Skip to main content
Log in

Alcohol Consumption and Breast Cancer among Black and White Women in North Carolina (United States)

  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective: The purpose of this study was to investigate the effects of alcohol consumption on breast cancer risk in black and white women.

Methods: We used data from the Carolina Breast Cancer Study, a population-based, case-control study of black and white women in North Carolina. Interviews were conducted with 890 cases and 841 controls frequency-matched on age and race.

Results: Overall, the prevalence of moderate to high levels of alcohol consumption was low. Compared with abstainers, the multivariate odds ratio for recent intake of one or two drinks per day was 1.4 (95% CI = 0.9 2.1) and two or more drinks a day was 1.0 (95% CI = 0.6–1.6); increasing consumption was not associated with risk (p for trend = 0.6). The associations were similar, but somewhat weaker, for average lifetime consumption. Among women who consumed 91 g/week or more of alcohol, a nonsignificant increased risk of breast cancer was observed for women reporting binge drinking (OR = 1.5; 95% CI = 0.9–2.3), but not for those who consumed less than 91 g/week reporting binge drinking (OR = 1.0; 95% CI = 0.6–1.5). Odds ratios did not differ meaningfully by race, age, menopausal status, exogenous hormone use, or body mass index.

Conclusions: These data provide little evidence for an association between alcohol consumption and risk of breas cancer among either black or white women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. . Mendez MA (1997) A Meta-analysis of Epidemiologic Studies on Alcohol and Breast Cancer: What Explains the Heterogeneity in Results? (Master's thesis), Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill.

  2. . Longnecker MP (1994) Alcoholic beverage consumption in rela-tion to risk of breast cancer: meta-analysis and review. Cancer Causes Control 5: 73–82.

    Google Scholar 

  3. 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 

  4. Swanson CA, Coates RJ, Malone KE, et al. (1997) Alcohol consumption and breast cancer risk among women under age 45 years. Epidemiology 8: 231–237.

    Google Scholar 

  5. Smith-Warner SA, Spiegelman D, Yaun S-S, et al. (1998) Alcohol and breast cancer in women: a pooled analysis of cohort studies. JAMA 279: 535–540.

    Google Scholar 

  6. Schatzkin A, Carter CL, Green SB, et al. (1989) Is alcohol consumption related to breast cancer? Results from the Framing-ham Heart Study. J Natl Cancer Inst 81: 31–35.

    Google Scholar 

  7. Webster LA, Wingo PA, Layde PM, Ory HW, the Cancer and Steroid Hormone Study Group (1983) Alcohol consumption and risk of breast cancer. Lancet 2: 724–726.

    Google Scholar 

  8. Rosenberg L, Palmer JR, Miller DR, Clarke EA, Shapiro S (1990) A case-control study of alcoholic beverage consumption and breast cancer. Am J Epidemiol 131: 6–14.

    Google Scholar 

  9. Katsouyanni K, Trichopoulou A, Stuver S, et al. (1994) Ethanol and breast cancer: an association that may be both confounded and causal. Int J Cancer 58: 356–361.

    Google Scholar 

  10. Dorgan JF, Reichman ME, Judd JT, et al. (1994) The relation of reported alcohol ingestion to plasma levels of estrogens and androgens in premenopausal women (Maryland, United States). Cancer Causes Control 5: 53–60.

    Google Scholar 

  11. Schatzkin A, Longnecker MP (1994) Alcohol and breast cancer: where are we and where do we go from here? Cancer 74: 1101–1110.

    Google Scholar 

  12. Blot WJ (1992) Alcohol and cancer. Cancer Res (Suppl.) 52: 2119s-2123s.

  13. Hiatt RA, Klatsky AL, Armstrong MA (1988) Alcohol consumption and the risk of breast cancer in a prepaid health plan. Cancer Res 48: 2284–2287.

    Google Scholar 

  14. Chevarley F, White E (1997) Recent trends in breast cancer mortality among white and black US women. Am J Public Health 87: 775–781.

    Google Scholar 

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

    Google Scholar 

  16. 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 

  17. Moorman PG, Newman B, Millikan R, Tse CK, 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 

  18. Weinberg CR, Wacholder S (1990) The design and analysis of case-control studies with biased sampling. Biometrics 46: 963–975.

    Google Scholar 

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

    Google Scholar 

  20. United States Department of Agriculture Human Information Services (1986) Composition of foods and beverages: raw, pro-cessed and prepared. Agriculture Handbook, No. 8–14. Washington, DC: US Government Printing Office.

    Google Scholar 

  21. Harvey EB, Schairer C, Brinton LA, Hoover RN, Fraumeni JF (1987) Alcohol consumption and breast cancer. J Natl Cancer Inst 78: 657–661.

    Google Scholar 

  22. Longnecker MP, Paganini-Hill A, Ross RK (1995) Lifetime alcohol consumption and breast cancer risk among postmeno-pausal women in Los Angeles. Cancer Epidemiol Biomarkers Prev 4: 721–725.

    Google Scholar 

  23. Huang W-Y, Newman B, Millikan RC, Schell MJ, Hulka BS (2000) Hormone-related factors and risk of breast cancer by estrogen receptor and progesterone receptor status. Am J Epidemiol (In press).

  24. Shambaugh EM, Weiss MA, Axtell LM (1977) Summary Staging Guide for the Cancer Surveillance, Epidemiology, and End Results (SEER) Reporting Program. Bethesda, MD: National Institutes of Health.

    Google Scholar 

  25. Kleinbaum DG, Kupper LL, Morgenstern H (1982) Epidemiologic Research: Principles and Quantitative Methods. New York: Van Nostrand Reinhold.

    Google Scholar 

  26. Dubin J, Pasternak BS (1986) Risk assessment for case-control subgroups by polychotomous logistic regression. Am J Epidemiol 123: 1011–1017.

    Google Scholar 

  27. Longnecker MP, Newcomb PA, Mittendorf R, et al. (1995) Risk of breast cancer in relation to lifetime alcohol consumption. J Natl Cancer Inst 87: 923–929.

    Google Scholar 

  28. Giovannucci E, Stampfer MJ, Colditz GA, et al. (1993) Recall and selection bias in reporting past alcohol consumption among breast cancer cases. Cancer Causes Control 4: 441–448.

    Google Scholar 

  29. Liu S, Serdula MK, Byers T, Williamson DF, Mokdad AH, Flanders WD (1996) Reliability of alcohol intake as recalled from 10 years in the past. Am J Epidemiol 143: 177–186.

    Google Scholar 

  30. Levi F, Pasche C, Lucchini F, La Vecchia C (1996) Alcohol and breast cancer in the Swiss Canton of Vaud. Eur J Cancer 32A: 2108–2113.

    Google Scholar 

  31. La Vecchia C, Decarli A, Franceschi S, Pampallona S, Tongoni G (1985) Alcohol consumption and the risk of breast cancer in women. J Natl Cancer Inst 75: 61–65.

    Google Scholar 

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

    Google Scholar 

  33. La Vecchia C, Negri E, Parazzini F, et al. (1989) Alcohol and breast cancer: update from an Italian case-control study. Eur J Cancer Clin Oncol 25: 1711–1717.

    Google Scholar 

  34. van't Veer P, Kok FJ, Hermus RJ, Sturmans F (1989) Alcohol dose, frequency and age at first exposure in relation to the risk of breast cancer. Int J Epidemiol 18: 511–517.

    Google Scholar 

  35. Young TB (1989) A case-control study of breast cancer and alcohol consumption habits. Cancer 64: 552–558.

    Google Scholar 

  36. Nasca PC, Liu S, Baptiste MS, Kwon S, Jacobson H, Metzgar BB (1994) Alcohol consumption and breast cancer: estrogen receptor status and histology. Am J Epidemiol 140: 980–987.

    Google Scholar 

  37. Yu MC, Tang BK, Ross RK (1995) A urinary marker of alcohol intake. Cancer Epidemiol Biomarkers Prev 4: 849–855.

    Google Scholar 

  38. Taioli E, Garte SJ, Trachman J, et al. (1996) Ethnic differences in estrogen metabolism in healthy women [letter]. J Natl Cancer Inst 88: 617.

    Google Scholar 

  39. Wright RM, McManaman JL, Repine JE (1999) Alcohol-induced breast cancer: a proposed mechansim. Free Radic Biol Med 26: 348–354.

    Google Scholar 

  40. Gavaler JS, Rosenblum ER, Deal SR, Bowie BT (1995) The phytoestrogen cogeners of alcoholic beverages: current status. Proc Soc Exp Biol Med 208: 98–102.

    Google Scholar 

  41. Garro AJ, Lieber CS (1990) Alcohol and cancer. Annu Rev Pharm Toxicol 30: 219–249.

    Google Scholar 

  42. Rothman KJ (1986) Modern Epidemiology. Boston: Little, Brown.

    Google Scholar 

  43. Wells BL, Brown CC, Horm JW, Carleton RA, Lasater TM (1994) Who participates in cardiovascular disease risk factor screenings? Experience with a religious organization-based program. Am J Public Health 84: 113–115.

    Google Scholar 

  44. Benfante R, Reed D, MacLean C, Kagan A (1989) Response bias in the Honolulu Heart Program. Am J Epidemiol 130: 1088–1100.

    Google Scholar 

  45. Grotzinger KM, Stuart BC, Ahern F (1994) Assessment and control of nonresponse bias in a survey of medicine use by the elderly. Med Care 32: 989–1003.

    Google Scholar 

  46. Office of Epidemiology, Division of Health Promotion, Depart-ment of Health and Human Services (1995) North Carolina Behavioral Risk Factor Surveillance System.

  47. Curtis AB, James SA, Strogatz DS, Raghunathan TE, Harlow S (1997) Alcohol consumption and changes in blood pressure among African Americans: the Pitt County Study. Am J Epidemiol 146: 727–733.

    Google Scholar 

  48. Friedenreich CM, Howe GR, Miller AB (1991) An investigation of recall bias in the reporting of past food intake among breast cancer cases and controls. Ann Epidemiol 1: 439–453.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kinney, A.Y., Millikan, R.C., Lin, Y.H. et al. Alcohol Consumption and Breast Cancer among Black and White Women in North Carolina (United States). Cancer Causes Control 11, 345–357 (2000). https://doi.org/10.1023/A:1008973709917

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1008973709917

Navigation