Abstract
Pesticides are of interest in etiologic studies of breast cancer because many mimic estrogen, a known breast cancer risk factor, or cause mammary tumors in animals, but most previous studies have been limited by using one-time tissue measurements of residues of only a few pesticides long banned in the United States. As an alternative method to assess historical exposures to banned and current-use pesticides, we used geographic information system (GIS) technology in a population-based case-control study of 1,165 women residing in Cape Cod, Massachusetts, who were diagnosed with breast cancer in 1988-1995 and 1,006 controls. We assessed exposures dating back to 1948 (when DDT was first used there) from pesticides applied for tree pests (e.g., gypsy moths), cranberry bogs, other agriculture, and mosquito control on wetlands. We found no overall pattern of association between pesticide use and breast cancer. We found modest increases in risk associated with aerial application of persistent pesticides on cranberry bogs and less persistent pesticides applied for tree pests or agriculture. Adjusted odds ratios for these exposures were 1.8 or lower, and, with a few exceptions, confidence intervals did not exclude the null. The study is limited by uncertainty about locations of home addresses (particularly before 1980) and unrecorded tree pest and mosquito control events as well as lack of information about exposures during years when women in the study lived off Cape Cod and about women with potentially important early life exposures on Cape Cod who were not included because they moved away.
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- Abdalla Mohamed H., Gutierrez-Mohamed Mary Lou, Farah Ibrahim O. Association of pesticide exposure and risk of breast cancer mortality in Mississippi. Biomed Sci Instrum. 2003;39:397–401. [PubMed] [Google Scholar]
- Andersen Helle Raun, Vinggaard Anne Marie, Rasmussen Thomas Hoj, Gjermandsen Irene Marianne, Bonefeld-Jørgensen Eva Cecilie. Effects of currently used pesticides in assays for estrogenicity, androgenicity, and aromatase activity in vitro. Toxicol Appl Pharmacol. 2002 Feb 15;179(1):1–12. doi: 10.1006/taap.2001.9347. [DOI] [PubMed] [Google Scholar]
- Aschengrau A., Ozonoff D., Coogan P., Vezina R., Heeren T., Zhang Y. Cancer risk and residential proximity to cranberry cultivation in Massachusetts. Am J Public Health. 1996 Sep;86(9):1289–1296. doi: 10.2105/ajph.86.9.1289. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Aschengrau Ann, Rogers Sarah, Ozonoff David. Perchloroethylene-contaminated drinking water and the risk of breast cancer: additional results from Cape Cod, Massachusetts, USA. Environ Health Perspect. 2003 Feb;111(2):167–173. doi: 10.1289/ehp.4980. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Band P. R., Le N. D., Fang R., Deschamps M., Gallagher R. P., Yang P. Identification of occupational cancer risks in British Columbia. A population-based case-control study of 995 incident breast cancer cases by menopausal status, controlling for confounding factors. J Occup Environ Med. 2000 Mar;42(3):284–310. doi: 10.1097/00043764-200003000-00010. [DOI] [PubMed] [Google Scholar]
- Bell E. M., Hertz-Picciotto I., Beaumont J. J. A case-control study of pesticides and fetal death due to congenital anomalies. Epidemiology. 2001 Mar;12(2):148–156. doi: 10.1097/00001648-200103000-00005. [DOI] [PubMed] [Google Scholar]
- Bennett L. Michelle, Davis Barbara J. Identification of mammary carcinogens in rodent bioassays. Environ Mol Mutagen. 2002;39(2-3):150–157. doi: 10.1002/em.10068. [DOI] [PubMed] [Google Scholar]
- Brody Julia Green, Rudel Ruthann A. Environmental pollutants and breast cancer. Environ Health Perspect. 2003 Jun;111(8):1007–1019. doi: 10.1289/ehp.6310. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Brody Julia Green, Vorhees Donna J., Melly Steven J., Swedis Susan R., Drivas Peter J., Rudel Ruthann A. Using GIS and historical records to reconstruct residential exposure to large-scale pesticide application. J Expo Anal Environ Epidemiol. 2002 Jan-Feb;12(1):64–80. doi: 10.1038/sj.jea.7500205. [DOI] [PubMed] [Google Scholar]
- Charlier C., Albert A., Herman P., Hamoir E., Gaspard U., Meurisse M., Plomteux G. Breast cancer and serum organochlorine residues. Occup Environ Med. 2003 May;60(5):348–351. doi: 10.1136/oem.60.5.348. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Davis D. L., Bradlow H. L., Wolff M., Woodruff T., Hoel D. G., Anton-Culver H. Medical hypothesis: xenoestrogens as preventable causes of breast cancer. Environ Health Perspect. 1993 Oct;101(5):372–377. doi: 10.1289/ehp.93101372. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dolapsakis G., Vlachonikolis I. G., Varveris C., Tsatsakis A. M. Mammographic findings and occupational exposure to pesticides currently in use on Crete. Eur J Cancer. 2001 Aug;37(12):1531–1536. doi: 10.1016/s0959-8049(01)00159-9. [DOI] [PubMed] [Google Scholar]
- Duell E. J., Millikan R. C., Savitz D. A., Newman B., Smith J. C., Schell M. J., Sandler D. P. A population-based case-control study of farming and breast cancer in North Carolina. Epidemiology. 2000 Sep;11(5):523–531. doi: 10.1097/00001648-200009000-00007. [DOI] [PubMed] [Google Scholar]
- Fenske Richard A., Lu Chensheng, Barr Dana, Needham Larry. Children's exposure to chlorpyrifos and parathion in an agricultural community in central Washington State. Environ Health Perspect. 2002 May;110(5):549–553. doi: 10.1289/ehp.02110549. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fleming L. E., Bean J. A., Rudolph M., Hamilton K. Cancer incidence in a cohort of licensed pesticide applicators in Florida. J Occup Environ Med. 1999 Apr;41(4):279–288. doi: 10.1097/00043764-199904000-00010. [DOI] [PubMed] [Google Scholar]
- Fleming L. E., Bean J. A., Rudolph M., Hamilton K. Mortality in a cohort of licensed pesticide applicators in Florida. Occup Environ Med. 1999 Jan;56(1):14–21. doi: 10.1136/oem.56.1.14. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gammon Marilie D., Wolff Mary S., Neugut Alfred I., Eng Sybil M., Teitelbaum Susan L., Britton Julie A., Terry Mary Beth, Levin Bruce, Stellman Steven D., Kabat Geoffrey C. Environmental toxins and breast cancer on Long Island. II. Organochlorine compound levels in blood. Cancer Epidemiol Biomarkers Prev. 2002 Aug;11(8):686–697. [PubMed] [Google Scholar]
- Hopenhayn-Rich C., Stump M. L., Browning S. R. Regional assessment of atrazine exposure and incidence of breast and ovarian cancers in Kentucky. Arch Environ Contam Toxicol. 2002 Jan;42(1):127–136. doi: 10.1007/s002440010300. [DOI] [PubMed] [Google Scholar]
- Hurley Susan E., Saunders Theresa M., Nivas Rachna, Hertz Andrew, Reynolds Peggy. Post office box addresses: a challenge for geographic information system-based studies. Epidemiology. 2003 Jul;14(4):386–391. doi: 10.1097/01.EDE.0000073161.66729.89. [DOI] [PubMed] [Google Scholar]
- Høyer A. P., Grandjean P., Jørgensen T., Brock J. W., Hartvig H. B. Organochlorine exposure and risk of breast cancer. Lancet. 1998 Dec 5;352(9143):1816–1820. doi: 10.1016/S0140-6736(98)04504-8. [DOI] [PubMed] [Google Scholar]
- Høyer A. P., Jørgensen T., Grandjean P., Hartvig H. B. Repeated measurements of organochlorine exposure and breast cancer risk (Denmark). Cancer Causes Control. 2000 Feb;11(2):177–184. doi: 10.1023/a:1008926219539. [DOI] [PubMed] [Google Scholar]
- Høyer Annette Pernille, Gerdes Anne-Marie, Jørgensen Torben, Rank Fritz, Hartvig Helle Bøggild. Organochlorines, p53 mutations in relation to breast cancer risk and survival. A Danish cohort-nested case-controls study. Breast Cancer Res Treat. 2002 Jan;71(1):59–65. doi: 10.1023/a:1013340327099. [DOI] [PubMed] [Google Scholar]
- Janssens J. P., Van Hecke E., Geys H., Bruckers L., Renard D., Molenberghs G. Pesticides and mortality from hormone-dependent cancers. Eur J Cancer Prev. 2001 Oct;10(5):459–467. doi: 10.1097/00008469-200110000-00010. [DOI] [PubMed] [Google Scholar]
- Kettles M. K., Browning S. R., Prince T. S., Horstman S. W. Triazine herbicide exposure and breast cancer incidence: an ecologic study of Kentucky counties. Environ Health Perspect. 1997 Nov;105(11):1222–1227. doi: 10.1289/ehp.971051222. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kogevinas M., Saracci R., Winkelmann R., Johnson E. S., Bertazzi P. A., Bueno de Mesquita B. H., Kauppinen T., Littorin M., Lynge E., Neuberger M. Cancer incidence and mortality in women occupationally exposed to chlorophenoxy herbicides, chlorophenols, and dioxins. Cancer Causes Control. 1993 Nov;4(6):547–553. doi: 10.1007/BF00052430. [DOI] [PubMed] [Google Scholar]
- Laden F., Collman G., Iwamoto K., Alberg A. J., Berkowitz G. S., Freudenheim J. L., Hankinson S. E., Helzlsouer K. J., Holford T. R., Huang H. Y. 1,1-Dichloro-2,2-bis(p-chlorophenyl)ethylene and polychlorinated biphenyls and breast cancer: combined analysis of five U.S. studies. J Natl Cancer Inst. 2001 May 16;93(10):768–776. doi: 10.1093/jnci/93.10.768. [DOI] [PubMed] [Google Scholar]
- Lu C., Fenske R. A., Simcox N. J., Kalman D. Pesticide exposure of children in an agricultural community: evidence of household proximity to farmland and take home exposure pathways. Environ Res. 2000 Nov;84(3):290–302. doi: 10.1006/enrs.2000.4076. [DOI] [PubMed] [Google Scholar]
- Manz A., Berger J., Dwyer J. H., Flesch-Janys D., Nagel S., Waltsgott H. Cancer mortality among workers in chemical plant contaminated with dioxin. Lancet. 1991 Oct 19;338(8773):959–964. doi: 10.1016/0140-6736(91)91835-i. [DOI] [PubMed] [Google Scholar]
- McKelvey Wendy, Brody Julia Green, Aschengrau Ann, Swartz Christopher H. Association between residence on Cape Cod, Massachusetts, and breast cancer. Ann Epidemiol. 2004 Feb;14(2):89–94. doi: 10.1016/S1047-2797(03)00120-0. [DOI] [PubMed] [Google Scholar]
- Rudel Ruthann A., Camann David E., Spengler John D., Korn Leo R., Brody Julia G. Phthalates, alkylphenols, pesticides, polybrominated diphenyl ethers, and other endocrine-disrupting compounds in indoor air and dust. Environ Sci Technol. 2003 Oct 15;37(20):4543–4553. doi: 10.1021/es0264596. [DOI] [PubMed] [Google Scholar]
- Simcox N. J., Fenske R. A., Wolz S. A., Lee I. C., Kalman D. A. Pesticides in household dust and soil: exposure pathways for children of agricultural families. Environ Health Perspect. 1995 Dec;103(12):1126–1134. doi: 10.1289/ehp.951031126. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Snedeker S. M. Pesticides and breast cancer risk: a review of DDT, DDE, and dieldrin. Environ Health Perspect. 2001 Mar;109 (Suppl 1):35–47. doi: 10.1289/ehp.01109s135. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stellman Jeanne Mager, Stellman Steven D., Christian Richard, Weber Tracy, Tomasallo Carrie. The extent and patterns of usage of Agent Orange and other herbicides in Vietnam. Nature. 2003 Apr 17;422(6933):681–687. doi: 10.1038/nature01537. [DOI] [PubMed] [Google Scholar]
- Stellman Jeanne Mager, Stellman Steven D., Weber Tracy, Tomasallo Carrie, Stellman Andrew B., Christian Richard., Jr A geographic information system for characterizing exposure to Agent Orange and other herbicides in Vietnam. Environ Health Perspect. 2003 Mar;111(3):321–328. doi: 10.1289/ehp.5755. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wakefield J. Human Exposure: the key to better risk assessment. Environ Health Perspect. 2000 Dec;108(12):A559–A565. doi: 10.1289/ehp.108-1240207. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ward M. H., Nuckols J. R., Weigel S. J., Maxwell S. K., Cantor K. P., Miller R. S. Identifying populations potentially exposed to agricultural pesticides using remote sensing and a Geographic Information System. Environ Health Perspect. 2000 Jan;108(1):5–12. doi: 10.1289/ehp.001085. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Weinberg C. R., Moledor E. S., Umbach D. M., Sandler D. P. Imputation for exposure histories with gaps, under an excess relative risk model. Epidemiology. 1996 Sep;7(5):490–497. [PubMed] [Google Scholar]
- Wolff M. S., Collman G. W., Barrett J. C., Huff J. Breast cancer and environmental risk factors: epidemiological and experimental findings. Annu Rev Pharmacol Toxicol. 1996;36:573–596. doi: 10.1146/annurev.pa.36.040196.003041. [DOI] [PubMed] [Google Scholar]
- Xiang H., Nuckols J. R., Stallones L. A geographic information assessment of birth weight and crop production patterns around mother's residence. Environ Res. 2000 Feb;82(2):160–167. doi: 10.1006/enrs.1999.4009. [DOI] [PubMed] [Google Scholar]