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. 2017 Sep 14;117(10):1562–1571. doi: 10.1038/bjc.2017.312

Table 3. Hazard ratios (95% CI) for prostate cancer in relation to various health status, prostate specific factors prior to recruitment, sexual history, and early life factors at baseline.

Characteristics Total n Cases HR (95% CI) minimally adjusteda HR (95% CI) multivariable-adjustedb P-valuec
Health status
Vasectomy         0.662
 No or unknown 207 969 4343 1 ref 1 ref  
 Yes 11 366 232 1.05 (0.92–1.20) 1.03 (0.90–1.18)  
Hypertension         0.965
 No or unknown 104 608 1866 1 ref 1 ref  
 Yes 114 193 2700 0.99 (0.93–1.05) 1.00 (0.94–1.06)  
Diabetes         <0.001
 No 202 785 4283 1 ref 1 ref  
 Yes 15 191 270 0.65 (0.57–0.73) 0.70 (0.62–0.80)  
Prostate-specific factors prior to recruitment
PSA test         <0.001
 No 154 265 2283 1 ref 1 ref  
 Yes 58 497 2009 1.43 (1.35–1.52) 1.31 (1.23–1.40)  
Enlarged prostate         <0.001
 No or unknown 212 242 4216 1 ref 1 ref  
 Yes 7093 359 1.57 (1.41–1.76) 1.54 (1.38–1.71)  
Any first-degree family history of prostate cancer         <0.001
 No 103 961 1745 1 ref 1 ref  
 Yes 16 449 599 1.96 (1.78–2.15) 1.94 (1.77–2.13)  
Family history of prostate cancer          
 No 103 961 1745 1 ref 1 ref <0.001
 Father or brother 16 098 569 1.91 (1.74–2.10) 1.90 (1.72–2.09)  
 Father and brother 351 30 3.51 (2.45–5.04) 3.35 (2.33–4.81)  
Sexual history
Ever had children         0.007
 Yes 171 957 3879 1 ref 1 ref  
 Never 45 375 669 0.87 (0.80–0.94) 0.89 (0.81–0.97)  
Number of children         0.001
 1 27 488 517 0.94 (0.85–1.03) 0.95 (0.86–1.04)  
 2 90 098 2131 1 ref 1 ref  
 ⩾3 54 371 1231 0.92 (0.86–0.99) 0.93 (0.86–1.00)  
Ever had sexual intercourse         0.007
 Yes 191 476 3999 1 ref 1 ref  
 Never 1916 18 0.51 (0.32–0.81) 0.53 (0.33–0.84)  
Age at first sexual intercourse, years         0.024
 <16 88 078 1781 0.93 (0.86–1.01) 0.97 (0.89–1.06)  
 ⩾16–<20 48 186 803 1 ref 1 ref  
 ⩾20–<25 42 717 1125 1.02 (0.94–1.09) 0.98 (0.91–1.06)  
 ⩾25 12 495 290 0.96 (0.84–1.08) 0.91 (0.80–1.03)  
Lifetime number of heterosexual partners         0.013
 1 41 598 1126 1 ref 1 ref  
 ⩾2–<6 65 701 1392 0.96 (0.89–1.04) 0.99 (0.91–1.07)  
 ⩾6 68 971 1161 0.99 (0.91–1.07) 1.03 (0.95–1.13)  
Same-sex intercourse         0.171
 No 189 406 3989 1 ref 1 ref  
 Yes 8576 146 1.07 (0.90–1.26) 1.12 (0.95–1.33)  
Lifetime number of same-sex partners         0.964
 1 977 18 1 ref 1 ref  
 ⩾2–<6 1340 25 1.05 (0.57–1.92) 1.05 (0.57–1.92)  
 ⩾6 1716 22 0.94 (0.50–1.75) 0.93 (0.50–1.74)  
Early life
Relative age of first facial hair         0.454
 Younger than average 14 262 243 1.01 (0.89–1.15) 1.03 (0.90–1.17)  
 About average 167 220 3656 1 ref 1 ref  
 Older than average 27 009 459 0.97 (0.88–1.06) 0.94 (0.86–1.04)  
Relative age voice broke         0.548
 Younger than average 8769 143 0.99 (0.84–1.17) 1.00 (0.85–1.18)  
 About average 178 309 3813 1 ref 1 ref  
 Older than average 11 861 194 0.95 (0.83–1.10) 0.92 (0.80–1.07)  
Comparative body size at age 10         0.156
 Thinner 75 069 1516 0.94 (0.88–1.00) 0.94 (0.88–1.00)  
 About average 109 231 2414 1 ref 1 ref  
 Plumper 29 305 536 0.92 (0.84–1.01) 0.96 (0.88–1.06)  
Comparative height size at age 10         0.986
 Shorter 42 033 865 1.00 (0.93–1.08) 1.00 (0.92–1.08)  
 About average 119 071 2510 1 ref 1 ref  
 Taller 53 953 1115 1.01 (0.94–1.09) 1.00 (0.94–1.08)  
Hair colour and pattern
Hair colour (natural, before greying in whites)         0.597
 Light brown 79 825 1790 1 ref 1 ref  
 Red 7726 144 0.88 (0.75–1.05) 0.88 (0.74–1.05)  
 Blonde 19 935 418 0.95 (0.86–1.06) 0.96 (0.86–1.06)  
 Dark brown 77 304 1523 0.98 (0.91–1.05) 0.97 (0.91–1.04)  
 Black 16 718 406 1.02 (0.92–1.14) 1.03 (0.92–1.14)  
 Other 17 152 287 1.01 (0.89–1.14) 0.99 (0.79–1.23)  
Hair/balding patternd         0.595
 Pattern 1 69 647 1317 1 ref 1 ref  
 Pattern 2 49 303 903 0.99 (0.91–1.08) 0.99 (0.91–1.07)  
 Pattern 3 57 208 1388 1.00 (0.93–1.08) 0.99 (0.92–1.07)  
 Pattern 4 39 051 882 0.95 (0.87–1.03) 0.95 (0.87–1.03)  

Abbreviations: CI=confidence interval; HR, hazard ratio; PSA=prostate-specific antigen; ref, reference.

Missing and/or unknown values of the exposure of interest were not included in the analyses, but missing and/or unknown values were assigned to a separate category when the variable was included as a covariate.

a

Minimally adjusted model: HRs are stratified by region (10 UK cancer registry regions) and age at recruitment (<45, 45–49, 50–54, 55–59, 60–64, and ⩾65 years) and adjusted for age (underlying time variable), use as appropriate.

b

Multivariable-adjusted model: HRs are stratified by region and age at recruitment and adjusted for age (underlying time variable), Townsend deprivation score (fifths, unknown), ethnicity (white, mixed background, Asian, black, other, and unknown), lives with a wife or partner (no and yes), BMI (<25, ⩾25–<30, ⩾30–<35, ⩾35 kg m−2, and unknown), smoking (never, former, current, and unknown), physical activity (low (0–<10 METs per week), moderate (⩾10–<50 METs per week), high (⩾50 METs per week), and unknown), diabetes (no, yes, and unknown), enlarged prostate (no or unknown, and yes), and family history of prostate cancer (no, yes, and unknown), use as appropriate.

c

P-values from the multivariable-adjusted model were calculated as follows: P-values for likelihood ratio test for variables with more than two categories were obtained comparing the model with and without the variable of interest; P-values for dichotomous variables were obtained comparing the reference category to the other category in the model; P-values for trend were obtained using a pseudo-continuous variable equal to the median value in each category for continuous variables.

d

Pattern 1, no balding; pattern 2, balding at the front; pattern 3, balding on the top of head; pattern 4, complete balding.