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Table 3 Risk of invasive or in situ breast cancer in relation to duration between pubertal events

From: Timing of pubertal stages and breast cancer risk: the Breakthrough Generations Study

 

Adjusted for attained age

 

Multivariate-adjusteda

 

Pubertal variable

Ncases/person-years

HR (95% CI)

 

Ncases/person-years

HR (95% CI)

Thelarche to menarche, years

<0

57/27,759

0.85 (0.64,1.13)

 

57/27,381

0.87 (0.65,1.15)

 

0

275/112,810

Referent

 

271/111,168

Referent

 

1

303/116,433

1.14 (0.97,1.34)

 

299/114,967

1.14 (0.96,1.34)

 

≥2

156/61,061

1.27 (1.05,1.55)

*

155/60,301

1.27 (1.04,1.55)

*

P for trend

 

1.14 (1.05, 1.23)

**

 

1.13 (1.05, 1.23)

**

Thelarche to regular periods, years

<0

24/9,864

0.88 (0.57,1.36)

 

24/9,734

0.89 (0.58,1.38)

 

0

129/46,383

Referent

 

127/45,750

Referent

 

1

179/71,457

0.93 (0.74,1.16)

 

177/70,595

0.92 (0.73,1.15)

 

≥2

188/81,162

0.94 (0.75,1.18)

 

187/80,149

0.93 (0.74,1.16)

 

Never became

73/26,114

1.19 (0.89,1.59)

 

73/25,581

1.19 (0.89,1.58)

 

regular

P for trendb

 

0.99 (0.90, 1.09)

  

0.98 (0.89, 1.08)

 

Menarche to regular periods, years

0

379/134,744

Referent

 

376/132,702

Referent

 

1

180/71,866

0.88 (0.74,1.06)

 

178/70,749

0.87 (0.73,1.04)

 

≥2

54/31,244

0.67 (0.51,0.90)

**

54/30,778

0.66 (0.50,0.88)

**

Never became

73/26,114

1.14 (0.89,1.47)

 

73/25,581

1.13 (0.88,1.46)

 

regular

P for trendb

 

0.84 (0.75, 0.95)

**

 

0.84 (0.74, 0.94)

**

Menarche to adult height, years

<0

14/5,941

0.90 (0.52,1.56)

 

14/5,871

0.90 (0.52,1.57)

 

0 to 1

131/50,937

Referent

 

130/50,492

Referent

 

2-3

191/83,968

0.98 (0.79,1.23)

 

189/82,911

0.96 (0.77,1.21)

 

≥4

165/78,925

0.94 (0.75,1.19)

 

165/77,560

0.94 (0.75,1.19)

 

P for trend

 

0.98 (0.89, 1.09)

  

0.98 (0.88, 1.09)

 
  1. CI, Confidence interval; HR, Hazard ratio.
  2. *P <0.05; **P <0.01; *** P<0.001.
  3. aAdjusted for attained age, menopausal status, family history of breast cancer in a first-degree relative, adult height, age at first full-term pregnancy (with a term for nulliparous women) and HRT status.
  4. bTest for trend excludes those who had never had a regular period.