Table 2 Adjusted hazard ratios and 95% confidence intervals for menstrual factors and gastric cancer risk in 73 442 women from 1997 to 2004 in Shanghai, China
CharacteristicsCohortCasesAge-adjustedMultivariate-adjusted*
Person-years (%)No. (%)HR (95% CI)HR (95% CI)
Age of menarche
    Continuous0.98 (0.90 to 1.08)0.96 (0.87 to 1.05)
    <1493 007 (22.2)30 (19.6)1.01 (0.67 to 1.53)1.09 (0.71 to 1.65)
    14 to 16252 018 (60.1)93 (60.8)1.00 (Ref)1.00 (Ref)
    >1674 074 (17.7)30 (19.6)0.84 (0.55 to 1.27)0.78 (0.51 to 1.19)
p Value for trend0.4660.213
Menstrual status
    Currently menstruating213 976 (51.2)33 (21.6)1.00 (Ref)1.00 (Ref)
    Natural menopause183 612 (43.9)104 (68.0)1.22 (0.61 to 2.46)1.22 (0.60 to 2.45)
    Surgically induced menopause20 404 (4.9)16 (10.5)2.33 (1.09 to 4.95)2.37 (1.11 to 5.05)
Hysterectomy
    No397 924 (94.9)137 (89.0)1.00 (Ref)1.00 (Ref)
    Yes21 336 (5.1)17 (11.0)1.96 (1.18 to 3.25)2.03 (1.22 to 3.37)
Ovariectomy
    No402 768 (96.1)141 (91.6)1.00 (Ref)1.00 (Ref)
    Yes16 492 (3.9)13 (8.4)2.19 (1.24 to 3.87)2.28 (1.29 to 4.03)
Age at menopause
    Continuous variable/5 years0.79 (0.65 to 0.95)0.80 (0.66 to 0.97)
    <4644 713 (21.8)37 (30.8)1.88 (1.25 to 2.83)1.88 (1.25 to 2.82)
    46 to 51122 102 (59.5)64 (53.3)1.00 (Ref)1.00 (Ref)
    >5138 309 (18.7)19 (15.8)0.94 (0.56 to 1.58)0.97 (0.58 to 1.64)
p Value for trend0.0070.01
Years of fertility
    Continuous variable/5 years0.83 (0.69 to 0.99)0.85 (0.70 to 1.02)
    <3038 684 (18.9)34 (28.3)1.96 (1.29 to 2.98)1.90 (1.25 to 2.90)
    30 to 36123 356 (60.1)63 (52.5)1.00 (Ref)1.00 (Ref)
    >3643 084 (21.0)23 (19.2)1.08 (0.67 to 1.75)1.14 (0.70 to 1.86)
p Value for trend0.0220.044
Years since menopause
    Continuous variable/5 years1.27 (1.05 to 1.54)1.26 (1.03 to 1.53)
    <543 982 (21.4)11 (9.2)0.46 (0.21 to 1.00)0.47 (0.22 to 1.01)
    5 to 17117 788 (57.4)67 (55.8)1.00 (Ref)1.00 (Ref)
    >1743 354 (21.1)42 (35.0)1.36 (0.84 to 2.19)1.34 (0.83 to 2.16)
p Value for trend0.0330.039
HRT
    None404 432 (96.5)150 (98.0)1.00 (Ref)1.00 (Ref)
    Post-menopausal HRT8618 (2.1)3 (2.0)0.94 (0.30 to 2.96)1.05 (0.33 to 3.36)
    Peri-menopausal HRT§6050 (1.4)0 (0.0)
  • HR, hazard ratio; HRT, hormone replacement therapy; Ref, reference.

  • *Adjusted for age, body mass index, education, income, cigarette smoking status (ever, never), and smoking dose (packs/day).

  • Categories may not add up to 419 260 person-years or 154 cases as a result of missing data.

  • Restricted to post-menopausal women.

  • §Zero cases in this category.