Table 3.
Association between ovarian cancer risk factors and risk of ovarian cancer by ERβ-nuclear staininga,b
| ERβ-nuclear (+) | ERβ-nuclear (–) | |||||
|---|---|---|---|---|---|---|
| Controls | Cases | OR (95% CI) | Cases | OR (95% CI) | p-hetero | |
| Height | ||||||
| Per 5 cm | 1,049 | 175 | 1.20 (1.05, 1.38) | 70 | 1.06 (0.86, 1.30) | 0.28 |
| BMI | ||||||
| <25 | 481 | 92 | 1.00 (Ref) | 34 | 1.00 (Ref) | 0.52 |
| 25 – <30 | 329 | 42 | 0.65 (0.44, 0.96) | 16 | 0.65 (0.35, 1.21) | |
| ≥30 | 184 | 24 | 0.69 (0.43, 1.13) | 14 | 1.07 (0.56, 2.05) | |
| per kg/m2 | 994 | 158 | 0.97 (0.93, 1.00) | 64 | 1.01 (0.96, 1.06) | 0.13 |
| Family history of breast or ovarian cancer | ||||||
| No | 896 | 144 | 1.00 (Ref) | 59 | 1.00 (Ref) | 0.66 |
| Yes | 154 | 31 | 1.29 (0.84, 1.98) | 11 | 1.09 (0.56, 2.13) | |
| Parity | ||||||
| Nulliparous | 59 | 19 | 1.00 (Ref) | 3 | 1.00 (Ref) | 0.04 |
| Parous | 978 | 150 | 0.46 (0.26, 0.81) | 67 | 1.51 (0.45, 5.04) | |
| Nulliparous | 59 | 19 | 1.00 (Ref) | 3 | 1.00 (Ref) | 0.13 |
| 1–2 children | 400 | 76 | 0.56 (0.31, 1.01) | 35 | 1.86 (0.55, 6.31) | |
| 3+ children | 578 | 74 | 0.37 (0.20, 0.67) | 32 | 1.16 (0.34, 4.03) | |
| Per childc | 1037 | 169 | 0.89 (0.80, 1.00) | 70 | 0.95 (0.82, 1.12) | 0.48 |
| Per childd | 978 | 150 | 0.94 (0.83, 1.06) | 67 | 0.92 (0.77, 1.11) | 0.84 |
| Oral contraceptive use | ||||||
| Never | 487 | 85 | 1.00 (Ref) | 36 | 1.00 (Ref) | 0.31 |
| Ever | 544 | 89 | 0.84 (0.59, 1.19) | 29 | 0.61 (0.35, 1.06) | |
| Never | 487 | 85 | 1.00 (Ref) | 36 | 1.00 (Ref) | 0.60 |
| <1 year | 120 | 17 | 0.72 (0.40, 1.27) | 6 | 0.61 (0.25, 1.51) | |
| 1–5 years | 217 | 42 | 1.02 (0.66, 1.57) | 11 | 0.58 (0.28, 1.22) | |
| >5 years | 207 | 30 | 0.73 (0.46, 1.18) | 12 | 0.63 (0.31, 1.30) | |
| Per yearc | 1031 | 174 | 1.01 (0.99, 1.03) | 65 | 1.00 (0.97, 1.03) | 0.58 |
| Per yeare | 544 | 89 | 1.01 (0.99, 1.03) | 29 | 1.01 (0.98, 1.04) | 0.76 |
| Breastfeedingd | ||||||
| Never | 397 | 70 | 1.00 (Ref) | 34 | 1.00 (Ref) | 0.28 |
| Ever | 418 | 61 | 0.85 (0.58, 1.24) | 19 | 0.59 (0.33, 1.07) | |
| 0–1 months | 397 | 70 | 1.00 (Ref) | 34 | 1.00 (Ref) | 0.57 |
| 1–6 months | 203 | 33 | 0.92 (0.58, 1.45) | 8 | 0.50 (0.22, 1.11) | |
| 7–11 months | 73 | 9 | 0.70 (0.33, 1.49) | 3 | 0.54 (0.16, 1.82) | |
| 12+ months | 142 | 19 | 0.83 (0.47, 1.44) | 8 | 0.76 (0.34, 1.71) | |
| Ovulatory yearsf | ||||||
| Quartile 1 | 224 | 21 | 1.00 (Ref) | 7 | 1.00 (Ref) | 0.99 |
| Quartile 2 | 224 | 41 | 2.05 (1.11, 3.77) | 15 | 2.03 (0.78, 5.27) | |
| Quartile 3 | 241 | 36 | 1.78 (0.91, 3.48) | 12 | 1.51 (0.54, 4.23) | |
| Quartile 4 | 208 | 34 | 1.79 (0.88, 3.62) | 13 | 1.71 (0.60, 4.87) | |
| Per year | 897 | 132 | 1.02 (0.98, 1.06) | 47 | 1.02 (0.96, 1.08) | 0.98 |
| Tubal ligation | ||||||
| Never | 837 | 152 | 1.00 (Ref) | 63 | 1.00 (Ref) | 0.57 |
| Ever | 213 | 23 | 0.57 (0.35, 0.91) | 7 | 0.44 (0.20, 0.99) | |
| Age at menarche | ||||||
| <13 years | 512 | 85 | 1.00 (Ref) | 34 | 1.00 (Ref) | 0.96 |
| ≥13 years | 438 | 90 | 1.04 (0.75, 1.43) | 36 | 1.02 (0.63, 1.67) | |
| Menopause status | ||||||
| Premenopausal | 256 | 40 | 1.00 (Ref) | 15 | 1.00 (Ref) | 0.91 |
| Postmenopausal | 756 | 126 | 1.21 (0.69, 2.13) | 53 | 1.14 (0.48, 2.73) | |
| Age at menopauseg | ||||||
| <50 years | 239 | 32 | 1.00 (Ref) | 12 | 1.00 (Ref) | 0.97 |
| ≥50 years | 404 | 60 | 1.18 (0.74, 1.88) | 23 | 1.16 (0.56, 2.39) | |
| HT useg | ||||||
| Never | 304 | 29 | 1.00 (Ref) | 15 | 1.00 (Ref) | 0.41 |
| Ever | 404 | 86 | 2.36 (1.50, 3.71) | 33 | 1.72 (0.91, 3.24) | |
| Estrogen-only HT useg,h | ||||||
| Never | 495 | 65 | 1.00 (Ref) | 22 | 1.00 (Ref) | 0.16 |
| Ever | 171 | 43 | 2.06 (1.50, 3.71) | 24 | 3.46 (1.85, 6.50) | |
| Estrogen + Progesterone HT useg,i | ||||||
| Never | 459 | 68 | 1.00 (Ref) | 34 | 1.00 (Ref) | 0.09 |
| Ever | 215 | 40 | 1.31 (0.85, 2.02) | 10 | 0.67 (0.32, 1.39) | |
Analyses were adjusted for cohort (NHS/NHSII), age at diagnosis (per year), duration of OC use (continuous in months), family history of breast/ovarian cancer (yes/no), menopausal and HT status (premenopausal/postmenopausal ever HT/postmenopausal never HT/missing HT), and number of pregnancies (continuous)
Total N does not add up to 1,295 due to missingness in the exposure (height missing=1; BMI missing=79; parity missing=19; OC missing=25; breastfeeding missing=212; ovulatory years missing=219; age at menopause missing=165; menopause missing=49; HT use missing=64; E-only HT use missing=115; E+P HT use missing=109)
Among all women
Among parous women
Among women who ever used oral contraceptives
Ovulatory years were calculated as age at natural menopause (or age at diagnosis for premenopausal women) minus age at menarche with additional subtraction for OC duration and one year for each pregnancy
Among postmenopausal women
Additionally adjusted for estrogen plus progestin HT use (ever/never) and other HT use (ever/never)
Additionally adjusted for estrogen-only HT use (ever/never) and other HT use (ever/never)