EXOGENOUS HORMONES, REPRODUCTIVE HISTORY, AND COLON-CANCER (SEATTLE, WASHINGTON, USA)

被引:108
作者
JACOBS, EJ
WHITE, E
WEISS, NS
机构
[1] Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, 98104, WA
[2] Department of Epidemiology, University of Washington, Seattle, WA
[3] Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, Seattle, WA
关键词
CASE-CONTROL STUDIES; COLORECTAL NEOPLASMS; ESTROGEN REPLACEMENT THERAPY; MENOPAUSE; ORAL CONTRACEPTIVES; PARITY; USA;
D O I
10.1007/BF01804987
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The associations between exogenous hormones, reproductive history, and colon cancer were investigated in a case-control study among women aged 30-62 years. The study was conducted in the Seattle, Washington (USA) metropolitan area between 1985 and 1989 and included 193 incident cases of colon cancer and 194 controls. There was 1. little overall association between colon cancer and oral contraceptive use, parity, age at first birth, hysterectomy or oophorectomy status, or age at menopause. Use of noncontraceptive hormones at or after age 40, most likely hormone replacement therapy (HRT), was associated with decreased risk of colon cancer (adjusted odds ratio [OR] = 0.60, 95 percent confidence interval [CI] = 0.35-1.01), particularly among women with more than five years of use (OR = 0.47, 95 percent CI = 0.24-0.91). While results from previous studies have not been consistent, any protective effect of HRT against colon cancer would be important given the continuing debate over its potential risks and benefits.
引用
收藏
页码:359 / 366
页数:8
相关论文
共 33 条
  • [1] Fraumeni J.F., Lloyd J.W., Smith E.M., Wagoner J.K., Cancer mortality among nuns: Role of marital status in etiology of neoplastic disease in women, JNCI, 42, pp. 455-68, (1969)
  • [2] McMichael A.J., Potter J.D., Reproduction, endogenous and exogenous sex hormones, and colon cancer: A review and hypothesis, JNCI, 65, pp. 1201-7, (1980)
  • [3] Reddy B.S., Watanabe K., Weisburger J.H., Wynder E.L., Promoting effect of bile acids in colon carcinogenesis in germ-free and conventional F344 rats, Cancer Res, 37, pp. 2533-9, (1977)
  • [4] Narisawa T., Magadia N.E., Weisburger J.H., Wynder E.L., Promoting effect of bile acids on colon carcinogenesis after intrarectal instillation of N-methyl-N′ nitrosoguanidine in rats, JNCI, 53, pp. 1093-7, (1974)
  • [5] Peters R.K., Pike M.C., Chang W.W., Mack T.M., Reproductive factors and colon cancers, Br J Cancer, 61, pp. 741-8, (1990)
  • [6] Gerhardsson de Verdier M., London S., Reproductive factors, exogenous female hormones, and colorectal cancer by subsite, Cancer Cances Control, 3, pp. 355-60, (1992)
  • [7] Meyer F., White E., Alcohol and nutrients in relation to colon cancer in middle-aged adults, Am J Epidemiol, 138, pp. 225-6, (1993)
  • [8] Harlow B.L., Davis S., Two one-step methods for household screening and interviewing using random digit dialing, Am J Epidemiol, 127, pp. 857-63, (1988)
  • [9] NE, NE, Statistical Methods in Cancer Research. Vol 1. The Analysis of Case-control Studies, (1980)
  • [10] Mantel N., Chi-square tests with one degree of freedom: extensions of the Mantel-Haenszel procedure, J Am Stat Assoc, 58, pp. 690-700, (1963)