Lin Yan, Wang Shengsheng, Zhang Xiaohui, Wang Changjun, Shan Guangliang, Zhou Yidong, Mao Feng, Guan Jinghong, Huang Xin, Zhong Ying, Sun Qiang
Department of Breast Disease, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China.
Physical Examination Center, Peking Union Medical College Hospital, Peking Union Medical College, Beijing 100730, China.
Oncotarget. 2017 Jun 27;8(47):82103-82113. doi: 10.18632/oncotarget.18744. eCollection 2017 Oct 10.
The current case-control study investigated the relationship between striking life events and breast cancer in Chinese women. A total of 265 primary breast cancer patients and 265 controls were enrolled with matching for age and completed questionnaires. Logistic regression analysis was used. Thirty-nine breast cancer patients reported striking life events and twenty-four of the controls reported striking life events. The number of striking life events was significantly greater in patients ( = 0.04). It indicated a striking life event led to a 1.726-fold increased HR (95% CI 1.005-2.965, < 0.05) for breast cancer with adjustment for age, and a 1.811-fold increased HR (95% CI 1.021 - 3.212, < 0.05) with adjustment for age, BMI, and late age at menopause. High BMI (OR: 1.680, 95% CI: 1.258-2.196, < 0.05) and a family history of breast cancer (OR: 2.244, 95% CI: 1.065-4.729, < 0.05, respectively) increased the risk of breast cancer, and late age at menopause decreased the risk for breast cancer (OR: 0.513, 95% CI: 0.303-0.868, < 0.05). Our findings indicate a significant association between striking life events and breast cancer in Chinese women, especially in the subpopulation with high BMI or family history of breast cancer.
当前的病例对照研究调查了中国女性中重大生活事件与乳腺癌之间的关系。共招募了265例原发性乳腺癌患者和265名对照,按年龄匹配并完成问卷调查。采用逻辑回归分析。39例乳腺癌患者报告有重大生活事件,24名对照报告有重大生活事件。患者的重大生活事件数量显著更多(P = 0.04)。这表明在调整年龄后,重大生活事件导致乳腺癌的风险比(HR)增加1.726倍(95%可信区间1.005 - 2.965,P < 0.05),在调整年龄、体重指数(BMI)和绝经年龄后,风险比增加1.811倍(95%可信区间1.021 - 3.212,P < 0.05)。高BMI(比值比:1.680,95%可信区间:1.258 - 2.196,P < 0.05)和乳腺癌家族史(比值比:2.244,95%可信区间:1.065 - 4.729,P < 0.05)增加了患乳腺癌的风险,而绝经年龄增加则降低了患乳腺癌的风险(比值比:0.513,95%可信区间:0.303 - 0.868,P < 0.05)。我们的研究结果表明,中国女性中重大生活事件与乳腺癌之间存在显著关联,尤其是在高BMI或有乳腺癌家族史的亚人群中。