Reproductive risk factors for breast cancer and association with novel breast density measurements among Hispanic, Black, and White women

被引:3
作者
Barnard, Mollie E. [1 ,2 ]
Dupre, Natalie C. [3 ]
Heine, John J. [4 ]
Fowler, Erin E. [4 ]
Murthy, Divya J. [5 ,6 ]
Nelleke, Rebecca L. [5 ,6 ]
Chan, Ariane [7 ]
Warner, Erica T. [8 ]
Tamimi, Rulla M. [9 ]
机构
[1] Boston Univ Chobanian & Avedisian Sch Med, Slone Epidemiol Ctr, Chobanian & Avedisian Sch Med, Boston, MA 02118 USA
[2] Univ Utah, Intermt Healthcare Dept Populat Hlth Sci, Huntsman Canc Inst, Salt Lake City, UT 84112 USA
[3] Univ Louisville, Sch Publ Hlth & Informat Sci, Dept Epidemiol & Populat Hlth, Louisville, KY USA
[4] H Lee Moffitt Canc Ctr & Res Inst, Div Populat Sci, Tampa, FL 33612 USA
[5] Brigham & Womens Hosp, Channing Div Network Med, Dept Med, Boston, MA USA
[6] Harvard Med Sch, Boston, MA USA
[7] Volpara Hlth Technol Ltd, Wellington, New Zealand
[8] Massachusetts Gen Hosp, Clin & Translat Epidemiol Unit, Mongan Inst, Dept Med, Boston, MA USA
[9] Weill Cornell Med, Dept Populat Hlth Sci, New York, NY USA
关键词
Breast density; Mammography; Reproductive health; Epidemiology; POSTMENOPAUSAL HORMONE-THERAPY; BODY-MASS INDEX; MAMMOGRAPHIC DENSITY; LIFE-COURSE; ESTROGEN; AGE; POPULATIONS; CARCINOMA; PATTERNS; FEATURES;
D O I
10.1007/s10549-023-07174-w
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
PurposeThere are differences in the distributions of breast cancer incidence and risk factors by race and ethnicity. Given the strong association between breast density and breast cancer, it is of interest describe racial and ethnic variation in the determinants of breast density.MethodsWe characterized racial and ethnic variation in reproductive history and several measures of breast density for Hispanic (n = 286), non-Hispanic Black (n = 255), and non-Hispanic White (n = 1694) women imaged at a single hospital. We quantified associations between reproductive factors and percent volumetric density (PVD), dense volume (DV), non-dense volume (NDV), and a novel measure of pixel intensity variation (V) using multivariable-adjusted linear regression, and tested for statistical heterogeneity by race and ethnicity.ResultsReproductive factors most strongly associated with breast density were age at menarche, parity, and oral contraceptive use. Variation by race and ethnicity was most evident for the associations between reproductive factors and NDV (minimum p-heterogeneity:0.008) and V (minimum p-heterogeneity:0.004) and least evident for PVD (minimum p-heterogeneity:0.042) and DV (minimum p-heterogeneity:0.041).ConclusionReproductive choices, particularly those related to childbearing and oral contraceptive use, may contribute to racial and ethnic variation in breast density.
引用
收藏
页码:309 / 325
页数:17
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