Reproductive factors and risk of breast cancer in black South African women
| Autor: | Shane A. Norris, Sabina Rinaldi, Carine Biessy, Hester H Vorster, Maureen Joffe, Herbert Cubasch, Marc J. Gunter, Isabelle Romieu, Christine Taljaard-Krugell |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Cancer Research medicine.medical_specialty Population Black People Breast Neoplasms Article 03 medical and health sciences South Africa 0302 clinical medicine Breast cancer Pregnancy Risk Factors Epidemiology medicine Humans 030212 general & internal medicine education Life Style Reproductive History Aged education.field_of_study business.industry Public health Confounding Middle Aged medicine.disease Reproductive Factors Oncology 030220 oncology & carcinogenesis Case-Control Studies Menarche Female Menopause business Demography |
| Zdroj: | Cancer Causes Control |
| ISSN: | 1573-7225 |
| Popis: | PURPOSE: Breast cancer (BC) is increasing in black South African women, but few studies have investigated its risk factors. METHODS: We conducted an analysis of reproductive factors and BC risk in the South African Breast Cancer (SABC) study—a population-based case–control study of black South African women from Soweto that included 399 cases and 399 matched controls. Information on lifestyle and reproductive history was obtained by interviews. Conditional logistic regression was used to determine the association of reproductive factors with BC, adjusting for potential confounding factors. RESULTS: Seventy-five percent of all BC cases were ER+, 66% PR+, 30% HER2+, and 16% TN. None of the reproductive variables were associated with BC overall or by subtype in the overall population, nor in pre- (n = 135 cases) or in post-menopausal women separately. In HIV-negative pre-menopausal women (n = 97 cases), later age at first pregnancy and longer time between menarche and first full-time pregnancy were inversely related to BC risk (OR 0.89 (95% CI 0.82–0.97; and 0.93 95% CI 0.86–1.01, respectively). CONCLUSION: In this population of black South African women, reproductive factors were not associated with BC risk. |
| Databáze: | OpenAIRE |
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