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Table 1 Association of reproductive factors and overall lung cancer risk (highest vs. lowest category)

From: Reproductive factors and lung cancer risk: a comprehensive systematic review and meta-analysis

Reproductive factors

Highest category

Lowest category (reference)

No. of studies

Phet a

I2 value (%)

OR (95% CI)b

Menstrual-related factors

 Age at menopause

≥50 to ≥55

Premenopausal or < 50

22

< 0.001

64.3

0.99 (0.88, 1.12)

 Age at menarche

≥15 to ≥18

< 11 to ≤15

20

0.032

40.4

1.03 (0.96, 1.10)

Non-natural menopause

Non-natural

Natural / premenopausal

11

0.013

55.3

1.52 (1.25, 1.86)

 Ovariectomy

yes

no

5

0.487

0.0

1.38 (1.16, 1.64)

 Hysterectomy

yes

no

4

0.171

40.1

1.21 (0.98, 1.49)

 Ovariectomy and Hysterectomy

yes

no

4

0.405

0.0

1.22 (0.95, 1.58)

Menstrual cycle length

> 30 days

< 27 to ≤ 30 days

7

0.106

42.7

0.79 (0.65, 0.96)

Menopausal status

Post-menopausal

Pre-menopausal

6

0.057

53.4

1.26 (0.92, 1.73)

Length of menstrual flow (days)

≥5 to > 6

≤3 to < 5

4

0.712

0.0

1.01 (0.84, 1.23)

Other factors

 Hormone use

ever

never

38

< 0.001

56.6

0.95 (0.90, 1.01)

Oral contraceptive use

ever

never

26

0.003

48.2

1.01 (0.94, 1.09)

 OC use duration (years)

≥2 to ≥12

0 to < 2

12

0.012

54.5

0.99 (0.87, 1.14)

Parity

≥3 to ≥ 7

0 to 2

24

< 0.001

75.4

0.83 (0.72, 0.96)

 Number of pregnancy

≥ 4 to ≥7

0 to 2

10

0.002

66.3

0.91 (0.73, 1.15)

Age at first birth

≥25 to ≥ 31

Nulliparous or < 25

19

< 0.001

62.7

0.85 (0.74, 0.98)

Reproductive period (years)

≥36 to ≥41

≤30 to < 33

8

0.048

50.6

0.95 (0.78, 1.17)

Breastfeeding

ever

never

6

0.330

13.2

0.94 (0.83, 1.06)

Miscarriage

ever

never

4

0.063

58.9

1.20 (0.93, 1.56)

Tubal sterilization use

ever

never

4

0.019

69.7

1.05 (0.84, 1.33)

Intrauterine device use

ever

never

4

0.097

52.5

0.83 (0.66, 1.04)

  1. aHeterogeneity P-value
  2. bAdjusted odds ratio (OR) and 95% confidence interval (CI). Highest non-reference category as compared to the lowest reference group