Reproductive factors and breast cancer risk according to joint estrogen and progesterone receptor status: a meta-analysis of epidemiological studies.
Reproductive factors and breast cancer risk according to joint estrogen and progesterone receptor status: a meta-analysis of epidemiological studies.
复制标题
根据关节雌激素和孕激素受体状态的生殖因素和乳腺癌风险：流行病学研究的荟萃分析。
DOI：
10.1186/bcr1525
复制
发表时间：
2006
影响因子：
7.4
通讯作者：
Ursin, Giske
中科院分区：
文献类型：
--
作者：
Ma, Huiyan;Bernstein, Leslie;Pike, Malcolm C.;Ursin, Giske
Although reproductive factors have been known for decades to be associated with breast cancer risk, it is unclear to what extent these associations differ by estrogen and progesterone receptor (ER/PR) status. This report presents the first meta-analysis of results from epidemiological studies that have investigated parity, age at first birth, breastfeeding, and age at menarche in relation to ER+PR+ and ER-PR- cancer risk. We calculated summary relative risks (RRs) and corresponding 95% confidence intervals (CIs) using a fixed effects model. Each birth reduced the risk of ER+PR+ cancer by 11% (RR per birth = 0.89, 95% CI = 0.84–0.94), and women who were in the highest age at first birth category had, on average, 27% higher risk of ER+PR+ cancer compared with women who were in the youngest age at first birth category (RR = 1.27, 95% CI = 1.07–1.50). Neither parity nor age at first birth was associated with the risk of ER-PR- cancer (RR per birth = 0.99, 95% CI = 0.94–1.05; RR of oldest versus youngest age at first birth category = 1.01, 95% CI = 0.85–1.20). Breastfeeding and late age at menarche decreased the risk of both receptor subtypes of breast cancer. The protective effect of late age at menarche was statistically significantly greater for ER+PR+ than ER-PR- cancer (RR = 0.72 for ER+PR+ cancer; RR = 0.84 for ER-PR- cancer, p for homogeneity = 0.006). Our findings suggest that breastfeeding (and age at menarche) may act through different hormonal mechanisms than do parity and age at first birth.
登录
查看更多内容
影响因子：
5
作者：
GREENLAND, S;LONGNECKER, MP
通讯作者：
LONGNECKER, MP
影响因子：
8.8
作者：
McCredie, MRE;Dite, GS;Hopper, JL
通讯作者：
Hopper, JL
影响因子：
2.3
作者：
Yasui, Y;Potter, JD
通讯作者：
Potter, JD
影响因子：
5
作者：
Yoo, KY;Tajima, K;Dubrow, R
通讯作者：
Dubrow, R
影响因子：
3.8
作者：
Chu, KC;Anderson, WF
通讯作者：
Anderson, WF