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台湾女性生育次数、首次足月妊娠年龄、母乳喂养与乳腺癌的病例对照研究。

A case-control study of parity, age at first full-term pregnancy, breast feeding and breast cancer in Taiwanese women.

作者信息

Lai F M, Chen P, Ku H C, Lee M S, Chang S C, Chang T M, Liou S H

机构信息

Department of Surgery, Tri-Service General Hospital, Taipei, Taiwan, R.O.C.

出版信息

Proc Natl Sci Counc Repub China B. 1996 Jul;20(3):71-7.

PMID:8956522
Abstract

A hospital-based case-control study was designed herein to investigate the relationship between parity, breast feeding and breast cancer in Taiwan. Reproductive histories of patients with breast cancer confirmed by either pathology or cytology were assessed by questionnaire and compared with age-matched healthy controls. One hundred and fourteen cases and 228 age-matched controls were recruited for this study. According to those results, women having had more than three full-term pregnancies, age at first full-term pregnancy younger than 30, and breast feeding for more than 3 years displayed significantly protective effects against breast cancer. Following adjustment for ethnicity and menopausal status, women with more than three full-term pregnancies and younger than 30 years old at first full-term pregnancy had a decreased risk of breast cancer. However, duration of breast feeding was not related to breast cancer, after adjustment for ethnicity and menopausal status. The effect of number of full-term pregnancies on the risk of breast cancer was found to be independent of the effect of age at first full-term pregnancy. Moreover, the effect of age at first full-term pregnancy and number of full-term pregnancies was also independent of the effect of breast feeding.

摘要

本研究设计了一项基于医院的病例对照研究,以探讨台湾地区产次、母乳喂养与乳腺癌之间的关系。通过问卷调查评估经病理或细胞学确诊的乳腺癌患者的生育史,并与年龄匹配的健康对照进行比较。本研究招募了114例病例和228例年龄匹配的对照。根据这些结果,足月妊娠超过三次、首次足月妊娠年龄小于30岁以及母乳喂养超过3年的女性对乳腺癌具有显著的保护作用。在对种族和绝经状态进行调整后,足月妊娠超过三次且首次足月妊娠年龄小于30岁的女性患乳腺癌的风险降低。然而,在对种族和绝经状态进行调整后,母乳喂养持续时间与乳腺癌无关。发现足月妊娠次数对乳腺癌风险的影响独立于首次足月妊娠年龄的影响。此外,首次足月妊娠年龄和足月妊娠次数的影响也独立于母乳喂养的影响。

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