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使用头发产品与卵巢癌风险的关系。

Use of hair products in relation to ovarian cancer risk.

机构信息

Epidemiology Branch, National Institute of Environmental Health Sciences, Durham, NC, USA.

Intramural Program, Department of Health and Human Services, National Institute on Minority Health and Health Disparities, National Institutes of Health, Bethesda, MD, USA.

出版信息

Carcinogenesis. 2021 Oct 5;42(9):1189-1195. doi: 10.1093/carcin/bgab056.

Abstract

We evaluated whether hair products, which may contain carcinogens and endocrine disruptors that can be absorbed into the bloodstream, are related to ovarian cancer incidence in a prospective cohort. After excluding women with a history of ovarian cancer or bilateral oophorectomy, 40 559 Sister Study participants ages 35-74 at enrollment (2003-2009) were included. Participants completed questionnaires on hair product use, including hair dyes, straighteners/relaxers and permanents/body waves, in the past 12 months. Cox regression was used to estimate adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between hair products and incident ovarian cancer. We assessed associations stratified by tumor type (serous, non-serous). Over a mean follow-up of 10 years, 241 women were diagnosed with ovarian cancer. Ever use of any of the examined hair products during the past year was not associated with ovarian cancer risk. However, frequent use (>4 times/year) of straighteners/relaxers or pressing products in the past year was associated with an increased risk of ovarian cancer (HR = 2.19, 95% CI: 1.12-4.27). Ever use of permanent hair dye was positively associated with non-serous (HR = 1.94, 95% CI 1.12-3.37), but inversely associated with serous (HR = 0.65, 95% CI: 0.43-0.99) tumors (p-for-heterogeneity = 0.002). Our novel findings suggest that frequent use of hair straighteners/relaxers or pressing products, which are primarily used by African American/Black women, and possibly permanent hair dye, may be associated with the occurrence of ovarian cancers.

摘要

我们评估了头发产品是否与卵巢癌的发病有关,这些产品可能含有可被吸收到血液中的致癌物质和内分泌干扰物。在排除了有卵巢癌或双侧卵巢切除术病史的女性后,共纳入了 40559 名年龄在 35-74 岁的“姐妹研究”参与者(2003-2009 年入组)。参与者在过去 12 个月内完成了关于头发产品使用情况的调查问卷,包括染发剂、直发器/拉直器和烫发剂/卷发器。使用 Cox 回归估计了头发产品与卵巢癌发病风险之间的调整后危险比(HR)和 95%置信区间(CI)。我们按肿瘤类型(浆液性、非浆液性)对关联进行了分层评估。在平均 10 年的随访期间,241 名女性被诊断患有卵巢癌。过去一年中使用任何一种被调查的头发产品与卵巢癌风险无关。然而,过去一年中频繁使用(>4 次/年)直发器/拉直器或烫发产品与卵巢癌风险增加相关(HR=2.19,95%CI:1.12-4.27)。过去使用永久性染发剂与非浆液性肿瘤呈正相关(HR=1.94,95%CI 1.12-3.37),但与浆液性肿瘤呈负相关(HR=0.65,95%CI:0.43-0.99)(p 异质性=0.002)。我们的新发现表明,频繁使用直发器/拉直器或烫发产品(主要由非裔美国/黑人女性使用)和可能的永久性染发剂可能与卵巢癌的发生有关。

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