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伊朗伊斯法罕赛义德·阿尔-绍哈达医院收治的女性中母乳喂养因素与乳腺癌的关系

Relationship between breastfeeding factors and breast cancer in women referred to Seyed Al-Shohada Hospital in Isfahan, Iran.

作者信息

Jafari-Mehdiabad Farahnaz, Savabi-Esfahani Mitra, Mokaryan Fariborz, Kazemi Ashraf

机构信息

Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2016 Nov-Dec;21(6):622-627. doi: 10.4103/1735-9066.197670.

Abstract

BACKGROUND

Breast cancer is the most common malignancy and a major cause of cancer deaths among women. Breastfeeding is presented as a probable protective factor against breast cancer, however, the effect of different breastfeeding patterns and duration of breastfeeding on this factor is not well determined. Thus, the aim of this research was to evaluate factors related to breastfeeding and breast cancer.

MATERIALS AND METHODS

This case-control study was conducted on 98 women with breast cancer and 198 healthy women who were selected through systematic random sampling method. Studied variables included demographic characteristics, reproduction characteristics, duration of breastfeeding, and breastfeeding pattern. The study variables were measured using a researcher-made questionnaire through self-report method. The two groups were matched in terms of place of residence and age. The data analysis was performed using logistic regression.

RESULTS

A relationship was observed between breast cancer and marital status ( = 0.04), education level ( = 0.02), individuals' perspectives of their economic status ( = 0.001), and lack of breastfeeding ( = 0.006). However, no relationship was found between breast cancer and reproductive factors. Moreover, multiple logistic regression analysis results showed that breast cancer only had a relationship with individuals' perspectives of their economic status with OR of 0.31 (95% CI: 0.16-0.59).

CONCLUSIONS

The results showed that there was no relationship between breast cancer and reproductive factors and breastfeeding pattern. Due to the difference between the findings of this research and other researches, genetic, epigenetic, and cultural differences must be considered in the evaluation of risk factors for breast cancer.

摘要

背景

乳腺癌是女性中最常见的恶性肿瘤,也是癌症死亡的主要原因。母乳喂养被认为是预防乳腺癌的一个可能的保护因素,然而,不同的母乳喂养方式和母乳喂养持续时间对这一因素的影响尚未得到很好的确定。因此,本研究的目的是评估与母乳喂养和乳腺癌相关的因素。

材料与方法

本病例对照研究对98名乳腺癌女性和198名健康女性进行,这些女性通过系统随机抽样方法选取。研究变量包括人口统计学特征、生殖特征、母乳喂养持续时间和母乳喂养方式。研究变量通过研究者编制的问卷采用自报法进行测量。两组在居住地和年龄方面进行匹配。数据分析采用逻辑回归。

结果

观察到乳腺癌与婚姻状况(P = 0.04)、教育水平(P = 0.02)、个人对其经济状况的看法(P = 0.001)以及未进行母乳喂养(P = 0.006)之间存在关联。然而,未发现乳腺癌与生殖因素之间存在关联。此外,多元逻辑回归分析结果显示,乳腺癌仅与个人对其经济状况的看法有关,比值比为0.31(95%可信区间:0.16 - 0.59)。

结论

结果表明,乳腺癌与生殖因素和母乳喂养方式之间没有关联。由于本研究结果与其他研究结果存在差异,在评估乳腺癌危险因素时必须考虑遗传、表观遗传和文化差异。

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