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博帕尔城市群女性乳腺癌的危险因素:一项病例对照研究。

Risk factors for breast cancer among women in Bhopal urban agglomerate: a case-control study.

作者信息

Lodha Rama S, Nandeshwar Sunil, Pal D K, Shrivastav Atul, Lodha K M, Bhagat Vimal K, Bankwar Vishal V, Nandeshwar Sunil, Saxena D M

机构信息

Community Medicine, LN Medical College, Bhopal, Madhya Pradesh, India.

出版信息

Asian Pac J Cancer Prev. 2011;12(8):2111-5.

Abstract

BACKGROUND

Breast cancer is the most common cancer in females worldwide, and the second leading cause of cancer deaths in women. The incidence is on the rise in India, and breast cancer is the second most common malignancy in Indian women.

OBJECTIVE

To assess the risk factors for breast cancer patients living in Bhopal.

STUDY DESIGN AND METHOD

This case-control study was conducted in Bhopal urban agglomerate for a period of a year from October 2008 to August 2009. Demographic data and reproductive risk factor related information was collected using a structured questionnaire with analyses by Epi-info and SPSS 16.

RESULTS

A history of oral contraceptive pill use (OR=2.77, 95% CI: 1.15-6.65), history of not having breastfeeding (OR=3.49, 95% CI:1.22-9.97), over weight (OR=0.11, 95%CI:0.02-0.49), obese women (OR=0.24, 95%CI: 0.06-0.88) and family history of breast cancer (OR=3.89, 95% CI: 1.01-14.92) were associated significantly with the occurrence of breast cancer on multivariate analysis.

CONCLUSIONS

The findings of the present study suggests that positive family history of breast cancer and history of using OCP may be the epigenetic factors promoting the occurrence of breast cancer while breastfeeding reduces the possibility of acquiring breast cancer.

摘要

背景

乳腺癌是全球女性中最常见的癌症,也是女性癌症死亡的第二大主要原因。在印度,其发病率呈上升趋势,乳腺癌是印度女性中第二常见的恶性肿瘤。

目的

评估居住在博帕尔的乳腺癌患者的危险因素。

研究设计与方法

本病例对照研究于2008年10月至2009年8月在博帕尔城市群进行,为期一年。使用结构化问卷收集人口统计学数据和与生殖危险因素相关的信息,并通过Epi-info和SPSS 16进行分析。

结果

多因素分析显示,口服避孕药史(OR = 2.77,95%可信区间:1.15 - 6.65)、未进行母乳喂养史(OR = 3.49,95%可信区间:1.22 - 9.97)、超重(OR = 0.11,95%可信区间:0.02 - 0.49)、肥胖女性(OR = 0.24,95%可信区间:0.06 - 0.88)以及乳腺癌家族史(OR = 3.89,95%可信区间:1.01 - 14.92)与乳腺癌的发生显著相关。

结论

本研究结果表明,乳腺癌家族史阳性和使用口服避孕药史可能是促进乳腺癌发生的表观遗传因素,而母乳喂养可降低患乳腺癌的可能性。

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