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Table 2 Association between menstrual characteristics and risk of uterine leiomyomata

From: Risk of uterine leiomyomata with menstrual and reproductive factors in premenopausal women: Korea nurses’ health study

Characteristics (N = 7,360)

Person-years

Cases

Age-adjusted

HR (95% CI)

Multivariate

HR (96% CI)

Menarche age, years a

    

  ≤ 11

1547

22

0.96 (0.62–1.49)

0.96 (0.62–1.48)

  12–13

14,341

227

Reference

Reference

  14–15

13,178

165

0.75 (0.61–0.92)

0.80 (0.65–0.98)

  ≥ 16

3006

33

0.65 (0.45–0.94)

0.68 (0.47–0.99)

  P for trend

  

0.007

0.026

Time to regular cycles, yearsb

    

  ≤ 1

16,326

242

Reference

Reference

  2–4

6829

94

0.96 (0.75–1.21)

0.92 (0.72–1.17)

  ≥ 5 or always irregular

8916

111

0.89 (0.71–1.12)

0.87 (0.70–1.10)

  P for trend

  

0.341

0.253

Menstrual cycle regularityb

    

  Cycle regularity

    

    Very regular

9748

157

1.03 (0.84–1.27)

1.03 (0.84–1.27)

    Regular

13,669

202

Reference

Reference

    Usually irregular

5420

59

0.78 (0.58–1.04)

0.77 (0.57–1.03)

    Always irregular

1998

22

0.79 (0.51–1.23)

0.78 (0.50–1.21)

    P for trend

  

0.064

0.052

  Cycle regularity ages 18–22 years

    

    Very regular

8423

142

1.11 (0.90–1.37)

1.09 (0.88–1.35)

    Regular

14,890

214

Reference

Reference

    Usually irregular

6277

69

0.78 (0.60–1.03)

0.78 (0.59–1.02)

    Always irregular

2310

20

0.62 (0.39–0.97)

0.61 (0.39–0.97)

    P for trend

  

0.002

0.003

Menstrual cycle lengthb

    

  Cycle length, days

    

    < 26

2793

42

0.95 (0.69–1.32)

0.96 (0.69–1.32)

    26–31

18,224

291

Reference

Reference

    32–39

7154

91

0.85 (0.67–1.08)

0.85 (0.67–1.08)

    ≥ 40 or too irregular to estimate

2663

16

0.41 (0.25–0.68)

0.40 (0.24–0.66)

    P for trend

  

0.001

< 0.001

  Cycle length ages 18–22 years, days

    

    < 26

2700

38

0.92 (0.66–1.29)

0.91 (0.65–1.28)

    26–31

19,205

310

Reference

Reference

    32–39

6225

70

0.71 (0.55–0.92)

0.73 (0.56–0.94)

    ≥ 40 or too irregular to estimate

3775

27

0.45 (0.31–0.67)

0.45 (0.31–0.67)

    P for trend

  

< 0.001

< 0.001

  1. aAdjusted for age at baseline, menstrual cycle length, parity history, body mass index, systolic blood pressure, and a recent gynecologic examination
  2. bAdjusted for age at baseline, age at menarche, parity history, body mass index, systolic blood pressure, and a recent gynecologic examination
  3. CI, confidence interval; HR, hazard ratio