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American Journal of Epidemiology Vol. 129, No. 1: 36-42
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health

other

CIGARETTE SMOKING AND BREAST CANCER

T. E. ROHAN1 and J. A. BARON2,

1MRC Epidemiology and Medical Care Unit, Northwick Park Hospital Harrow, Middlesex, United Kingdom
2Departments of Medicine, and Community and Family Medicine, and Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center Hanover, NH

Reprint requests to Dr. J. A. Baron at the Department of Medicine, Dartmouth Medical School, Hanover, NH 03756.

Rohan, T. E., and J. A. Baron (Dartmouth Medical School, Hanover, NH 03756). Cigarette smoking and breast cancer. Am J Epidemiol 1989; 129:36–42.

The relation between cigarette smoking and the risk of breast cancer in women was investigated in a population-based case-control study conducted in Adelaide, Australia during 1982–1984. Cases were identified through the South Australian Central Cancer Registry, and, for each case, one age-matched control was selected from the electoral register; in all, 451 case-control pairs were enrolled. Overall, no clear association was found between ever or current smoking and breast cancer risk. In a subgroup analysis, premenopausal ex-smokers were observed to have an increased risk (estimated odds ratio=2.3). The absence of a protective effect of cigarette smoking on breast cancer risk may reflect the relatively weak estrogen dependence of breast cancer, or the nature of its hormone dependence.

smoking; breast neoplasms


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