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. 2016 Nov 29;116(1):117–125. doi: 10.1038/bjc.2016.345

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 for1 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
a

Multivariable model adjusted for age, family history of colorectal cancer, race/ethnicity, education level, a history of diabetes, smoking status and body mass index.