0.044 | 0.248 | 0.889 | ||||||
First Live Birth (years) a | ||||||||||
<25 | 759/914 | 1 (reference) 1 | - | 252/260 | 1 (reference) 1 | - | 507/654 | 1 (reference) 1 | - | |
25-29 | 1819/1878 | 1.01 (0.87-1.16) | 0.936 | 1254/1281 | 0.96 (0.78-1.18) | 0.666 | 565/597 | 1.03 (0.84-1.26) | 0.768 | |
30-34 | 571/467 | 1.22 (1.02-1.46) | 0.034 | 385/297 | 1.21 (0.94-1.56) | 0.133 | 186/169 | 1.13 (0.85-1.50) | 0.395 | |
>=35 | 120/82 | 1.51 (1.10-2.07) | 0.011 | 79/52 | 1.51 (1.00-2.28) | 0.048 | 41/30 | 1.43 (0.85-2.40) | 0.173 | |
P trend | 0.002 | 0.006 | 0.192 | 0.485 | ||||||
Last Pregnancy (years) a | ||||||||||
<30 | 1078/1267 | 1 (reference) 1 | - | 599/641 | 1 (reference) 1 | - | 479/626 | 1 (reference) 1 | - | |
30-34 | 935/918 | 1.09 (0.97-1.23) | 0.133 | 521/499 | 1.01 (0.87-1.18) | 0.885 | 414/418 | 1.20 (1.01-1.43) | 0.043 | |
>=35 | 560/507 | 1.16 (1.01-1.33) | 0.040 | 310/268 | 1.10 (0.91-1.33) | 0.320 | 250/239 | 1.22 (0.99-1.51) | 0.067 | |
P trend | 0.008 | 0.113 | 0.048 | 0.245 | ||||||
Last Live Birth (years) b | ||||||||||
<30 | 579/722 | 1 (reference) 1 | - | 88/107 | 1 (reference) 1 | - | 491/615 | 1 (reference) 1 | - | |
30-34 | 253/269 | 1.04 (0.85-1.27) | 0.703 | 46/40 | 1.26 (0.76-2.09) | 0.379 | 207/229 | 0.98 (0.79-1.23) | 0.882 | |
>=35 | 61/64 | 1.00 (0.69-1.45) | 0.994 | 17/16 | 1.08 (0.51-2.28) | 0.846 | 44/48 | 0.98 (0.63-1.53) | 0.935 | |
P trend | 0.602 | 0.077 | 0.949 | 0.935 | ||||||
Intervals from: | ||||||||||
Menarche to First live birth (years) a | ||||||||||
<10 | 747/953 | 1 (reference) 2 | - | 261/291 | 1 (reference) 2 | - | 486/662 | 1 (reference) 2 | - | |
10-14 | 1565/1612 | 1.07 (0.93-1.23) | 0.321 | 1057/1083 | 1.04 (0.85-1.27) | 0.690 | 508/529 | 1.08 (0.89-1.32) | 0.441 | |
>=15 | 952/775 | 1.31 (1.11-1.53) | 0.001 | 650/515 | 1.31 (1.05-1.63) | 0.018 | 302/259 | 1.25 (0.98-1.60) | 0.076 | |
P trend | <.001 | 0.004 | 0.074 | 0.366 | ||||||
Menarche to Last live birth (years) b | ||||||||||
<10 | 132/223 | 1 (reference) 2 | - | 12/27 | 1 (reference) 2 | - | 120/196 | 1 (reference) 2 | - | |
10-14 | 402/485 | 1.06 (0.87-1.30) | 0.582 | 71/79 | 1.17(0.63-2.19) | 0.626 | 331/406 | 1.08 (0.86-1.36) | 0.514 | |
>=15 | 358/347 | 1.16 (0.94-1.42) | 0.179 | 68/57 | 1.48 (0.78-2.82) | 0.230 | 290/290 | 1.12 (0.88-1.42) | 0.371 | |
P trend | 0.018 | 0.006 | 0.107 | 0.952 | ||||||
First to Second Live Birth (years) b | ||||||||||
<1.5 | 112/112 | 1 (reference) 1 | - | 18/18 | 1 (reference) 1 | - | 94/94 | 1 (reference) 1 | - | |
1.5-2.99 | 412/517 | 0.90 (0.73-1.12) | 0.357 | 45/51 | 0.73 (0.37-1.43) | 0.354 | 367/466 | 0.94 (0.74-1.20) | 0.636 | |
>=3 | 366/422 | 0.88 (0.73-1.07) | 0.193 | 87/92 | 0.74 (0.42-1.30) | 0.300 | 279/330 | 0.89 (0.71-1.11) | 0.291 | |
P trend | 0.391 | 0.997 | 0.360 | 0.921 | ||||||
First to Last Pregnancy (years) a | ||||||||||
<3 | 912/877 | 1 (reference) 1 | - | 650/630 | 1 (reference) 1 | - | 262/246 | 1 (reference) 1 | - | |
3-4.99 | 480/573 | 0.83 (0.72-0.96) | 0.011 | 271/286 | 0.87 (0.72-1.05) | 0.151 | 209/287 | 0.79 (0.62-1.00) | 0.050 | |
5-9.99 | 785/826 | 0.99 (0.86-1.13) | 0.853 | 324/338 | 0.89 (0.74-1.07) | 0.206 | 461/488 | 1.10 (0.89-1.36) | 0.403 | |
>=10 | 384/410 | 1.00 (0.84-1.18) | 0.976 | 176/149 | 1.07 (0.84-1.36) | 0.582 | 208/261 | 0.97 (0.75-1.25) | 0.786 | |
P trend | 0.787 | 0.869 | 0.791 | 0.085 | ||||||
First to Last Live Birth (years) b | ||||||||||
<3 | 308/344 | 1 (reference) 1 | - | 54/64 | 1 (reference) 1 | - | 254/280 | 1 (reference) 1 | - | |
3-4.99 | 239/298 | 0.88 (0.71-1.10) | 0.265 | 38/51 | 0.75 (0.43-1.30) | 0.305 | 201/247 | 0.89 (0.69-1.14) | 0.339 | |
5-9.99 | 295/348 | 1.01 (0.79-1.29) | 0.941 | 49/36 | 1.41 (0.79-2.51) | 0.240 | 246/312 | 0.93 (0.71-1.23) | 0.626 | |
>=10 | 49/63 | 0.95 (0.60-1.48) | 0.804 | 9/10 | 0.89 (0.33-2.38) | 0.817 | 40/53 | 0.89 (0.53-1.48) | 0.646 | |
P trend | 0.900 | 0.155 | 0.737 | 0.221 |
Among parous women
Among multiparous women
Test for interaction of P-trend values between premenopausal and postmenopausal women, calculated using multivariable logistic regression
Adjusted for study phase, age, education, age at menarche, menopausal status, number of live births, duration of breastfeeding, body mass index (BMI), physical activities in recent 10 years (Y/N), family history of breast cancer in first degree relative (Y/N), history of fibroadenoma (Y/N) and hormone replacement therapy (HRT) use (Y/N)
Adjusted for above except variable which is beginning or ending of the intervals