Age- and BMI-adjusted linear regression results for the association between participant characteristics and volume and area mammographic density measuresa, The BREAST Stamp Project, 2007–2010 (n = 413)
Percent mammographic density measures | Absolute mammographic density measures | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
% FGV | PD | FGV (cm3) | DA (cm2) | ||||||||||
Characteristic | N | β | SE | P | β | SE | P | β | SE | P | β | SE | P |
Age at mammogram (years) | |||||||||||||
39–44 | 81 | Ref. | Ref. | Ref. | Ref. | ||||||||
45–49 | 109 | −0.04 | 0.19 | 0.84 | 0.03 | 0.25 | 0.90 | 0.21 | 0.50 | 0.68 | 0.14 | 0.31 | 0.64 |
50–54 | 102 | −0.36 | 0.19 | 0.06 | −0.14 | 0.25 | 0.59 | −0.24 | 0.51 | 0.63 | 0.14 | 0.31 | 0.65 |
55–59 | 68 | −1.14 | 0.21 | <0.0001 | −0.86 | 0.28 | 0.002 | −1.55 | 0.56 | 0.006 | −0.64 | 0.34 | 0.07 |
60–65 | 53 | −0.91 | 0.23 | <0.0001 | −1.06 | 0.30 | 0.0005 | −0.66 | 0.61 | 0.28 | −0.76 | 0.37 | 0.04 |
P value for trend | <0.0001 | <0.0001 | 0.01 | 0.0065 | |||||||||
Race | |||||||||||||
White, non-Hispanic | 383 | Ref. | Ref. | Ref. | Ref. | ||||||||
Other | 30 | 0.50 | 0.25 | 0.04 | 0.80 | 0.32 | 0.01 | −0.05 | 0.65 | 0.94 | 0.56 | 0.40 | 0.16 |
Education level | |||||||||||||
<High school or high school grad | 63 | Ref. | Ref. | Ref. | Ref. | ||||||||
College/graduate school degree | 347 | 0.19 | 0.18 | 0.28 | 0.44 | 0.23 | 0.06 | 0.56 | 0.47 | 0.23 | 0.56 | 0.28 | 0.048 |
Height (inches)b | |||||||||||||
51–62 | 113 | Ref. | Ref. | Ref. | Ref. | ||||||||
63–65 | 168 | 0.04 | 0.20 | 0.85 | 0.20 | 0.25 | 0.41 | −0.87 | 0.43 | 0.04 | −0.04 | 0.26 | 0.88 |
66–72.5 | 132 | 0.11 | 0.22 | 0.62 | 0.43 | 0.26 | 0.10 | −0.79 | 0.45 | 0.08 | 0.09 | 0.27 | 0.74 |
P value for trend | 0.62 | 0.09 | 0.09 | 0.72 | |||||||||
Weight (pounds)b | |||||||||||||
90–136 | 134 | Ref. | Ref. | Ref. | Ref. | ||||||||
137–166 | 141 | −1.10 | 0.16 | <0.0001 | −1.07 | 0.21 | <0.0001 | 1.25 | 0.42 | 0.003 | −0.17 | 0.25 | 0.50 |
167–338.5 | 138 | −2.61 | 0.16 | <0.0001 | −2.62 | 0.21 | <0.0001 | 1.62 | 0.42 | 0.0001 | −1.02 | 0.25 | <0.0001 |
P value for trend | <0.0001 | <0.0001 | 0.0001 | <0.0001 | |||||||||
BMI, kg/m2 | |||||||||||||
<25 | 196 | Ref. | Ref. | Ref. | Ref. | ||||||||
25–<30 | 105 | −1.40 | 0.16 | <0.0001 | −1.31 | 0.21 | <0.0001 | 1.32 | 0.42 | 0.002 | −0.21 | 0.25 | 0.41 |
30+ | 112 | −2.52 | 0.15 | <0.0001 | −2.67 | 0.20 | <0.0001 | 1.79 | 0.41 | <0.0001 | −1.07 | 0.25 | <0.0001 |
P value for trend | <0.0001 | <0.0001 | <0.0001 | <0.0001 | |||||||||
Age at menarche (years) | |||||||||||||
≤12 | 153 | Ref. | Ref. | Ref. | Ref. | ||||||||
13 | 150 | 0.28 | 0.15 | 0.06 | 0.47 | 0.19 | 0.02 | 0.28 | 0.39 | 0.47 | 0.43 | 0.24 | 0.08 |
≥14 | 104 | 0.21 | 0.16 | 0.19 | 0.24 | 0.21 | 0.25 | 0.01 | 0.44 | 0.97 | 0.08 | 0.27 | 0.75 |
P value for trend | 0.15 | 0.17 | 0.95 | 0.65 | |||||||||
Parity | |||||||||||||
Nulliparous | 98 | Ref. | Ref. | Ref. | Ref. | ||||||||
1 | 58 | 0.10 | 0.22 | 0.66 | 0.20 | 0.28 | 0.48 | 0.54 | 0.57 | 0.35 | 0.55 | 0.35 | 0.11 |
2 | 164 | 0.11 | 0.17 | 0.52 | −0.17 | 0.22 | 0.43 | 0.04 | 0.43 | 0.93 | −0.03 | 0.27 | 0.92 |
3+ | 92 | 0.08 | 0.19 | 0.66 | −0.13 | 0.25 | 0.60 | −0.62 | 0.50 | 0.21 | −0.16 | 0.30 | 0.61 |
P value for trend | 0.59 | 0.37 | 0.23 | 0.39 | |||||||||
Age at first birth (years) | |||||||||||||
<30 | 217 | Ref. | Ref. | Ref. | Ref. | ||||||||
Nulliparous or 30+ | 195 | 0.14 | 0.13 | 0.30 | 0.20 | 0.17 | 0.24 | 0.41 | 0.34 | 0.23 | 0.13 | 0.21 | 0.53 |
P value for trend | 0.13 | 0.87 | 0.44 | 0.54 | |||||||||
Oral contraceptives | |||||||||||||
Never | 58 | Ref. | Ref. | Ref. | Ref. | ||||||||
Former | 335 | −0.11 | 0.18 | 0.55 | −0.02 | 0.23 | 0.92 | −0.32 | 0.47 | 0.49 | −0.17 | 0.29 | 0.55 |
Current | 14 | 0.28 | 0.39 | 0.46 | 0.36 | 0.50 | 0.48 | 0.79 | 1.02 | 0.44 | 0.39 | 0.62 | 0.53 |
Menopausal status | |||||||||||||
Premenopausal | 250 | Ref. | Ref. | Ref. | Ref. | ||||||||
Postmenopausal | 163 | −0.84 | 0.20 | <0.0001 | −0.79 | 0.27 | 0.004 | −1.47 | 0.55 | 0.007 | −0.80 | 0.33 | 0.02 |
Age at menopause (years) | |||||||||||||
Premenopausal | 250 | 0.89 | 0.32 | 0.006 | 0.35 | 0.42 | 0.40 | 1.71 | 0.85 | 0.04 | 0.32 | 0.52 | 0.53 |
≤45 | 32 | 0.23 | 0.35 | 0.51 | −0.15 | 0.46 | 0.74 | 0.37 | 0.93 | 0.69 | −0.28 | 0.57 | 0.62 |
46–49 | 34 | 0.11 | 0.34 | 0.75 | −0.62 | 0.45 | 0.17 | 0.12 | 0.92 | 0.89 | −0.86 | 0.56 | 0.13 |
50–52 | 23 | Ref. | Ref. | Ref. | Ref. | ||||||||
53+ | 21 | 0.11 | 0.39 | 0.77 | −0.46 | 0.51 | 0.37 | 0.53 | 1.04 | 0.61 | −0.49 | 0.63 | 0.44 |
Postmenopausal, age unknown | 53 | −0.08 | 0.32 | 0.81 | −0.61 | 0.42 | 0.15 | 0.34 | 0.85 | 0.69 | −0.51 | 0.52 | 0.32 |
Menopausal hormone therapy | |||||||||||||
Never | 303 | Ref. | Ref. | Ref. | Ref. | ||||||||
Former | 77 | 0.05 | 0.18 | 0.79 | −0.05 | 0.23 | 0.83 | −0.78 | 0.46 | 0.10 | −0.27 | 0.28 | 0.34 |
Current | 20 | 0.38 | 0.31 | 0.23 | 0.004 | 0.41 | 0.99 | −0.56 | 0.82 | 0.49 | −0.43 | 0.50 | 0.39 |
Missing/unknown | 13 | 0.39 | 0.37 | 0.29 | 0.67 | 0.48 | 0.16 | 1.16 | 0.97 | 0.23 | 0.85 | 0.59 | 0.15 |
Cigarette smoking, 100+ cigarettes/lifetime | |||||||||||||
Never | 203 | Ref. | Ref. | Ref. | Ref. | ||||||||
Ever | 201 | −0.30 | 0.13 | 0.02 | −0.45 | 0.17 | 0.008 | 0.22 | 0.34 | 0.52 | −0.21 | 0.21 | 0.31 |
Breast biopsy before enrollment | |||||||||||||
Never | 269 | Ref. | Ref. | Ref. | Ref. | ||||||||
Ever | 140 | 0.32 | 0.14 | 0.02 | 0.62 | 0.18 | 0.0004 | 0.55 | 0.36 | 0.12 | 0.71 | 0.22 | 0.001 |
Family history of breast cancer in a first-degree female relative | |||||||||||||
0 | 305 | Ref. | Ref. | Ref. | Ref. | ||||||||
1+ | 103 | 0.18 | 0.15 | 0.23 | 0.08 | 0.19 | 0.69 | 0.56 | 0.39 | 0.15 | 0.11 | 0.24 | 0.65 |
Lump at the time of mammography | |||||||||||||
No | 357 | Ref. | Ref. | Ref. | Ref. | ||||||||
Yes | 52 | 0.23 | 0.19 | 0.24 | 0.64 | 0.25 | 0.01 | −0.76 | 0.51 | 0.14 | 0.49 | 0.31 | 0.12 |
Reason for mammography | |||||||||||||
Screening | 326 | Ref. | Ref. | Ref. | Ref. | ||||||||
Short-interval follow-up | 21 | −0.05 | 0.29 | 0.87 | 0.61 | 0.38 | 0.11 | −0.42 | 0.77 | 0.58 | 0.61 | 0.47 | 0.20 |
Evaluation of breast problem | 61 | 0.13 | 0.18 | 0.46 | 0.51 | 0.24 | 0.03 | −0.61 | 0.48 | 0.20 | 0.45 | 0.29 | 0.12 |
BI-RADS breast density | |||||||||||||
I (entirely fat) | 56 | Ref. | Ref. | Ref. | Ref. | ||||||||
II (scattered densities) | 183 | 0.51 | 0.17 | 0.002 | 1.60 | 0.18 | <0.0001 | 0.64 | 0.51 | 0.21 | 2.15 | 0.26 | <0.0001 |
III (heterogeneously dense) | 131 | 1.47 | 0.18 | <0.0001 | 3.35 | 0.20 | <0.0001 | 1.56 | 0.56 | 0.01 | 3.72 | 0.29 | <0.0001 |
IV (extremely dense) | 33 | 2.81 | 0.25 | <0.0001 | 4.79 | 0.27 | <0.0001 | 2.85 | 0.78 | 0.0003 | 4.67 | 0.39 | <0.0001 |
P value for trend | <0.0001 | <0.0001 | <0.0001 | <0.0001 | |||||||||
Final BI-RADS mammography assessment | |||||||||||||
3 (probably benign finding) | 26 | Ref. | Ref. | Ref. | Ref. | ||||||||
4 (suspicious abnormality) | 363 | 0.29 | 0.26 | 0.27 | 0.23 | 0.34 | 0.51 | 0.73 | 0.68 | 0.29 | 0.35 | 0.42 | 0.40 |
5 (highly suggestive of malignancy) | 23 | −0.03 | 0.37 | 0.93 | 0.27 | 0.48 | 0.58 | 0.26 | 0.98 | 0.79 | 0.33 | 0.60 | 0.58 |
P value for trend | 0.96 | 0.53 | 0.68 | 0.50 | |||||||||
Biopsy type | |||||||||||||
Ultrasound-guided | 195 | Ref. | Ref. | Ref. | Ref. | ||||||||
Stereotactic-guided | 208 | 0.16 | 0.13 | 0.23 | 0.13 | 0.17 | 0.46 | 0.36 | 0.34 | 0.29 | 0.15 | 0.21 | 0.49 |
Both | 7 | 0.41 | 0.50 | 0.41 | 0.20 | 0.66 | 0.76 | 2.63 | 1.32 | 0.047 | 0.88 | 0.81 | 0.28 |
Biopsy laterality | |||||||||||||
Left | 203 | Ref. | Ref. | Ref. | Ref. | ||||||||
Right | 210 | −0.25 | 0.13 | 0.05 | 0.21 | 0.17 | 0.20 | −1.42 | 0.33 | <0.0001 | 0.12 | 0.21 | 0.55 |
Pathologic diagnosis | |||||||||||||
Benign | 141 | Ref. | Ref. | Ref. | Ref. | ||||||||
Proliferative | 171 | 0.10 | 0.15 | 0.51 | −0.06 | 0.19 | 0.75 | 0.28 | 0.39 | 0.47 | −0.01 | 0.24 | 0.96 |
Proliferative with atypia | 32 | 0.55 | 0.26 | 0.03 | 0.81 | 0.33 | 0.02 | 0.81 | 0.68 | 0.24 | 0.71 | 0.41 | 0.09 |
In-situ | 34 | −0.09 | 0.25 | 0.73 | 0.21 | 0.33 | 0.53 | 0.13 | 0.67 | 0.85 | 0.20 | 0.41 | 0.63 |
Invasive breast cancer | 35 | 0.06 | 0.25 | 0.81 | 0.06 | 0.32 | 0.86 | 0.60 | 0.65 | 0.36 | 0.23 | 0.40 | 0.56 |
P value for trend | 0.71 | 0.35 | 0.35 | 0.32 |