Social factors, diet and breast cancer in a northern Italian population (original) (raw)
Abstract
The relation of breast cancer to social and dietary variables was evaluated in a case-control study of 368 women with breast cancer admitted to the General Hospital of Pordenone (a town in the eastern side of Northern Italy) and 373 age-matched controls. Occupation was related to the risk of breast cancer, housewives and non-manual workers (teachers and other professionals, clerical workers, etc.) showing relative risks of 1.7 and 2.4 respectively when compared to women occupied in agriculture. The role of education was apparently less important, and not statistically significant. The risk was higher in women who were obese, the trend of increasing risk with increasing body mass index being confined to post-menopausal women. When indicators of dietary fat intake were analysed, a significantly increased risk was found with more frequent consumption of milk and dairy products but the risk estimates were only slightly above unity with reference to meat consumption. Women who drank alcoholic beverages showed a relative risk of 2.5 compared to women who had never drunk, when allowance was made for all identified potential confounding factors. The association between alcohol and breast cancer was not explained by the other dietary variables considered, and the risk estimates were higher for women who drank more wine, or more than one type of alcoholic beverage. Thus, the findings of the present study give evidence in favour of the hypothesis that alcohol consumption is related to the risk of breast cancer.

Selected References
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- Armstrong B., Doll R. Environmental factors and cancer incidence and mortality in different countries, with special reference to dietary practices. Int J Cancer. 1975 Apr 15;15(4):617–631. doi: 10.1002/ijc.2910150411. [DOI] [PubMed] [Google Scholar]
- Carroll K. K. Experimental evidence of dietary factors and hormone-dependent cancers. Cancer Res. 1975 Nov;35(11 Pt 2):3374–3383. [PubMed] [Google Scholar]
- Kelsey J. L. A review of the epidemiology of human breast cancer. Epidemiol Rev. 1979;1:74–109. doi: 10.1093/oxfordjournals.epirev.a036215. [DOI] [PubMed] [Google Scholar]
- La Vecchia C., Franceschi S., Cuzick J. Alcohol and breast cancer. Lancet. 1982 Mar 13;1(8272):621–621. doi: 10.1016/s0140-6736(82)91775-5. [DOI] [PubMed] [Google Scholar]
- Lea A. J. Dietary factors associated with death-rates from certain neoplasms in man. Lancet. 1966 Aug 6;2(7458):332–333. doi: 10.1016/s0140-6736(66)92615-8. [DOI] [PubMed] [Google Scholar]
- Lubin J. H., Burns P. E., Blot W. J., Ziegler R. G., Lees A. W., Fraumeni J. F., Jr Dietary factors and breast cancer risk. Int J Cancer. 1981 Dec;28(6):685–689. doi: 10.1002/ijc.2910280605. [DOI] [PubMed] [Google Scholar]
- MANTEL N., HAENSZEL W. Statistical aspects of the analysis of data from retrospective studies of disease. J Natl Cancer Inst. 1959 Apr;22(4):719–748. [PubMed] [Google Scholar]
- Miettinen O. Estimability and estimation in case-referent studies. Am J Epidemiol. 1976 Feb;103(2):226–235. doi: 10.1093/oxfordjournals.aje.a112220. [DOI] [PubMed] [Google Scholar]
- Miller A. B., Kelly A., Choi N. W., Matthews V., Morgan R. W., Munan L., Burch J. D., Feather J., Howe G. R., Jain M. A study of diet and breast cancer. Am J Epidemiol. 1978 Jun;107(6):499–509. doi: 10.1093/oxfordjournals.aje.a112569. [DOI] [PubMed] [Google Scholar]
- Mirra A. P., Cole P., MacMahon B. Breast cancer in an area of high parity: São Paulo, Brazil. Cancer Res. 1971 Feb;31(2):77–83. [PubMed] [Google Scholar]
- Rosenberg L., Slone D., Shapiro S., Kaufman D. W., Helmrich S. P., Miettinen O. S., Stolley P. D., Levy M., Rosenshein N. B., Schottenfeld D. Breast cancer and alcoholic-beverage consumption. Lancet. 1982 Jan 30;1(8266):267–270. doi: 10.1016/s0140-6736(82)90987-4. [DOI] [PubMed] [Google Scholar]
- Siiteri P. K. Steroid hormones and endometrial cancer. Cancer Res. 1978 Nov;38(11 Pt 2):4360–4366. [PubMed] [Google Scholar]
- Welsch C. W., Aylsworth C. F. Enhancement of murine mammary tumorigenesis by feeding high levels of dietary fat: a hormonal mechanism? J Natl Cancer Inst. 1983 Feb;70(2):215–221. [PubMed] [Google Scholar]
- Williams R. R. Breast and thyroid cancer and malignant melanoma promoted by alcohol-induced pituitary secretion of prolactin, T.S.H. and M.S.H. Lancet. 1976 May 8;1(7967):996–999. doi: 10.1016/s0140-6736(76)91865-1. [DOI] [PubMed] [Google Scholar]
- Wynder E. L. Dietary factors related to breast cancer. Cancer. 1980 Aug 15;46(4 Suppl):899–904. doi: 10.1002/1097-0142(19800815)46:4+<899::aid-cncr2820461308>3.0.co;2-a. [DOI] [PubMed] [Google Scholar]
- de Waard F., Baanders-van Halewijn E. A. A prospective study in general practice on breast-cancer risk in postmenopausal women. Int J Cancer. 1974 Aug 15;14(2):153–160. doi: 10.1002/ijc.2910140203. [DOI] [PubMed] [Google Scholar]
- de Waard F. Breast cancer incidence and nutritional status with particular reference to body weight and height. Cancer Res. 1975 Nov;35(11 Pt 2):3351–3356. [PubMed] [Google Scholar]