Husband's smoking status and breast cancer risk in Japan: From the Takayama study.

Husband's smoking status and breast cancer risk in Japan: From the Takayama study.
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DOI:
10.1111/cas.12619
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发表时间:
2015-04
期刊:
影响因子:
5.7
通讯作者:
Nagata C
Nagata C
中科院分区:
医学2区
文献类型:
--
作者:
Wada K;Kawachi T;Hori A;Takeyama N;Tanabashi S;Matsushita S;Tokimitsu N;Nagata C

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吸烟对乳腺癌的影响尚不清楚。我们在日本进行了一项基于人群的前瞻性研究,评估了受试者或丈夫的吸烟状况与乳腺癌发病率的关系。研究对象为15719名年龄在35岁或以上的女性。随访时间为1992年9月至2008年3月。癌症发病率主要通过地区人群癌症登记处确认。根据国际疾病和健康相关问题分类第10次修订版,乳腺癌被定义为代码C50。生活方式,包括吸烟状况,进行了评估与自填问卷。酒精消费量进行了评估,验证的食物频率问卷。在对年龄、体重指数、饮酒量、体力活动、教育、初潮年龄、首次分娩年龄、绝经状态、子女数量和激素替代治疗史进行多变量校正后,主动吸烟与乳腺癌风险无关。与丈夫从不吸烟的从不吸烟者相比,丈夫目前每天吸烟21支或更多的从不吸烟者患乳腺癌的风险为1.98(95%CI:1.03 - 3.84)。丈夫吸烟的女性患乳腺癌的风险增加,在那些不习惯饮酒的女性中尤为明显。这些结果表明,丈夫吸烟是乳腺癌的一个潜在危险因素。酒精消费对被动吸烟增加乳腺癌风险的影响需要在进一步的研究中加以解决。
The effects of smoking on breast cancer remain unclear. We assessed the associations of subjects' or husbands' smoking status with breast cancer incidence in a population-based prospective study in Japan. The subjects were 15 719 women aged 35 years or older. The follow up was conducted from September 1992 to March 2008. Cancer incidence was mainly confirmed through regional population-based cancer registries. Breast cancer was defined as code C50 according to the International Classification of Diseases and Health Related Problems, 10th Revision. Lifestyle, including smoking status, was assessed with a self-administered questionnaire. Alcohol consumption was assessed with a validated food-frequency questionnaire. After multivariate adjustments for age, body mass index, alcohol consumption, physical activity, education, age at menarche, age at first delivery, menopausal status, number of children and history of hormone replacement therapy, active smoking was not associated with the risk of breast cancer. Compared with never smokers whose husband had never smoked, the risks of breast cancer were 1.98 (95% CI: 1.03–3.84) among never smokers whose husband was a current smoker of 21 cigarettes per day or more. The increased risk of breast cancer among women having a smoking husband was pronounced among those who did not habitually consume alcohol. These results suggest that exposure to smoke from husbands is a potential risk factor for breast cancer. The impact of alcohol consumption on the increased breast cancer risk from passive smoking needs to be addressed in further studies.
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