Table 2 Hazard ratio (HR) and 95% confidence interval (CI) for oral contraceptive use, reproductive variables and colorectal cancer among women in the European Prospective Investigation into Cancer and Nutrition cohort
Variable | Number of cases/non-cases a | Age and center-stratified, HR (95% CI) | Multivariable adjusted, HR (95% CI) b |
---|---|---|---|
Oral contraceptive use | |||
Never | 1040/138 359 | 1.00 (reference) | 1.00 (reference) |
Ever | 822/196 040 | 0.93 (0.84–1.03) | 0.92 (0.83–1.02) |
Oral contraceptive use (among post-menopausal women) | |||
Never | 908/89 064 | 1.00 (reference) | 1.00 (reference) |
Ever | 469/67 757 | 0.85 (0.75–0.96) | 0.84 (0.74–0.95) |
Oral contraceptive use (among pre-/peri-menopausal women) | |||
Never | 132/49 295 | 1.00 (reference) | 1.00 (reference) |
Ever | 353/128 283 | 1.22 (0.99–1.51) | 1.19 (0.96–1.48) |
P-interaction | <0.01 | <0.01 | |
Duration of oral contraceptive use (years) c | |||
⩽1 | 161/36 175 | 1.00 (reference) | 1.00 (reference) |
2–4 | 167/42 208 | 0.99 (0.80–1.24) | 0.99 (0.80–1.23) |
5–9 | 150/42 409 | 0.94 (0.75–1.18) | 0.93 (0.74–1.17) |
⩾10 | 264/58 041 | 1.10 (0.90–1.36) | 1.09 (0.89–1.35) |
P-trend | 0.37 | 0.41 | |
Age at menarche | |||
<12 | 258/49 935 | 1.00 (reference) | 1.00 (reference) |
12 | 358/70 982 | 0.95 (0.81–1.11) | 0.95 (0.81–1.12) |
13 | 457/85 998 | 0.96 (0.83–1.12) | 0.97 (0.84–1.14) |
14 | 424/71 912 | 0.95 (0.82–1.12) | 0.97 (0.83–1.14) |
⩾15 | 352/52 954 | 0.95 (0.80–1.12) | 0.96 (0.82–1.14) |
P-trend | 0.64 | 0.80 | |
Age at menopause d | |||
⩽50 | 654/77 482 | 1.00 (reference) | 1.00 (reference) |
51–52 | 200/20 489 | 1.06 (0.90–1.25) | 1.07 (0.91–1.25) |
53–55 | 196/18 391 | 1.06 (0.90–1.25) | 1.07 (0.91–1.26) |
>55 | 59/5084 | 0.99 (0.76–1.30) | 1.00 (0.76–1.31) |
P-trend | 0.58 | 0.54 | |
Type of menopause d | |||
Natural | 1303/147 920 | 1.00 (reference) | 1.00 (reference) |
Surgical | 88/9 875 | 1.14 (0.91–1.42) | 1.13 (0.91–1.41) |
Induced or spontaneous abortion | |||
Never | 1129/180 995 | 1.00 (reference) | 1.00 (reference) |
Ever | 221/45 509 | 1.01 (0.87–1.18) | 1.00 (0.86–1.17) |
Full-term pregnancy | |||
Never | 231/49 342 | 1.00 (reference) | 1.00 (reference) |
Ever | 1568/267 467 | 0.96 (0.83–1.10) | 0.96 (0.83–1.10) |
Number of full-term pregnancies e | |||
1 | 250/49 177 | 1.00 (reference) | 1.00 (reference) |
2 | 721/129 409 | 1.16 (1.00–1.34)) | 1.16 (1.01–1.35) |
3 | 384/61 490 | 1.15 (0.98–1.36) | 1.16 (0.98–1.36) |
⩾4 | 213/27 391 | 1.17 (0.97–1.41) | 1.17 (0.97–1.42) |
P-trend | 0.15 | 0.15 | |
Age at first full-term pregnancy e | |||
⩽20 | 210/40 007 | 1.00 (reference) | 1.00 (reference) |
21–23 | 433/71 912 | 1.01 (0.86–1.19) | 1.02 (0.86–1.21) |
24–25 | 320/52 140 | 0.97 (0.81–1.16) | 0.98 (0.82–1.18) |
26–30 | 439/75 488 | 0.90 (0.76–1.07) | 0.92 (0.77–1.09) |
>30 | 163/26 886 | 0.98 (0.79–1.20) | 0.99 (0.80–1.22) |
P-trend | 0.22 | 0.30 | |
Breastfeeding e | |||
Never | 211/39 471 | 1.00 (reference) | 1.00 (reference) |
Ever | 1273/218 695 | 1.12 (0.97–1.31) | 1.13 (0.97–1.32) |