Abstract
In a population based case-control study 433 New Zealand women aged 25-54 with newly diagnosed breast cancer were compared with 897 women selected at random from the electoral rolls. The relative risk of breast cancer in women who had ever used oral contraceptives was 0.94 (95% confidence interval 0.70 to 1.25). The relative risk in women aged 25-34 at diagnosis was estimated to be 2.2 (95% confidence interval 0.47 to 9.9) and in older women less than 1. Analyses of risk by duration of use of oral contraceptives, age at first use, and time since first use showed no adverse effect of the pill. In particular, there was no increased risk in women who had used oral contraceptives before the age of 25 or before their first pregnancy, even for prolonged periods. Given the high prevalence of use in New Zealand, this study provides strong evidence against the hypothesis that use of oral contraceptives at young ages increases the risk of breast cancer.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Harris N. V., Weiss N. S., Francis A. M., Polissar L. Breast cancer in relation to patterns of oral contraceptive use. Am J Epidemiol. 1982 Oct;116(4):643–651. doi: 10.1093/oxfordjournals.aje.a113447. [DOI] [PubMed] [Google Scholar]
- Kalache A., McPherson K., Barltrop K., Vessey M. P. Oral contraceptives and breast cancer. Br J Hosp Med. 1983 Oct;30(4):278–283. [PubMed] [Google Scholar]
- MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
- McPherson K., Coope P. A. Early oral contraceptive use and breast cancer risk. Lancet. 1986 Mar 22;1(8482):685–686. doi: 10.1016/s0140-6736(86)91765-4. [DOI] [PubMed] [Google Scholar]
- Pike M. C., Henderson B. E., Casagrande J. T., Rosario I., Gray G. E. Oral contraceptive use and early abortion as risk factors for breast cancer in young women. Br J Cancer. 1981 Jan;43(1):72–76. doi: 10.1038/bjc.1981.10. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pike M. C., Henderson B. E., Krailo M. D., Duke A., Roy S. Breast cancer in young women and use of oral contraceptives: possible modifying effect of formulation and age at use. Lancet. 1983 Oct 22;2(8356):926–930. doi: 10.1016/s0140-6736(83)90450-6. [DOI] [PubMed] [Google Scholar]
- Stadel B. V., Rubin G. L., Webster L. A., Schlesselman J. J., Wingo P. A. Oral contraceptives and breast cancer in young women. Lancet. 1985 Nov 2;2(8462):970–973. doi: 10.1016/s0140-6736(85)90524-0. [DOI] [PubMed] [Google Scholar]
- Thomas D. G. Exact and asymptotic methods for the combination of 2 times 2 tables. Comput Biomed Res. 1975 Oct;8(5):423–446. doi: 10.1016/0010-4809(75)90048-8. [DOI] [PubMed] [Google Scholar]
- Vessey M. P., McPherson K., Yeates D., Doll R. Oral contraceptive use and abortion before first term pregnancy in relation to breast cancer risk. Br J Cancer. 1982 Mar;45(3):327–331. doi: 10.1038/bjc.1982.58. [DOI] [PMC free article] [PubMed] [Google Scholar]