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Table 4.

Language usage, acculturation, and breast cancer risk in Hispanic women, by menopausal status

Premenopausal women
Postmenopausal women
Cases (n = 376)Controls (n = 482)Age-adjusted OR (95% CI)Cases (n = 615)Controls (n = 803)Age-adjusted OR (95% CI)
Language chosen for interview       
    English 250 201 1.0 391 335 1.0 
    Spanish 126 281 0.36 (0.27-0.48) 224 468 0.41 (0.33-0.51) 
Language spoken now       
    English only 57 38 1.0 61 30 1.0 
    More English than Spanish 123 99 0.79 (0.49-1.30) 201 179 0.54 (0.34-0.88) 
    English and Spanish equally 71 66 0.70 (0.41-1.19) 142 169 0.41 (0.25-0.66) 
    More Spanish than English 77 141 0.36 (0.22-0.60) 111 210 0.26 (0.16-0.42) 
    Spanish only 45 136 0.21 (0.13-0.37) 98 214 0.22 (0.14-0.37) 
   Ptrend < 0.01   Ptrend < 0.01 
Language spoken with friends       
    English only 135 95 1.0 175 119 1.0 
    More English than Spanish 55 58 0.68 (0.43-1.07) 121 108 0.75 (0.53-1.07) 
    English and Spanish equally 53 53 0.70 (0.44-1.12) 119 156 0.52 (0.37-0.72) 
    More Spanish than English 35 72 0.34 (0.21-0.55) 62 112 0.38 (0.25-0.55) 
    Spanish only 90 201 0.32 (0.22-0.46) 133 304 0.30 (0.22-0.41) 
   Ptrend < 0.01   Ptrend < 0.01 
Birthplace, years of residence in the United States, language spoken       
    U.S.-born, mostly English 150 117 1.0 223 172 1.0 
    U.S.-born, English and Spanish 23 22 0.82 (0.44-1.55) 83 88 0.73 (0.51-1.04) 
    U.S.-born, mostly Spanish 0.30 (0.06-1.59) 20 20 0.77 (0.40-1.48) 
    Foreign-born, ≥20 y, mostly English 23 13 1.36 (0.66-2.81) 37 35 0.82 (0.49-1.35) 
    Foreign-born, ≥20 y, English and Spanish 36 25 1.10 (0.63-1.94) 80 80 0.54 (0.36-0.80) 
    Foreign-born, ≥20 y, mostly Spanish 45 79 0.43 (0.27-0.66) 231 231 0.43 (0.32-0.58) 
    Foreign-born, <20 y, mostly English 0.84 (0.29-2.48) 0.77 (0.11-5.55) 
    Foreign-born, <20 y, English and Spanish 12 19 0.51 (0.24-1.10) 2.31 (0.24-22.4) 
    Foreign-born, <20 y, mostly Spanish 75 193 0.32 (0.22-0.46) 59 173 0.26 (0.18-0.38) 
Acculturation index*       
    4 (highest) 172 131 1.0 256 192 1.0 
    3 91 84 0.85 (0.58-1.23) 173 217 0.59 (0.45-0.78) 
    2 66 128 0.40 (0.28-0.58) 88 182 0.36 (0.27-0.50) 
    1 (lowest) 44 134 0.25 (0.17-0.38) 92 207 0.33 (0.25-0.45) 
   Ptrend < 0.01   Ptrend < 0.01 
Premenopausal women
Postmenopausal women
Cases (n = 376)Controls (n = 482)Age-adjusted OR (95% CI)Cases (n = 615)Controls (n = 803)Age-adjusted OR (95% CI)
Language chosen for interview       
    English 250 201 1.0 391 335 1.0 
    Spanish 126 281 0.36 (0.27-0.48) 224 468 0.41 (0.33-0.51) 
Language spoken now       
    English only 57 38 1.0 61 30 1.0 
    More English than Spanish 123 99 0.79 (0.49-1.30) 201 179 0.54 (0.34-0.88) 
    English and Spanish equally 71 66 0.70 (0.41-1.19) 142 169 0.41 (0.25-0.66) 
    More Spanish than English 77 141 0.36 (0.22-0.60) 111 210 0.26 (0.16-0.42) 
    Spanish only 45 136 0.21 (0.13-0.37) 98 214 0.22 (0.14-0.37) 
   Ptrend < 0.01   Ptrend < 0.01 
Language spoken with friends       
    English only 135 95 1.0 175 119 1.0 
    More English than Spanish 55 58 0.68 (0.43-1.07) 121 108 0.75 (0.53-1.07) 
    English and Spanish equally 53 53 0.70 (0.44-1.12) 119 156 0.52 (0.37-0.72) 
    More Spanish than English 35 72 0.34 (0.21-0.55) 62 112 0.38 (0.25-0.55) 
    Spanish only 90 201 0.32 (0.22-0.46) 133 304 0.30 (0.22-0.41) 
   Ptrend < 0.01   Ptrend < 0.01 
Birthplace, years of residence in the United States, language spoken       
    U.S.-born, mostly English 150 117 1.0 223 172 1.0 
    U.S.-born, English and Spanish 23 22 0.82 (0.44-1.55) 83 88 0.73 (0.51-1.04) 
    U.S.-born, mostly Spanish 0.30 (0.06-1.59) 20 20 0.77 (0.40-1.48) 
    Foreign-born, ≥20 y, mostly English 23 13 1.36 (0.66-2.81) 37 35 0.82 (0.49-1.35) 
    Foreign-born, ≥20 y, English and Spanish 36 25 1.10 (0.63-1.94) 80 80 0.54 (0.36-0.80) 
    Foreign-born, ≥20 y, mostly Spanish 45 79 0.43 (0.27-0.66) 231 231 0.43 (0.32-0.58) 
    Foreign-born, <20 y, mostly English 0.84 (0.29-2.48) 0.77 (0.11-5.55) 
    Foreign-born, <20 y, English and Spanish 12 19 0.51 (0.24-1.10) 2.31 (0.24-22.4) 
    Foreign-born, <20 y, mostly Spanish 75 193 0.32 (0.22-0.46) 59 173 0.26 (0.18-0.38) 
Acculturation index*       
    4 (highest) 172 131 1.0 256 192 1.0 
    3 91 84 0.85 (0.58-1.23) 173 217 0.59 (0.45-0.78) 
    2 66 128 0.40 (0.28-0.58) 88 182 0.36 (0.27-0.50) 
    1 (lowest) 44 134 0.25 (0.17-0.38) 92 207 0.33 (0.25-0.45) 
   Ptrend < 0.01   Ptrend < 0.01 
*

Categorized according to the approximate quartile distribution among premenopausal and postmenopausal controls combined.

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