Table 1. Childhood cancer risks in relation to breastfeeding in infancy, OSCC data, 1972–1981 deaths.
Breastfeeding history | Cases | Controls | ORa | (95% CI) | ORb | (95% CI) | ORc | (95% CI) |
---|---|---|---|---|---|---|---|---|
Acute lymphocytic leukaemia (ALL) (n=948) | ||||||||
Never | 480 | 490 | 1.0 | 1.0 | ||||
Ever breastfed | 461 | 452 | 1.04 | (0.86–1.26) | 0.99 | (0.82–1.20) | 1.05 | (0.90–1.21) |
Breastfed | ||||||||
<1 month | 151 | 137 | 1.15 | (0.87–1.51) | 1.10 | (0.83–1.46) | 1.16 | (0.93–1.43) |
1–6 months | 241 | 246 | 1.01 | (0.81–1.26) | 0.96 | (0.77–1.20) | 0.96 | (0.80–1.15) |
⩾7 months | 62 | 66 | 0.97 | (0.66–1.43) | 0.90 | (0.60–1.34) | 1.09 | (0.80–1.48) |
Unknown duration | 7 | 3 | — | |||||
Not known | 7 | 6 | — | |||||
P-value for trendd | P=1.00 | P=0.55 | P=0.99 | |||||
Other leukaemia (n=394) | ||||||||
Never | 205 | 208 | 1.0 | 1.0 | ||||
Ever breastfed | 187 | 181 | 1.06 | (0.78–1.45) | 1.03 | (0.74–1.43) | 0.99 | (0.80–1.23) |
Breastfed | ||||||||
<1 month | 51 | 40 | 1.29 | (0.82–2.04) | 1.24 | (0.77–1.98) | 0.95 | (0.68–1.32) |
1–6 months | 105 | 114 | 0.94 | (0.66–1.35) | 0.90 | (0.62–1.31) | 0.97 | (0.76–1.25) |
⩾7 months | 30 | 26 | 1.16 | (0.65–2.07) | 1.16 | (0.64–2.11) | 1.17 | (0.77–1.77) |
Unknown duration | 1 | 1 | — | |||||
Not known | 2 | 5 | — | |||||
P-value for trendd | P=0.81 | P=0.92 | P=0.71 | |||||
Leukaemia (n=1342) | ||||||||
Never | 685 | 698 | 1.0 | 1.0 | ||||
Ever breastfed | 648 | 633 | 1.05 | (0.89–1.23) | 1.00 | (0.85–1.18) | 1.03 | (0.91–1.18) |
Breastfed | ||||||||
<1 month | 202 | 177 | 1.18 | (0.93–1.50) | 1.14 | (0.89–1.45) | 1.10 | (0.91–1.33) |
1–6 months | 346 | 360 | 0.99 | (0.82–1.19) | 0.95 | (0.79–1.15) | 0.97 | (0.83–1.13) |
⩾7 months | 92 | 92 | 1.03 | (0.75–1.43) | 0.98 | (0.71–1.37) | 1.11 | (0.85–1.44) |
Unknown duration | 8 | 4 | — | |||||
Not known | 9 | 11 | — | |||||
P-value for trendd | P=0.90 | P=0.70 | P=0.84 | |||||
Other reticuloendothelial cancers (n=326)e | ||||||||
Never | 160 | 182 | 1.0 | 1.0 | ||||
Ever breastfed | 163 | 142 | 1.34 | (0.97–1.87) | 1.32 | (0.93–1.89) | 1.10 | (0.87–1.39) |
Breastfed | ||||||||
<1 month | 56 | 49 | 1.35 | (0.85–2.13) | 1.38 | (0.86–2.25) | 1.28 | (0.92–1.77) |
1–6 months | 84 | 74 | 1.37 | (0.92–2.06) | 1.33 | (0.86–2.06) | 0.99 | (0.75–1.31) |
⩾7 months | 23 | 18 | 1.53 | (0.78–3.00) | 1.56 | (0.75–3.21) | 1.23 | (0.77–1.97) |
Unknown duration | 0 | 1 | — | |||||
Not known | 3 | 2 | — | |||||
P-value for trendd | P=0.07 | P=0.11 | P=0.62 | |||||
All other cancers (n=1708) | ||||||||
Never | 901 | 901 | 1.0 | 1.0 | 1.0 | |||
Ever breastfed | 777 | 797 | 0.98 | (0.84–1.13) | 0.95 | (0.82–1.11) | 0.97 | (0.86–1.10) |
Breastfed | ||||||||
<1 month | 228 | 236 | 0.97 | (0.79–1.20) | 0.94 | (0.76–1.17) | 0.98 | (0.82–1.17) |
1–6 months | 441 | 457 | 0.97 | (0.81–1.15) | 0.94 | (0.79–1.12) | 0.97 | (0.84–1.12) |
⩾7 months | 105 | 101 | 1.04 | (0.77–1.41) | 1.06 | (0.78–1.45) | 0.96 | (0.74–1.23) |
Unknown duration | 3 | 3 | — | |||||
Not known | 30 | 10 | — | |||||
P-value for trendd | P=0.96 | P=0.85 | P=0.57 | |||||
All childhood cancers (n=3376) | ||||||||
Never | 1746 | 1781 | 1.0 | 1.0 | 1.0 | |||
Ever breastfed | 1588 | 1572 | 1.04 | (0.93–1.15) | 1.01 | (0.91–1.12) | 1.01 | (0.91–1.11) |
Breastfed | ||||||||
<1 month | 486 | 462 | 1.08 | (0.93–1.25) | 1.05 | (0.90–1.22) | 1.05 | (0.91–1.22) |
1–6 months | 871 | 891 | 1.00 | (0.89–1.13) | 0.98 | (0.87–1.11) | 0.97 | (0.87–1.09) |
⩾7 months | 220 | 211 | 1.07 | (0.87–1.32) | 1.06 | (0.85–1.31) | 1.04 | (0.85–1.27) |
Unknown duration | 11 | 8 | — | |||||
Not known | 42 | 23 | — | |||||
P-value for trendd | P=0.55 | P=0.77 | P=0.94 |
Obtained from conditional logistic regression applied to matched pairs.
Obtained from conditional logistic regression applied to matched pairs with additional adjustment for social class based on paternal occupation (five levels: I, II, III, IV, V), age of mother at birth of survey child (six levels: <20, 20–24, 25–29, 30–34, 35–39, ⩾40 years), and sibship position (five levels: 1, 2, 3, 4, ⩾5).
Obtained from unconditional logistic regression using all controls for comparison group, adjusted for sex of child, age at death (or corresponding age for controls) (1–4, 5–9, 10–14 years), social class, maternal age at birth of child and sibship position.
P-value for trend across four levels of breastfeeding history variable (never, <1, 1–6, ⩾7 months) levels scored 1–4.
Comprising lymphosarcoma, Hodgkin's disease, reticulosarcoma, giant follicular lymphoma, storage reticulosis, histiocytic reticulosis, chloroma and Burkitt's lymphoma.