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