Skip to main content
Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1990 Sep;44(3):215–219. doi: 10.1136/jech.44.3.215

A cohort analysis of breast cancer, uterine corpus cancer, and childbearing pattern in Norwegian women.

S Tretli 1, T Haldorsen 1
PMCID: PMC1060645  PMID: 2273359

Abstract

STUDY OBJECTIVE--The aim was to study the influence of childbearing pattern on the incidence of breast cancer and uterine corpus cancer. DESIGN--This was an ecological study of birth cohorts of women. SETTING--The study was population based, involving the whole of Norway. PARTICIPANTS--The participants were Norwegian women born between 1890 and 1944. MEASUREMENTS AND MAIN RESULTS--Age specific fertility rates and age specific incidence rates for different birth cohorts were analysed by an age-cohort-period model where quantitative indices of the childbearing pattern substituted the cohort component. The 1890-94 birth cohort had the most favourable childbearing pattern with regard to the risk of breast cancer as well as uterine corpus cancer. The least favourable pattern was in the 1910-14 cohort for breast cancer and the 1940-44 cohort for uterine corpus cancer. In the analysis it is estimated that about 15% of the increase in incidence of breast cancer from 1955 to 1984 may be attributed to changes in the childbearing pattern of the cohorts under study. For cancer of the uterine corpus the corresponding fraction is about 27%. CONCLUSIONS--The study reveals that changes in childbearing pattern may explain a certain fraction of the observed increase in breast and uterine corpus cancer in Norway in the last 30 years, but the largest fraction must be accounted for by other factors.

Full text

PDF
216

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brudevoll J. E., Liestøl K., Walløe L. Menarcheal age in Oslo during the last 140 years. Ann Hum Biol. 1979 Sep-Oct;6(5):407–416. doi: 10.1080/03014467900003801. [DOI] [PubMed] [Google Scholar]
  2. Clayton D., Schifflers E. Models for temporal variation in cancer rates. II: Age-period-cohort models. Stat Med. 1987 Jun;6(4):469–481. doi: 10.1002/sim.4780060406. [DOI] [PubMed] [Google Scholar]
  3. Hems G. Associations between breast-cancer mortality rates, child-bearing and diet in the United Kingdom. Br J Cancer. 1980 Mar;41(3):429–437. doi: 10.1038/bjc.1980.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Hems G., Stuart A. Breast cancer rates in populations of single women. Br J Cancer. 1975 Jan;31(1):118–123. doi: 10.1038/bjc.1975.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Hems G. The contributions of diet and childbearing to breast-cancer rates. Br J Cancer. 1978 Jun;37(6):974–982. doi: 10.1038/bjc.1978.142. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Henderson B. E., Casagrande J. T., Pike M. C., Mack T., Rosario I., Duke A. The epidemiology of endometrial cancer in young women. Br J Cancer. 1983 Jun;47(6):749–756. doi: 10.1038/bjc.1983.127. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Jick H., Walker A. M., Rothman K. J. The epidemic of endometrial cancer: a commentary. Am J Public Health. 1980 Mar;70(3):264–267. doi: 10.2105/ajph.70.3.264. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Kelsey J. L., LiVolsi V. A., Holford T. R., Fischer D. B., Mostow E. D., Schwartz P. E., O'Connor T., White C. A case-control study of cancer of the endometrium. Am J Epidemiol. 1982 Aug;116(2):333–342. doi: 10.1093/oxfordjournals.aje.a113417. [DOI] [PubMed] [Google Scholar]
  9. Kvåle G., Heuch I. A prospective study of reproductive factors and breast cancer. II. Age at first and last birth. Am J Epidemiol. 1987 Nov;126(5):842–850. doi: 10.1093/oxfordjournals.aje.a114721. [DOI] [PubMed] [Google Scholar]
  10. Kvåle G., Heuch I., Eide G. E. A prospective study of reproductive factors and breast cancer. I. Parity. Am J Epidemiol. 1987 Nov;126(5):831–841. doi: 10.1093/oxfordjournals.aje.a114720. [DOI] [PubMed] [Google Scholar]
  11. Kvåle G., Heuch I., Ursin G. Reproductive factors and risk of cancer of the uterine corpus: a prospective study. Cancer Res. 1988 Nov 1;48(21):6217–6221. [PubMed] [Google Scholar]
  12. Kvåle G., Heuch I., Ursin G. Reproductive factors and risk of cancer of the uterine corpus: a prospective study. Cancer Res. 1988 Nov 1;48(21):6217–6221. [PubMed] [Google Scholar]
  13. McPherson K., Wennberg J. E., Hovind O. B., Clifford P. Small-area variations in the use of common surgical procedures: an international comparison of New England, England, and Norway. N Engl J Med. 1982 Nov 18;307(21):1310–1314. doi: 10.1056/NEJM198211183072104. [DOI] [PubMed] [Google Scholar]
  14. Moolgavkar S. H., Lee J. A., Hade R. D. Comparison of age-specific mortality from breast cancer in males in the United States and Japan. J Natl Cancer Inst. 1978 Jun;60(6):1223–1225. doi: 10.1093/jnci/60.6.1223. [DOI] [PubMed] [Google Scholar]
  15. Stevens R. G., Moolgavkar S. H. A cohort analysis of lung cancer and smoking in British males. Am J Epidemiol. 1984 Apr;119(4):624–641. doi: 10.1093/oxfordjournals.aje.a113779. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Epidemiology and Community Health are provided here courtesy of BMJ Publishing Group

RESOURCES