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The associations of adolescent cigarette smoking, alcoholic beverage consumption, environmental tobacco smoke, and ionizing radiation with subsequent breast cancer risk (United States)

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Abstract

Objectives: Studies of breast cancer among survivors of the World War II atomic bomb blasts over Japan suggest that the adolescent breast may be particularly sensitive to carcinogenic insult. To further explore that possibility we examined the relationships of cigarette smoking, alcohol consumption, environmental tobacco smoke (ETS) exposure, and medical treatment with ionizing radiation during adolescence with subsequent breast cancer risk.

Methods: Data from the Carolina Breast Cancer Study, a population-based, case–control study of breast cancer in North Carolina women aged 20–74years (864 cases, 790 controls), were analyzed.

Results: A modest increase in breast cancer risk was suggested for women who began to smoke cigarettes between the ages of 10 and 14 years (OR: 1.5, CI: 0.9–2.5), and for women exposed to ionizing radiation between ages 10 and 19 years to treat or monitor a medical condition (OR: 1.6, CI: 0.5–2.5). Neither exposure to ETS at home prior to age 18 years (OR: 1.1, CI: 0.9–1.3) nor initiation of alcoholic beverage consumption between ages 10 and 15 years (OR: 1.1, CI: 0.6–1.8) appeared to increase risk.

Conclusions: Our results are consistent with previous evidence suggesting that some adolescent exposures could influence future breast cancer risk.

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References

  1. Tokunaga M, Land CE, Yamamoto T, et al. (1987) Incidence of female breast cancer among atomic bomb survivors, Hiroshima and Nagasaki,1950–1980. Radiat Res 112: 243–272.

    Google Scholar 

  2. Colditz GA, Frazier AL (1995) Models of breast cancer show that risk is set by events of early life: prevention e.orts must shift focus. Cancer Epidemiol Biomarkers Prev 4: 567–571.

    Google Scholar 

  3. Newman B, Moorman PG, Millikan R, et al. (1995) The Carolina Breast Cancer Study: integrating population-based epidemiology and molecular biology. Breast Cancer Res Treat 35: 51–60.

    Google Scholar 

  4. Aldrich TE, Vann D, Moorman PG, Newman B (1995) Rapid reporting of cancer incidence in a population-based study of breast cancer: one constructive use of a central cancer registry. Breast Cancer Res Treat 35: 61–64.

    Google Scholar 

  5. Weinberg CR, Wacholder S (1990) The design and analysis of case-control studies with biased sampling. Biometrics46: 963–975.

    Google Scholar 

  6. Weinberg CR, Sandler DP (1991) Randomized recruitment in case-control studies. Am J Epidemiol 134: 421–432.

    Google Scholar 

  7. Moorman PG, Newman B, Millikan RC, Tse C-KJ, Sandler DP (1999) Participation rates in a case-control study: the impact of age, race, and race of interviewer. Ann Epidemiol 9: 188–195.

    Google Scholar 

  8. Marcus PM, Newman B, Moorman PG, et al. (1999) Physical activity at age 12 and adult breast cancer risk (United States). Cancer Causes Control 10: 293–302.

    Google Scholar 

  9. Marcus PM, Baird DD, Millikan RC, Moorman PG, Qaqish B, Newman B (1999) Adolescent reproductive events and subsequent breast cancer risk. Am J Public Health 89: 1244–1247.

    Google Scholar 

  10. Newcomb PA, Storer BE, Longnecker MP, et al. (1994) Lactation and a reduced risk of premenopausal breast cancer. N Engl J Med 330: 81–87.

    Google Scholar 

  11. Breslow NE, Day NE (1980) Statistical Methods in Cancer Research, Vol. 1: The Analysis of Case-Control Studies. Lyon: International Agency for Research on Cancer.

    Google Scholar 

  12. SAS/STAT Software (1996) Changes and enhancements through release 6.11, Cary, NC: SAS Institute Inc.

    Google Scholar 

  13. Palmer JR, Rosenberg L (1993) Cigarette smoking and risk of breast cancer. Epidemiol Rev 15: 145–156.

    Google Scholar 

  14. Palmer JR, Rosenberg L, Clarke EA, et al. (1991) Breast cancer and cigarette smoking: a hypothesis. Am J Epidemiol 134: 1–13.

    Google Scholar 

  15. Field NA, Baptiste MS, Nasca PC, et al. (1992) Cigarette smoking and breast cancer. Int J Epidemiol 21: 842–848.

    Google Scholar 

  16. Ewertz M (1990) Smoking and breast cancer risk in Denmark. Cancer Causes Control 1: 31–37.

    Google Scholar 

  17. Adami HO, Lund E, Bergstrom R, et al. (1988) Cigarette smoking, alcohol consumption, and risk of breast cancer in young women. Br J Cancer 58: 832–837.

    Google Scholar 

  18. Braga C, Negri E, La Vecchia C, Filiberti R, Franceschi S (1995) Cigarette smoking and the risk of breast cancer. Eur J Cancer Prev 5: 159–164.

    Google Scholar 

  19. Baron JA, Newcomb PA, Longnecker MP, et al. (1996) Cigarette smoking and breast cancer. Cancer Epidemiol Biomarkers Prev 5: 399–403.

    Google Scholar 

  20. London SJ, Colditz GA, Stampler MJ, Willett WC, Rosner BA, Speizer FE (1989) Prospective study of smoking and the risk of breast cancer. J Natl Cancer Inst 81: 1625–1631.

    Google Scholar 

  21. Brinton LA, Schairer C, Stanford JL, Hoover RN (1986) Cigarette smoking and breast cancer. Am J Epidemiol 123: 614–622.

    Google Scholar 

  22. Chu SY, Stroup NE, Wingo PA, Lee NC, Peterson HB, Gwinn ML (1990) Cigarette smoking and the risk of breast cancer. Am J Epidemiol 131: 244–253.

    Google Scholar 

  23. Berkey CS, Frazier AL, Gardner JD, Colditz GA (1999) Adoles-cence and breast carcinoma risk. Cancer 85: 2400–2409.

    Google Scholar 

  24. Smith SJ, Deacon JM, Chilvers CE (1994) Alcohol, smoking, passive smoking and ca.eine in relation to breast cancer risk in young women. UK national case-control study group. Br J Cancer 70: 112–119.

    Google Scholar 

  25. Rosenberg L, Metzger LS, Palmer JR (1993) Alcohol consumption and risk of breast cancer: a review of the epidemiologic evidence. Epidemiol Rev 15: 133–144.

    Google Scholar 

  26. Nasca PC, Baptiste MS, Field NA, et al. (1990) An epidemiolog-ical case-control study of breast cancer and alcohol consumption. Int J Epidemiol 19: 532–538.

    Google Scholar 

  27. Freudenheim JL, Marshall JR, Graham S, et al. (1995) Lifetime alcohol consumption and risk of breast cancer. Nutr Cancer 23: 1–11.

    Google Scholar 

  28. Modan B, Alfandary E, Chetrit A, Katz L (1989) Increased risk of breast cancer after low-dose irradiation. Lancet 1: 629–631.

    Google Scholar 

  29. Boice JD Jr, Preston D, Davis FG, Monson RR (1991) Frequent chest x-ray ¯uoroscopy and breast cancer incidence among tuberculosis patients in Massachusetts. Radiat Res 125: 214–222.

    Google Scholar 

  30. Hancock SL, Tucker MA, Hoppe RT (1996) Breast cancer after treatment of Hodgkin's disease J Natl Cancer Inst 85: 25–31.

    Google Scholar 

  31. Bhatia S, Robison LL, Oberlin O, et al. (1996) Breast cancer and other second neoplasms after childhood Hodgkin's disease. N Engl J Med 334: 745–751.

    Google Scholar 

  32. Baral E, Larsson LE, Mattsson B (1977) Breastcancer following irradiation of the breast. Cancer 40: 2905–2910.

    Google Scholar 

  33. Shore RE, Hildreth N, Woodard E, Dvoretsky P, Hempelmann L, Pasternack B (1986) Breast cancer among women given x-ray therapy for acute post-partum mastitis. J Natl Cancer Inst 77: 689–696.

    Google Scholar 

  34. Hoffman DA, Lonstein JE, Morin MM, Visscher W, Harris BS 3d, Boice JD Jr(1989) Breast cancer in women with scoliosis exposed to multiple diagnostic x-rays. J Natl Cancer Inst 81: 1307–1312.

    Google Scholar 

  35. Page DL, Anderson TJ (1987) Diagnostic Histopathobiology of the Breast. Edinburgh: Churchill Livingstone.

    Google Scholar 

  36. Preston-Martin S, Pike MC, Ross RK, Jones PA, Henderson BE (1990) Increased cell division as a cause of human cancer. Cancer Res 50: 7415–7421.

    Google Scholar 

  37. Russo J, Russo IH (1993) Development pattern of human breast and susceptibility to carcinogenesis. Eur J Cancer Prev 2(suppl. 3): 85–100.

    Google Scholar 

  38. Russo J, Russo IH (1980) In¯uence of di.erentiation and cell kinetics on the susceptibility of the rat mammary gland to carcinogenesis. Cancer Res 40: 2677–2687.

    Google Scholar 

  39. Pike MC, Krailo MD, Henderson BE, Casagrande JT, Hoel DG (1983) ``Hormonal'' risk factors, ``breast tissue age'' and the age-incidence of breast cancer. Nature 303: 767–770.

    Google Scholar 

  40. Marshall WA, Tanner JM (1969) Variations in pattern of pubertal changes in girls. Arch Dis Child 44: 291–303.

    Google Scholar 

  41. Gilpin EA, Lee L, Evans N, Pierce JP (1994) Smoking initiation rates in adults and minors: United States, 1944–1988. Am J Epidemiol 140: 535–543.

    Google Scholar 

  42. Taioli E, Wynder EL (1991) E.ect of the age at which smoking begins in frequency of smoking in adulthood (letter). N Engl JMed 325: 968–969.

    Google Scholar 

  43. Chou SP, Pickering RP (1992) Early onset of drinking as a risk factor for lifetime alcohol-related problems. Brit J Addict 87: 1199–1204.

    Google Scholar 

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Marcus, P.M., Newman, B., Millikan, R.C. et al. The associations of adolescent cigarette smoking, alcoholic beverage consumption, environmental tobacco smoke, and ionizing radiation with subsequent breast cancer risk (United States). Cancer Causes Control 11, 271–278 (2000). https://doi.org/10.1023/A:1008911902994

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  • DOI: https://doi.org/10.1023/A:1008911902994

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