American Journal of Epidemiology Vol. 154, No. 10 : 916-923
Copyright © 2001 by The Johns Hopkins University School of Hygiene and Public Health
ORIGINAL CONTRIBUTIONS |
Family Breast Cancer History and Mammography: Framingham Offspring Study
1 National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, MA.
2 Section of General Internal Medicine, Boston University School of Medicine, Boston, MA.
3 Section of Endocrinology, Boston University School of Medicine, Boston, MA.
Deceased.
The authors examined mammography use according to family cancer history and identified predictors of recent use (
2 years). Framingham Offspring Study participants in Framingham, Massachusetts, aged 40–79 years, completed a breast health questionnaire in 1996–1997. The study sample of women included 141 with a first-degree relative with breast cancer, 221 with a mother or sister(s) with other cancers, and 331 with a mother and sister(s) who participate in the Framingham Heart Study and did not report a history of cancer. Stepwise logistic regression analysis was used to identify predictors of recent mammography use. Among women with a family breast cancer history, 98% reported mammography use compared with 95% of other women. Recent mammography use was higher in women with a family breast cancer history (93%) compared with women with a family history of other cancer (80%) and women without a family history of cancer (84%) (p = 0.004). Odds ratios and 95% confidence intervals for significant predictors of recent mammography use were as follows: family history of breast cancer, 3.2 (95% confidence interval (CI): 1.4, 7.7); recent clinical breast examination, 17.4 (95% CI: 9.2, 32.8); and smoking, 0.4 (95% CI: 0.2, 0.7). Mammography use was high among women with a family breast cancer history.
family characteristics; mammography; smoking
Abbreviations: CBE, clinical breast examination; CI, confidence interval; FHS, Framingham Heart Study
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