Maternal age at first birth and uterine cancer risk: A comprehensive analysis using NHANES data (2003–2018)

IF 2.5 4区医学 Q3 ONCOLOGY

Current Problems in Cancer Pub Date : 2025-02-10 DOI:10.1016/j.currproblcancer.2025.101184

Shelby Marozoff , Mohammad Ehsanul Karim , Michael Asamoah-Boaheng , Trevor J.B. Dummer

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引用次数: 0

Abstract

Background

Several reproductive factors, including parity and age at menarche, have been identified as risk factors for uterine cancers. However, the association between maternal age at first birth and uterine cancer remains conflicting.

Methods

This cross-sectional study included females aged 20 years and older with at least one live birth across eight National Health and Nutrition Examination Survey (NHANES) cycles (2003–2018). We used design-adjusted logistic regression, with multiple imputation for missing data, to explore the association of age at first birth and uterine cancer. As a sensitivity analysis, the sample was restricted to post-menopausal females; logistic regression analyses were repeated.

Results

Among 7095 participants, 104 had uterine cancer. The adjusted odds ratio (aOR) for uterine cancer for participants with a first live birth at ≥25 years was 0.66 (95 % confidence interval (CI): 0.33–1.35) compared to those with a first birth at <20 years. For participants with a first birth between 20–24 years, the aOR was 0.93 (95 % CI: 0.51–1.69). Multiple imputation and sensitivity analyses yielded similar non-significant results.

Conclusion

Our findings suggest no statistically significant association between maternal age at first live birth and uterine cancer, aligning with existing literature. Further research is needed to explore other reproductive factors and their role in uterine cancer risk.

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产妇初产年龄与子宫癌风险：基于NHANES数据的综合分析（2003-2018）

几个生殖因素，包括胎次和初潮年龄，已被确定为子宫癌的危险因素。然而，产妇初次生育年龄与子宫癌之间的关系仍然存在争议。方法本横断面研究纳入了8个国家健康与营养检查调查（NHANES）周期（2003-2018）中至少有1例活产的20岁及以上女性。我们采用设计校正logistic回归，对缺失数据进行多重归因，探讨初产年龄与子宫癌的关系。作为敏感性分析，样本仅限于绝经后女性；重复进行逻辑回归分析。结果7095名参与者中，104名患有子宫癌。与首次分娩年龄≥25岁的参与者相比，首次分娩年龄≥20岁的参与者患子宫癌的调整优势比（aOR）为0.66（95%可信区间（CI）： 0.33-1.35）。对于20-24岁之间首次生育的参与者，aOR为0.93 （95% CI: 0.51-1.69）。多重输入和敏感性分析得出了类似的无显著性结果。结论产妇首次活产年龄与子宫癌之间无统计学意义，与已有文献一致。需要进一步研究其他生殖因素及其在子宫癌风险中的作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Problems in Cancer 医学-肿瘤学

CiteScore

5.10

自引率

0.00%

发文量

审稿时长

15 days

期刊介绍： Current Problems in Cancer seeks to promote and disseminate innovative, transformative, and impactful data on patient-oriented cancer research and clinical care. Specifically, the journal''s scope is focused on reporting the results of well-designed cancer studies that influence/alter practice or identify new directions in clinical cancer research. These studies can include novel therapeutic approaches, new strategies for early diagnosis, cancer clinical trials, and supportive care, among others. Papers that focus solely on laboratory-based or basic science research are discouraged. The journal''s format also allows, on occasion, for a multi-faceted overview of a single topic via a curated selection of review articles, while also offering articles that present dynamic material that influences the oncology field.