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东南亚发展中地区人群乳腺密度与人口统计学、生殖及生活方式因素的关联

Associations of Breast Density With Demographic, Reproductive, and Lifestyle Factors in a Developing Southeast Asian Population.

作者信息

Dung Yun Trieu Phuong, Mello-Thoms Claudia, Peat Jennifer K, Doan Do Thuan, Brennan Patrick C

机构信息

1 The University of Sydney, Lidcombe, New South Wales, Australia.

2 Ho Chi Minh City University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam.

出版信息

Asia Pac J Public Health. 2017 Jul;29(5):377-387. doi: 10.1177/1010539517717313.

Abstract

The aim of this study was to investigate how breast density interacted with demographic, reproductive, and lifestyle features among Vietnamese women. Mammographic density and established risk factors for breast cancer were collected from 1651 women (345 cancer cases and 1306 normal cases) in Vietnam. The association of breast density categories with potential risk factors was investigated using Spearman's test for continuous variables and χ tests for categorical variables. Independent factors associated with high breast density and breast cancer in specific density groupings were assessed using logistic regression. Results showed that high breast density was significantly associated with young age, low body mass index, low number of children, early age at having the last child, premenopausal status, and increased vegetable consumption. Reproductive factors were key agents associated with breast cancer for women with high breast density, which was not so evident for women with low breast density.

摘要

本研究的目的是调查越南女性的乳腺密度如何与人口统计学、生殖和生活方式特征相互作用。从越南的1651名女性(345例癌症病例和1306例正常病例)中收集了乳房X线摄影密度和既定的乳腺癌风险因素。使用Spearman检验分析连续变量,使用χ检验分析分类变量,以研究乳腺密度类别与潜在风险因素之间的关联。采用逻辑回归评估与高乳腺密度以及特定密度分组中的乳腺癌相关的独立因素。结果表明,高乳腺密度与年轻、低体重指数、子女数量少、最后生育年龄早、绝经前状态以及蔬菜摄入量增加显著相关。生殖因素是高乳腺密度女性患乳腺癌的关键因素,而对于低乳腺密度女性则不那么明显。

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