Hedderson Monique M, Malone Kathleen E, Daling Janet R, White Emily
Fred Hutchinson Center Research Program, Division of Public Health Sciences, Seattle, WA, USA.
Cancer Causes Control. 2003 Sep;14(7):619-26. doi: 10.1023/a:1025686913626.
To investigate the relationship between allergy and risk of breast cancer in women 45 years of age and younger.
Data were analyzed from a population-based case-control study of breast cancer in western Washington. Cases were women born after 1944 who were diagnosed with invasive breast cancer (n = 747) between January 1983 and April 1990. Controls (n = 958) were similarly aged women ascertained through random-digit dialing. Cases and controls were interviewed about their history of doctor diagnosed allergies, including detailed information on the specific types of allergies and the age of onset. Using logistic regression we examined the associations between allergy history and breast cancer.
A history of allergies was associated with a reduced risk of breast cancer for women older than 35 (odds ratio (OR) = 0.77; 95% confidence interval (CI) = 0.60-0.99), but not for women 35 years or younger (OR = 1.30; 95% CI = 0.94-1.81). There was little difference in effect when age of first allergy onset was examined. No specific type of allergy was associated with breast cancer risk.
Our results provide some evidence that a history of allergy may be associated with a reduced risk of breast cancer for women who develop breast cancer between 35 and 45 years of age. Future studies are needed to verify the relationship between immune responses and breast cancer risk.
调查45岁及以下女性过敏与患乳腺癌风险之间的关系。
对华盛顿西部一项基于人群的乳腺癌病例对照研究的数据进行分析。病例为1944年以后出生、在1983年1月至1990年4月期间被诊断为浸润性乳腺癌的女性(n = 747)。对照(n = 958)为通过随机数字拨号确定的年龄相仿的女性。对病例和对照就其医生诊断的过敏史进行访谈,包括关于过敏具体类型和发病年龄的详细信息。使用逻辑回归分析我们研究了过敏史与乳腺癌之间的关联。
35岁以上女性的过敏史与患乳腺癌风险降低相关(优势比(OR)= 0.77;95%置信区间(CI)= 0.60 - 0.99),但35岁及以下女性并非如此(OR = 1.30;95% CI = 0.94 - 1.81)。检查首次过敏发病年龄时效果差异不大。没有特定类型的过敏与乳腺癌风险相关。
我们的结果提供了一些证据,表明过敏史可能与35至45岁患乳腺癌的女性患癌风险降低相关。需要进一步研究来验证免疫反应与乳腺癌风险之间的关系。