Table 1.
Characteristica | Bilateral Oophorectomy (n=1,653) |
Control Women (n=1,653) |
Adjusted Odds Ratio (95% Cl)b |
p Value | |||
---|---|---|---|---|---|---|---|
N | % | N | % | ||||
Age at menarchec | |||||||
<12 | 147 | 9.8 | 135 | 10.0 | 1.00 (reference) | -- | |
12 | 548 | 36.7 | 458 | 34.0 | 1.17(0.87, 1.58) | 0.30 | |
13 | 572 | 38.3 | 488 | 36.3 | 1.06(0.79, 1.42) | 0.70 | |
>13 | 226 | 15.1 | 265 | 19.7 | 0.79(0.57, 1.10) | 0.16 | |
Oral contraceptive use (ever vs. never)d | 841 | 50.9 | 1,000 | 60.5 | 0.65 (0.57, 0.75) | <0.001 | |
Years of oral contraceptive usec,e | |||||||
0 or <0.5 | 812 | 51.3 | 653 | 42.1 | 1.00 (reference) | -- | |
0.5–4.9 | 402 | 25.4 | 349 | 22.5 | 0.90(0.75, 1.08) | 0.26 | |
≥5.0 | 369 | 23.3 | 550 | 35.4 | 0.51 (0.43, 0.61) | <0.001 | |
Gravidityc | |||||||
0d | 253 | 15.3 | 227 | 13.7 | 1.00 (reference) | -- | |
1 | 164 | 9.9 | 179 | 10.8 | 0.82(0.62, 1.09) | 0.17 | |
2 | 496 | 30.0 | 481 | 29.1 | 0.91 (0.73, 1.14) | 0.40 | |
≥3 | 740 | 44.8 | 766 | 46.3 | 0.86(0.70, 1.07) | 0.17 | |
Twin or multiple gestationd | 42 | 2.5 | 33 | 2.0 | 1.25(0.79, 1.98) | 0.34 | |
Pregnancy lossd | 550 | 33.3 | 531 | 32.1 | 1.07(0.92, 1.25) | 0.36 | |
Induced abortiond,f | 92 | 5.6 | 118 | 7.1 | 0.77(0.58, 1.02) | 0.07 | |
Spontaneous abortion or still birthd | 488 | 29.5 | 454 | 27.5 | 1.13(0.96, 1.32) | 0.13 | |
Parityc | |||||||
0d | 313 | 18.9 | 279 | 16.9 | 1.00 (reference) | -- | |
1 | 194 | 11.7 | 216 | 13.1 | 0.80(0.62, 1.04) | 0.09 | |
2 | 619 | 37.4 | 595 | 36.0 | 0.91 (0.74, 1.11) | 0.35 | |
≥3 | 527 | 31.9 | 563 | 34.1 | 0.83(0.67, 1.02) | 0.08 | |
Breast feeding | 493 | 40.8 | 655 | 51.2 | 0.68(0.56, 0.81) | <0.001 | |
lnfertilityd | 292 | 17.7 | 164 | 9.9 | 1.95(1.59, 2.40) | <0.001 | |
Fibrocystic breast diseased | 1,083 | 65.5 | 1,128 | 68.2 | 0.85(0.72, 1.00) | 0.047 | |
Smoking statusc | |||||||
Neverd | 897 | 54.3 | 957 | 57.9 | 1.00 (reference) | -- | |
Former | 393 | 23.8 | 377 | 22.8 | 1.06(0.90, 1.26) | 0.49 | |
Current | 363 | 22.0 | 319 | 19.3 | 1.15(0.96, 1.39) | 0.13 | |
Pack-yearsc,e | |||||||
0 | 897 | 54.6 | 957 | 59.1 | 1.00 (reference) | -- | |
0.1–5.9 | 180 | 10.9 | 167 | 10.3 | 1.11 (0.88, 1.40) | 0.39 | |
≥6.0 | 567 | 34.5 | 495 | 30.6 | 1.16(0.99, 1.36) | 0.06 | |
Height (cm)c,e | |||||||
<161.0 | 509 | 30.8 | 529 | 32.1 | 1.00 (reference) | -- | |
161.0–166.9 | 602 | 36.4 | 579 | 35.2 | 1.04(0.87, 1.23) | 0.67 | |
≥167.0 | 542 | 32.8 | 538 | 32.7 | 1.01 (0.85, 1.21) | 0.92 | |
Weight (kg)c,e | |||||||
<64.0 | 455 | 27.5 | 573 | 35.0 | 1.00 (reference) | -- | |
64.0–78.9 | 556 | 33.6 | 564 | 34.5 | 1.23(1.03, 1.46) | 0.02 | |
≥79.0 | 642 | 38.8 | 499 | 30.5 | 1.58(1.32, 1.89) | <0.001 | |
Body mass index (kg/m2)c | |||||||
<25.0 | 596 | 36.1 | 700 | 42.9 | 1.00 (reference) | -- | |
25.0–29.9 | 481 | 29.1 | 488 | 29.9 | 1.17(0.99, 1.39) | 0.07 | |
≥30.0 | 576 | 34.8 | 442 | 27.1 | 1.51 (1.27, 1.79) | <0.001 |
Women with missing or unknown data were not included in the respective analysis for the following characteristics: 467 for age at menarche (160 cases and 307 controls), 171 for years of birth control use (70 cases and 101 controls), 817 for breast feeding status (444 cases and 373 controls), 43 for smoking pack-years (9 cases and 34 controls), and 23 women for height, weight, and/or body mass index (0 cases and 23 controls).
The odds ratios and confidence intervals for each characteristic were calculated using conditional logistic regression models (matched pairs) adjusted for years of education (≤12; 13–16; >16), race (white; non-white) and quartiles of household income (<$42,000; $42,000–56,999; $57,000–71,999; ≥$72,000). Women with unknown education (3 cases and 35 controls) were assigned to the ≤12 years group, and women with unknown income (6 cases and 2 controls) were assigned to the $42,000–56,999 group (second quartile).
Ordinal characteristics were also tested for dose-effect (i.e., linear) trends adjusted for years of education, race, and household income: age at menarche (p=0.02), years of oral contraceptive use (p<0.001), gravidity (p=0.31), parity (p=0.18), smoking status (p=0.13), pack-years (p=0.06), height (p=0.93), weight (p<0.001), and body mass index (p<0.001).
For these characteristics, women with missing or unknown data were included in the no exposure category.
Years of oral contraceptive use, smoking pack-years, height, and weight were stratified using tertiles calculated from the overall sample (case-control groups pooled).
We may have underestimated induced abortions performed outside of the medical care facilities included in the REP.