Abstract
A population-based case-control study was conducted in Sweden and Norway to analyse possible associations between breast cancer occurring before the age of 45 and several different characteristics of the women's reproductive life. A total of 422 (89.2%) of all eligible patients, and 527 (80.6%) of all eligible controls were interviewed. In univariate analyses, different characteristics of child-bearing (parity, age at first birth, years between last birth and diagnosis, duration of breast-feeding, and number of induced and spontaneous abortions), measures of the fertile or ovulating period (age at menarche, years between menarche and first pregnancy, and estimates of the menstruation span) and symptoms of anovulatory cycles or infertility were all seemingly unrelated to, or at most weakly associated with breast cancer. Adjustment for possible confounding factors in multivariate analyses resulted in largely unaltered risk estimates with odds ratios close to unity and without any significant trends when the exposure variables were studied in categorised or in continuous form. We conclude that reproductive factors did not explain the occurrence of breast cancer before the age of 45 in this population.
Full text
PDF




Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Adami H. O., Hansen J., Jung B., Rimsten A. J. Age at first birth, parity and risk of breast cancer in a Swedish population. Br J Cancer. 1980 Nov;42(5):651–658. doi: 10.1038/bjc.1980.298. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Adami H. O., Rimsten A., Stenkvist B., Vegelius J. Reproductive history and risk of breast cancer: a case-control study in an unselected Swedish population. Cancer. 1978 Feb;41(2):747–757. doi: 10.1002/1097-0142(197802)41:2<747::aid-cncr2820410248>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]
- Bergkvist L., Adami H. O., Persson I., Hoover R., Schairer C. The risk of breast cancer after estrogen and estrogen-progestin replacement. N Engl J Med. 1989 Aug 3;321(5):293–297. doi: 10.1056/NEJM198908033210505. [DOI] [PubMed] [Google Scholar]
- Brignone G., Cusimano R., Dardanoni G., Gugliuzza M., Lanzarone F., Scibilia V., Dardanoni L. A case-control study on breast cancer risk factors in a southern European population. Int J Epidemiol. 1987 Sep;16(3):356–361. doi: 10.1093/ije/16.3.356. [DOI] [PubMed] [Google Scholar]
- Brinton L. A., Hoover R., Fraumeni J. F., Jr Reproductive factors in the aetiology of breast cancer. Br J Cancer. 1983 Jun;47(6):757–762. doi: 10.1038/bjc.1983.128. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Byers T., Graham S., Rzepka T., Marshall J. Lactation and breast cancer. Evidence for a negative association in premenopausal women. Am J Epidemiol. 1985 May;121(5):664–674. doi: 10.1093/aje/121.5.664. [DOI] [PubMed] [Google Scholar]
- Choi N. W., Howe G. R., Miller A. B., Matthews V., Morgan R. W., Munan L., Burch J. D., Feather J., Jain M., Kelly A. An epidemiologic study of breast cancer. Am J Epidemiol. 1978 Jun;107(6):510–521. doi: 10.1093/oxfordjournals.aje.a112570. [DOI] [PubMed] [Google Scholar]
- Cowan L. D., Gordis L., Tonascia J. A., Jones G. S. Breast cancer incidence in women with a history of progesterone deficiency. Am J Epidemiol. 1981 Aug;114(2):209–217. doi: 10.1093/oxfordjournals.aje.a113184. [DOI] [PubMed] [Google Scholar]
- Ewertz M., Duffy S. W. Risk of breast cancer in relation to reproductive factors in Denmark. Br J Cancer. 1988 Jul;58(1):99–104. doi: 10.1038/bjc.1988.172. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Goodwin P. J., Boyd N. F. Critical appraisal of the evidence that dietary fat intake is related to breast cancer risk in humans. J Natl Cancer Inst. 1987 Sep;79(3):473–485. [PubMed] [Google Scholar]
- Hadjimichael O. C., Boyle C. A., Meigs J. W. Abortion before first livebirth and risk of breast cancer. Br J Cancer. 1986 Feb;53(2):281–284. doi: 10.1038/bjc.1986.46. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Henderson B. E., Ross R. K., Judd H. L., Krailo M. D., Pike M. C. Do regular ovulatory cycles increase breast cancer risk? Cancer. 1985 Sep 1;56(5):1206–1208. doi: 10.1002/1097-0142(19850901)56:5<1206::aid-cncr2820560541>3.0.co;2-9. [DOI] [PubMed] [Google Scholar]
- Hunt S. C., Williams R. R., Skolnick M. H., Lyon J. L., Smart C. R. Breast cancer and reproductive history from genealogical data. J Natl Cancer Inst. 1980 May;64(5):1047–1053. [PubMed] [Google Scholar]
- Janerich D. T., Hoff M. B. Evidence for a crossover in breast cancer risk factors. Am J Epidemiol. 1982 Nov;116(5):737–742. doi: 10.1093/oxfordjournals.aje.a113462. [DOI] [PubMed] [Google Scholar]
- Kelsey J. L. A review of the epidemiology of human breast cancer. Epidemiol Rev. 1979;1:74–109. doi: 10.1093/oxfordjournals.epirev.a036215. [DOI] [PubMed] [Google Scholar]
- Korenman S. G. Oestrogen window hypothesis of the aetiology of breast cancer. Lancet. 1980 Mar 29;1(8170):700–701. [PubMed] [Google Scholar]
- 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]
- 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]
- La Vecchia C., Decarli A., Parazzini F., Gentile A., Negri E., Cecchetti G., Franceschi S. General epidemiology of breast cancer in northern Italy. Int J Epidemiol. 1987 Sep;16(3):347–355. doi: 10.1093/ije/16.3.347. [DOI] [PubMed] [Google Scholar]
- Layde P. M., Webster L. A., Baughman A. L., Wingo P. A., Rubin G. L., Ory H. W. The independent associations of parity, age at first full term pregnancy, and duration of breastfeeding with the risk of breast cancer. Cancer and Steroid Hormone Study Group. J Clin Epidemiol. 1989;42(10):963–973. doi: 10.1016/0895-4356(89)90161-3. [DOI] [PubMed] [Google Scholar]
- Lipnick R., Speizer F. E., Bain C., Willett W., Rosner B., Stampfer M. J., Belanger C., Hennekens C. H. A case-control study of risk indicators among women with premenopausal and early postmenopausal breast cancer. Cancer. 1984 Feb 15;53(4):1020–1024. doi: 10.1002/1097-0142(19840215)53:4<1020::aid-cncr2820530433>3.0.co;2-g. [DOI] [PubMed] [Google Scholar]
- Lubin J. H., Burns P. E., Blot W. J., Lees A. W., May C., Morris L. E., Fraumeni J. F., Jr Risk factors for breast cancer in women in northern Alberta, Canada, as related to age at diagnosis. J Natl Cancer Inst. 1982 Feb;68(2):211–217. [PubMed] [Google Scholar]
- MacMahon B., Cole P., Brown J. Etiology of human breast cancer: a review. J Natl Cancer Inst. 1973 Jan;50(1):21–42. doi: 10.1093/jnci/50.1.21. [DOI] [PubMed] [Google Scholar]
- MacMahon B., Purde M., Cramer D., Hint E. Association of breast cancer risk with age at first and subsequent births: a study in the population of the Estonian Republic. J Natl Cancer Inst. 1982 Nov;69(5):1035–1038. [PubMed] [Google Scholar]
- McTiernan A., Thomas D. B. Evidence for a protective effect of lactation on risk of breast cancer in young women. Results from a case-control study. Am J Epidemiol. 1986 Sep;124(3):353–358. doi: 10.1093/oxfordjournals.aje.a114405. [DOI] [PubMed] [Google Scholar]
- Meirik O., Lund E., Adami H. O., Bergström R., Christoffersen T., Bergsjö P. Oral contraceptive use and breast cancer in young women. A joint national case-control study in Sweden and Norway. Lancet. 1986 Sep 20;2(8508):650–654. doi: 10.1016/s0140-6736(86)90166-2. [DOI] [PubMed] [Google Scholar]
- Negri E., La Vecchia C., Bruzzi P., Dardanoni G., Decarli A., Palli D., Parazzini F., Rosselli del Turco M. Risk factors for breast cancer: pooled results from three Italian case-control studies. Am J Epidemiol. 1988 Dec;128(6):1207–1215. doi: 10.1093/oxfordjournals.aje.a115075. [DOI] [PubMed] [Google Scholar]
- Paffenbarger R. S., Jr, Kampert J. B., Chang H. G. Characteristics that predict risk of breast cancer before and after the menopause. Am J Epidemiol. 1980 Aug;112(2):258–268. doi: 10.1093/oxfordjournals.aje.a112992. [DOI] [PubMed] [Google Scholar]
- Pathak D. R., Speizer F. E., Willett W. C., Rosner B., Lipnick R. J. Parity and breast cancer risk: possible effect on age at diagnosis. Int J Cancer. 1986 Jan 15;37(1):21–25. doi: 10.1002/ijc.2910370105. [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]
- Rohan T. E., Bain C. J. Diet in the etiology of breast cancer. Epidemiol Rev. 1987;9:120–145. doi: 10.1093/oxfordjournals.epirev.a036299. [DOI] [PubMed] [Google Scholar]
- Rosenberg L., Palmer J. R., Kaufman D. W., Strom B. L., Schottenfeld D., Shapiro S. Breast cancer in relation to the occurrence and time of induced and spontaneous abortion. Am J Epidemiol. 1988 May;127(5):981–989. doi: 10.1093/oxfordjournals.aje.a114901. [DOI] [PubMed] [Google Scholar]
- Sherman B. M., Korenman S. G. Hormonal characteristics of the human menstrual cycle throughout reproductive life. J Clin Invest. 1975 Apr;55(4):699–706. doi: 10.1172/JCI107979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sherman B. M., Korenman S. G. Inadequate corpus luteum function: a pathophysiological interpretation of human breast cancer epidemiology. Cancer. 1974 May;33(5):1306–1312. doi: 10.1002/1097-0142(197405)33:5<1306::aid-cncr2820330515>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
- Stavraky K., Emmons S. Breast cancer in premenopausal and postmenopausal women. J Natl Cancer Inst. 1974 Sep;53(3):647–654. doi: 10.1093/jnci/53.3.647. [DOI] [PubMed] [Google Scholar]
- Trapido E. J. Age at first birth, parity, and breast cancer risk. Cancer. 1983 Mar 1;51(5):946–948. doi: 10.1002/1097-0142(19830301)51:5<946::aid-cncr2820510530>3.0.co;2-2. [DOI] [PubMed] [Google Scholar]
- Tulinius H., Day N. E., Jóhannesson G., Bjarnason O., Gonzales M. Reproductive factors and risk for breast cancer in Iceland. Int J Cancer. 1978 Jun 15;21(6):724–730. doi: 10.1002/ijc.2910210609. [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]
- Woods K. L., Smith S. R., Morrison J. M. Parity and breast cancer: evidence of a dual effect. Br Med J. 1980 Aug 9;281(6237):419–421. doi: 10.1136/bmj.281.6237.419. [DOI] [PMC free article] [PubMed] [Google Scholar]
