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加拿大安大略省女性过敏、哮喘与乳腺癌风险的相关性研究。

Association between allergies, asthma, and breast cancer risk among women in Ontario, Canada.

机构信息

Prevention and Cancer Control, Cancer Care Ontario, 620 University Ave, Toronto, ON, M5G 2L7, Canada.

出版信息

Cancer Causes Control. 2013 May;24(5):1053-6. doi: 10.1007/s10552-013-0177-1. Epub 2013 Feb 27.

Abstract

PURPOSE

To investigate the association between allergies, asthma, and breast cancer risk in a large, population-based case-control study.

METHODS

Breast cancer cases (n = 3,101) were identified using the Ontario Cancer Registry and population controls (n = 3,471) through random digit dialing. Self-reported histories of allergies, hay fever, and asthma were collected by questionnaire. Logistic regression was used to assess associations between breast cancer risk and history of allergy/hay fever and asthma, with 16 possible confounders examined. Analyses were stratified by menopausal status.

RESULTS

A history of allergies or hay fever was associated with a small reduction in breast cancer risk [age-adjusted odds ratio (AOR) = 0.86, 95 % confidence interval (CI) 0.77-0.96] and did not differ by menopausal status. Asthma was not associated with breast cancer risk overall; however, among premenopausal women, asthma was associated with a reduced risk of breast cancer (AOR = 0.72, 95 % CI 0.54-0.97).

CONCLUSIONS

A history of allergies may be associated with a modest reduction in breast cancer risk. Asthma does not appear to be associated with breast cancer risk overall; however, asthma may be associated with reduced breast cancer risk among premenopausal women.

摘要

目的

在一项大型基于人群的病例对照研究中,调查过敏、哮喘与乳腺癌风险之间的关联。

方法

通过随机拨号,利用安大略癌症登记处确定乳腺癌病例(n=3101),并通过随机拨号确定人群对照(n=3471)。通过问卷调查收集过敏、干草热和哮喘的自述病史。使用逻辑回归评估过敏/干草热和哮喘与乳腺癌风险之间的关联,共检查了 16 个可能的混杂因素。分析按绝经状态分层。

结果

过敏或干草热病史与乳腺癌风险略有降低相关[年龄调整的优势比(AOR)=0.86,95%置信区间(CI)0.77-0.96],且与绝经状态无关。总体而言,哮喘与乳腺癌风险无关;然而,在绝经前妇女中,哮喘与乳腺癌风险降低相关(AOR=0.72,95%CI 0.54-0.97)。

结论

过敏史可能与乳腺癌风险适度降低相关。哮喘与乳腺癌风险总体无关;然而,哮喘可能与绝经前妇女乳腺癌风险降低相关。

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