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Table 2 Associations between cumulative average radon and breast cancer risk in NHSII from 1989 to 2013 (n = 112,639)

From: Environmental radon exposure and breast cancer risk in the Nurses’ Health Study II

Outcomea

Cases (n)

Person-years (n)

Basicb

HR (95% CI)

Fully adjustedc

HR (95% CI)

Invasive breast cancer

 Radon quintile 1

803

496,494

Referent

Referent

 Radon quintile 2

810

503,957

1.03 (0.93, 1.13)

1.02 (0.92, 1.14)

 Radon quintile 3

797

503,121

1.01 (0.92, 1.12)

1.02 (0.90, 1.14)

 Radon quintile 4

745

499,349

0.94 (0.85, 1.04)

0.96 (0.85, 1.08)

 Radon quintile 5

811

499,773

1.02 (0.93, 1.13)

1.06 (0.94, 1.21)

p for trend

  

0.96

0.30

 Continuous radon (per IQR increase)d

3966

2,502,695

0.99 (0.96, 1.02)

1.01 (0.97, 1.04)

ER+

 Radon quintile 1

490

496,797

Referent

Referent

 Radon quintile 2

471

504,288

0.98 (0.87, 1.12)

0.99 (0.87, 1.14)

 Radon quintile 3

498

503,420

1.04 (0.92, 1.18)

1.07 (0.91, 1.24)

 Radon quintile 4

439

499,621

0.91 (0.80, 1.03)

0.96 (0.82, 1.12)

 Radon quintile 5

475

500,089

0.98 (0.86, 1.11)

1.05 (0.89, 1.23)

p for trend

  

0.53

0.66

 Continuous radon (per IQR increase)d

2373

2,504,215

0.99 (0.95, 1.03)

1.01 (0.96, 1.05)

ER-

 Radon quintile 1

101

497,123

Referent

Referent

 Radon quintile 2

112

504,612

1.11 (0.85, 1.46)

1.13 (0.84, 1.51)

 Radon quintile 3

125

503,741

1.24 (0.96, 1.62)

1.27 (0.92, 1.74)

 Radon quintile 4

114

499,939

1.14 (0.87, 1.49)

1.17 (0.84, 1.62)

 Radon quintile 5

133

500,402

1.32 (1.02, 1.72)

1.34 (0.97, 1.86)

p for trend

  

0.06

0.15

 Continuous radon (per IQR increase)d

585

2,505,817

1.05 (0.97, 1.13)

1.03 (0.95, 1.12)

ER+/PR+

 Radon quintile 1

417

496,859

Referent

Referent

 Radon quintile 2

420

504,332

1.03 (0.90, 1.18)

1.06 (0.91, 1.23)

 Radon quintile 3

441

503,469

1.09 (0.95, 1.24)

1.13 (0.96, 1.33)

 Radon quintile 4

384

499,675

0.94 (0.81, 1.08)

1.01 (0.85, 1.19)

 Radon quintile 5

412

500,148

1.00 (0.87, 1.15)

1.10 (0.92, 1.30)

p for trend

  

0.61

0.60

 Continuous radon (per IQR increase)d

2074

2,504,483

0.99 (0.95, 1.04)

1.01 (0.97, 1.06)

ER−/PR-

 Radon quintile 1

89

497,137

Referent

Referent

 Radon quintile 2

93

504,633

1.05 (0.79, 1.41)

1.07 (0.78, 1.46)

 Radon quintile 3

104

503,763

1.18 (0.89, 1.57)

1.19 (0.85, 1.68)

 Radon quintile 4

104

499,946

1.19 (0.89, 1.58)

1.20 (0.85, 1.69)

 Radon quintile 5

123

500,409

1.41 (1.07, 1.85)

1.38 (0.97, 1.96)

p for trend

  

0.01

0.05

 Continuous radon (per IQR increase)d

513

2,505,889

1.08 (0.99, 1.16)

1.05 (0.96, 1.15)

ER+/PR-

 Radon quintile 1

70

497,167

Referent

Referent

 Radon quintile 2

47

504,679

0.69 (0.48, 1.00)

0.62 (0.41, 0.93)

 Radon quintile 3

53

503,818

0.77 (0.54, 1.11)

0.66 (0.42, 1.02)

 Radon quintile 4

53

499,984

0.76 (0.53, 1.09)

0.67 (0.43, 1.04)

 Radon quintile 5

62

500,458

0.87 (0.61, 1.22)

0.75 (0.48, 1.18)

p for trend

  

0.88

1.00

 Continuous radon (per IQR increase)d

285

2,506,105

0.97 (0.87, 1.09)

0.98 (0.86, 1.11)

ER−/PR−/HER2-

 Radon quintile 1

49

497,173

Referent

Referent

 Radon quintile 2

53

504,676

1.09 (0.74, 1.60)

1.09 (0.71, 1.67)

 Radon quintile 3

52

503,820

1.07 (0.72, 1.58)

1.06 (0.67, 1.68)

 Radon quintile 4

61

499,980

1.25 (0.86, 1.83)

1.24 (0.78, 1.97)

 Radon quintile 5

78

500,452

1.61 (1.12, 2.31)

1.52 (0.96, 2.41)

p for trend

  

0.003

0.02

 Continuous radon (per IQR increase)d

293

2,506,101

1.12 (1.01, 1.24)

1.09 (0.97, 1.23)

  1. a Radon quintile 1: <27.0 Bq/m3; quintile 2: ≥27.0–37.7 Bq/m3; quintile 3: ≥37.7–50.1 Bq/m3; quintile 4: ≥50.1–74.9 Bq/m3; quintile 5: ≥74.9 Bq/m3
  2. b Adjusted for age, race
  3. c Additionally adjusted for Census tract median home value, Census tract median income, marital status, living arrangements, individual-level income, region of residence, family history of breast cancer, screening mammography, personal history of biopsy-confirmed BBD, age at menarche, parity, age at first birth, lactation, menopausal status and hormone use (among postmenopausal women only), height, BMI at age 18, change in BMI since age 18, smoking status, physical activity, adult alcohol consumption, PM2.5, population density
  4. d An IQR increase in cumulative average radon is 37.3 Bq/m3