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. Author manuscript; available in PMC: 2021 Sep 1.
Published in final edited form as: Arthritis Care Res (Hoboken). 2020 Sep;72(9):1315–1322. doi: 10.1002/acr.24014

Table 4.

Association between phenotypic features of Sjogren’s Syndrome and menstrual/reproductive history

Arthritis (702) UWS (625) Schirmer's (322) OSS (666) Hyper-GG (368) RF (431) anti-SSA (489)
  OR
(95%CI)
OR
(95%CI)
OR
(95%CI)
OR
(95%CI)
OR
(95%CI)
OR
(95%CI)
OR
(95%CI)
 CES 0 ref ref ref ref ref ref ref
1 1.2 (1.0–1.5) 1.3 (1.1–1.6) 0.9 (0.7–1.1) 0.8 (0.6–0.9) 0.8 (0.7–1.0) 0.9 (0.8–1.1) 1.0 (0.7–1.0)
2 1.3 (1.0–1.7) 1.2 (0.9–1.6) 0.9 (0.7–1.2) 0.8 (0.6–1.0) 0.8 (0.6–1.1) 0.9 (0.7–1.1) 0.7 (0.6–1.0)
3 2.5 (1.3–5.0) 1.1 (0.6–1.8) 1.0 (0.5–1.7) 0.4 (0.2–0.7) 0.3 (0.1–0.8) 0.5 (0.2–0.9) 0.5 (0.3–0.9)
Premenopausal CMC Q1 ref ref ref ref ref ref ref
Q2 0.7 (0.5–1.2) 1.8 (1.1–2.8) 0.8 (0.5–1.4) 0.8 (0.5–1.3) 0.9 (0.6–1.5) 0.8 (0.5–1.2) 0.8 (0.5–1.2)
Q3 0.9 (0.5–1.4) 2.1 (1.3–3.3) 0.9 (0.5–1.5) 0.7 (0.4–1.1) 1.0 (0.6–1.8) 1.0 (0.6–1.7) 0.8 (0.5–1.3)
Q4 0.7 (0.4–1.2) 3.5 (2.0–6.0) 0.5 (0.3–0.9) 0.6 (0.3–1.0) 0.5 (0.3–0.9) 0.5 (0.3–0.9) 0.5 (0.3–0.9)
Q5 0.5 (0.2–1.0) 4.1 (2.1–7.9) 0.4 (0.2–0.9) 0.5 (0.3–1.0) 0.5 (0.2–1.0) 0.8 (0.4–1.5) 0.7 (0.4–1.5)
Postmenopausal CMC Q1 ref ref ref ref ref ref ref
Q2 0.8 (0.5–1.1) 1.0 (0.7–1.4) 0.7 (0.5–1.1) 0.9 (0.6–1.2) 0.8 (0.5–1.2) 1.0 (0.7–1.5) 1.0 (0.7–1.3)
Q3 0.7 (0.5–0.9) 1.3 (0.9–1.8) 0.78 (0.5–1.1) 1.1 (0.8–1.6) 0.9 (0.6–1.4) 1.0 (0.7–1.4 0.9 (0.7–1.3)
Q4 0.6 (0.4–0.9) 1.3 (0.9–1.9) 0.7 (0.5–1.0) 1.1 (0.8–1.5) 0.8 (0.5–1.3) 0.9 (0.6–1.2) 0.8 (0.5–1.1)
Q5 0.6 (0.4–0.9) 1.5 (1.1–2.2) 0.9 (0.6–1.3) 1.0 (0.7–1.4) 0.8 (0.6–1.3) 0.9 (0.6–1.3) 0.7 (0.5–1.1)

CES: Composite estrogen score; CMC: cumulative menstrual cycling; Q: Quintile; UWS: unstimulated whole salivary flow; OSS: ocular staining score; Hyper-GG: Hypergammaglobulinemia; RF: Rheumatoid Factor