Table 3. Hazard ratios and 95% confidence intervals for the association of reproductive and menstrual factors with colorectal cancer incidence stratified by hormone therapy use among women enrolled in the WHI-OS.
|
Hormone therapy use |
||
|---|---|---|
| Never use | Ever use | |
| Factor | Multivariable HRa (95% CI) | Multivariable HRa (95% CI) |
|
Age at menarche (years) | ||
| ⩽10 | 1.15 (0.71–1.85) | 1.00 (0.58–1.74) |
| 11–12 | 1.00 (referent) | 1.00 (referent) |
| 13–14 | 0.89 (0.71–1.11) | 1.02 (0.81–1.28) |
| ⩾15 | 0.72 (0.54–0.96) | 0.92 (0.69–1.22) |
| P-trend | 0.1 | 0.9 |
| P-interaction | 0.3 |
|
|
Age at first child's birth (years) | ||
| <20 | 1.00 (referent) | 1.00 (referent) |
| 20–29 | 0.99 (0.71–1.38) | 0.97 (0.71–1.33) |
| ⩾30 | 0.88 (0.56–1.38) | 1.08 (0.69–1.67) |
| P-trend | 0.79 | 0.84 |
| P-interaction | 0.56 |
|
|
Age at last child's birth (years) | ||
| <25 | 1.00 (referent) | 1.00 (referent) |
| 25–29 | 0.96 (0.65–1.42) | 0.94 (0.67–1.30) |
| 30–34 | 0.91 (0.62–1.35) | 0.84 (0.60–1.18) |
| 35–39 | 1.02 (0.68–1.53) | 0.85 (0.57–1.25) |
| ⩾40 | 0.81 (0.47–1.41) | 1.08 (0.63–1.85) |
| P-trend | 0.88 | 0.74 |
| P-interaction | 0.76 |
|
|
Pregnancy | ||
| Never | 1.00 (referent) | 1.00 (referent) |
| Ever | 0.84 (0.63–1.11) | 0.80 (0.59–1.07) |
| P-interaction | 0.77 |
|
|
Parity | ||
| Nulliparous | 1.00 (referent) | 1.00 (referent) |
| 1 child only | 0.96 (0.66–1.39) | 0.77 (0.51–1.16) |
| 2 children | 0.76 (0.56–1.03) | 0.83 (0.61–1.13) |
| 3 children | 0.82 (0.61–1.11) | 0.79 (0.58–1.08) |
| ⩾4 children | 0.76 (0.57–1.01) | 0.94 (0.70–1.28) |
| P-trend | 0.27 | 0.41 |
| P-interaction | 0.49 |
|
|
Induced abortion | ||
| Never | 1.00 (referent) | 1.00 (referent) |
| Ever | 1.22 (0.85–1.75) | 1.03 (0.71–1.49) |
| P-interaction | 0.57 |
|
|
Breast fed for ⩾1 month | ||
| No | 1.00 (referent) | 1.00 (referent) |
| Yes | 0.92 (0.76–1.10) | 0.97 (0.81–1.17) |
| P-interaction | 0.58 |
|
| Age at menopause (years) | ||
| <40 | 1.00 (referent) | 1.00 (referent) |
| 40–44 | 0.93 (0.63–1.37) | 0.81 (0.57–1.16) |
| 45–49 | 0.89 (0.63–1.27) | 1.06 (0.78–1.43) |
| 50–54 | 0.80 (0.57–1.13) | 0.99 (0.74–1.34) |
| ⩾55 | 0.95 (0.64–1.42) | 0.98 (0.67–1.41) |
| P-trend | 0.64 | 0.6 |
| P-interaction | 0.48 |
|
|
Hysterectomy | ||
| No | 1.00 (referent) | 1.00 (referent) |
| Yes | 1.23 (1.01–1.50) | 0.90 (0.75–1.08) |
| P-interaction | 0.02 |
|
|
Age at oophorectomy (years) | ||
| ⩽34 | 1.00 (referent) | 1.00 (referent) |
| 35–39 | 1.99 (1.07–3.69) | 1.23 (0.69–2.20) |
| 40–44 | 1.54 (0.81–2.92) | 1.13 (0.66–1.96) |
| 45–49 | 1.38 (0.72–2.66) | 0.90 (0.52–1.56) |
| ⩾50 | 1.13 (0.62–2.07) | 1.40 (0.86–2.30) |
| P-trend | 0.19 | 0.27 |
| P-interaction | 0.33 |
|
|
Oral contraceptive use | ||
| Never | 1.00 (referent) | 1.00 (referent) |
| Ever | 0.64 (0.51–0.81) | 0.82 (0.67–1.01) |
| P-interaction | 0.22 |
|
|
Duration of OC use (years) | ||
| 1 | 1.00 (referent) | 1.00 (referent) |
| 2 | 0.79 (0.42–1.47) | 1.38 (0.89–2.13) |
| 3 | 1.58 (0.98–2.54) | 0.94 (0.61–1.47) |
| 4 | 0.71 (0.39–1.31) | 1.03 (0.68–1.57) |
| P-trend | 0.03 | 0.37 |
| P-interaction | 0.03 | |
Multivariable model adjusted for age, family history of colorectal cancer, race/ethnicity, education level, a history of diabetes, smoking status and body mass index.