Although female breast cancer rates are lower in China than in Western countries, rates have been rising rapidly in China. This increase may be due to changes in established breast cancer risk factors, but it is possible that exposure to occupational and environmental carcinogens in Shanghai also ha
Risk factors for breast cancer in chinese women of Beijing
โ Scribed by Su-Chang Tao; Mimi C. Yu; Ronald K. Ross; Kuang-Wei Xiu
- Publisher
- John Wiley and Sons
- Year
- 1988
- Tongue
- French
- Weight
- 389 KB
- Volume
- 42
- Category
- Article
- ISSN
- 0020-7136
No coin nor oath required. For personal study only.
โฆ Synopsis
A self-administered questionnaire was completed by 497 Chinese women in Beijing with histologically confirmed breast cancer and by an equal number of age-and neighborhoodmatched control women. High body weight (71 + kg) was a risk factor for breast cancer in women aged 50 + (RR = I .90), but this effect did not quite reach statistical significance. Nulliparity and late age at first birth were associated with an elevated risk of breast cancer. In comparison to parous women who had their first child before age 20, those who delayed this event until after age 29 had an RR of 1.65. The comparable RR for nulliparous women was 3.72. Late age at menopause was a risk factor for breast cancer. The RR for menopause after age 50 compared to menopause before age 45 was 2.16. High parity and long duration of lactation were protective factors against breast cancer. These 2 factors were highly correlated with each other and aiso with age at first birth. The effect of each on breast cancer risk was somewhat reduced after adjustment for the other two. A personal history of benign breast disease (RR = 3.21) and a family history of breast cancer (RR = 2.17) were also associated with an increased risk of breast cancer.
Chinese women are at relatively low risk of breast cancer.
In 1973-1977, the average annual age-standardized incidence rate of breast cancer in Chinese women of Shanghai was 191 Abbreviations: RR, relative risk; cL, confidence limits.
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