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01.02.2020 | Original Paper

Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis

verfasst von: Eunjung Lee, Namphuong Doanvo, MiHee Lee, Zayar Soe, Alice W. Lee, Cam Van Doan, Dennis Deapen, Giske Ursin, Darcy Spicer, Peggy Reynolds, Anna H. Wu

Erschienen in: Cancer Causes & Control | Ausgabe 2/2020

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Abstract

Purpose

Breast density is an important risk factor for breast cancer and varies substantially across racial-ethnic groups. However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration history, and other demographic and lifestyle factors were associated with breast density in Vietnamese Americans.

Methods

We collected information on demographics, immigration history, and other lifestyle factors and mammogram reports from a convenience sample of 380 Vietnamese American women in California aged 40 to 70 years. Breast Imaging Reporting and Data System (BI-RADS) breast density was abstracted from mammogram reports. Multivariable logistic regression was used to investigate the association between lifestyle factors and having dense breasts (BI-RADS 3 or 4).

Results

All participants were born in Viet Nam and 82% had lived in the US for 10 years or longer. Younger age, lower body mass index, nulliparity/lower number of deliveries, and longer US residence (or younger age at migration) were associated with having dense breasts. Compared to women who migrated at age 40 or later, the odds ratios and 95% confidence intervals for having dense breasts among women who migrated between the ages of 30 and 39 and before age 30 were 1.72 (0.96–3.07) and 2.48 (1.43–4.32), respectively.

Conclusions

Longer US residence and younger age at migration were associated with greater breast density in Vietnamese American women. Identifying modifiable mediating factors to reduce lifestyle changes that adversely impact breast density in this traditionally low-risk population for breast cancer is warranted.

Gomez SL, Von Behren J, McKinley M, Clarke CA, Shariff-Marco S, Cheng I, Reynolds P, Glaser SL (2017) Breast cancer in Asian Americans in California, 1988–2013: increasing incidence trends and recent data on breast cancer subtypes. Breast Cancer Res Treat 164(1):139–147. https://doi.org/10.1007/s10549-017-4229-1 CrossRefPubMedPubMedCentral

Gomez SL, Noone AM, Lichtensztajn DY, Scoppa S, Gibson JT, Liu L, Morris C, Kwong S, Fish K, Wilkens LR, Goodman MT, Deapen D, Miller BA (2013) Cancer incidence trends among Asian American populations in the United States, 1990–2008. J Natl Cancer Inst 105(15):1096–1110. https://doi.org/10.1093/jnci/djt157 CrossRefPubMedPubMedCentral

Wu AH, Lee E, Stram DO (2016) Breast cancer among Asian Americans. In: Wu AH, Stram DO (eds) Cancer epidemiology among Asian Americans. Springer, Los Angeles, pp 187–218CrossRef

Lee E, Liu L, Zhang J, Stern MC, Barzi A, Hwang A, Kim AE, Hamilton AS, Wu AH, Deapen D (2017) Stomach Cancer Disparity among Korean Americans by tumor characteristics: comparison with Non-Hispanic Whites, Japanese Americans, South Koreans, and Japanese. Cancer Epidemiol Biomark Prev 26(4):587–596. https://doi.org/10.1158/1055-9965.EPI-16-0573 CrossRef

Barnes JS, Bennett CE (2002) The Asian population: 2000, Census 2000 Brief, Issued February 2002. https://www.census.gov/prod/2002pubs/c2kbr01-16.pdf. Accessed May 2015

Hoeffel EM, Rastogi S, Kim MO, Shahid H (2010) The Asian population: 2010. 2010 Census Briefs. Issued March 2012. https://www.census.gov/prod/cen2010/briefs/c2010br-11.pdf. Accessed May 2015

Alperin E, Batalova J (2018) Vietnamese Immigrants in the United States. Migration Policy Institute. https://www.migrationpolicy.org/article/vietnamese-immigrants-united-states-5#Immigration%20Pathways%20and%20Naturalization. Accessed September 3, 2019 2019

Kolonel LN, Altshuler D, Henderson BE (2004) The multiethnic cohort study: exploring genes, lifestyle and cancer risk. Nat Rev Cancer 4(7):519–527. https://doi.org/10.1038/nrc1389 CrossRefPubMed

Maskarinec G, Noh JJ (2004) The effect of migration on cancer incidence among Japanese in Hawaii. Ethn Dis 14(3):431–439PubMed

10.

Le GM, Gomez SL, Clarke CA, Glaser SL, West DW (2002) Cancer incidence patterns among Vietnamese in the United States and Ha Noi Vietnam. Int J Cancer 102(4):412–417. https://doi.org/10.1002/ijc.10725 CrossRefPubMed

11.

Trieu PD, Mello-Thoms C, Brennan PC (2015) Female breast cancer in Vietnam: a comparison across Asian specific regions. Cancer Biol Med 12(3):238–245. https://doi.org/10.7497/j.issn.2095-3941.2015.0034 CrossRefPubMedPubMedCentral

12.

Forman D, Bray F, Brewster DH, Gombe Mbalawa C, Kohler B, Piñeros M, Steliarova-Foucher E, Swaminathan R, Ferlay J (2014) Cancer incidence in five continents, Vol. X. IARC Scientific Publication No. 164. International Agency for Research on Cancer, Lyon

13.

Jin H, Pinheiro PS, Xu J, Amei A (2016) Cancer incidence among Asian American populations in the United States, 2009–2011. Int J Cancer 138(9):2136–2145. https://doi.org/10.1002/ijc.29958 CrossRefPubMedPubMedCentral

14.

Boyd NF, Martin LJ, Bronskill M, Yaffe MJ, Duric N, Minkin S (2010) Breast tissue composition and susceptibility to breast cancer. J Natl Cancer Inst 102(16):1224–1237. https://doi.org/10.1093/jnci/djq239 CrossRefPubMedPubMedCentral

15.

McCormack VA, dos Santos SI (2006) Breast density and parenchymal patterns as markers of breast cancer risk: a meta-analysis. Cancer Epidemiol Biomark Prev 15(6):1159–1169CrossRef

16.

Greendale GA, Reboussin BA, Sie A, Singh HR, Olson LK, Gatewood O, Bassett LW, Wasilauskas C, Bush T, Barrett-Connor E (1999) Effects of estrogen and estrogen-progestin on mammographic parenchymal density Postmenopausal Estrogen/Progestin Interventions (PEPI) Investigators. Ann Intern Med 130(4 Pt 1):262–269CrossRef

17.

McTiernan A, Martin CF, Peck JD, Aragaki AK, Chlebowski RT, Pisano ED, Wang CY, Brunner RL, Johnson KC, Manson JE, Lewis CE, Kotchen JM, Hulka BS (2005) Estrogen-plus-progestin use and mammographic density in postmenopausal women: women's health initiative randomized trial. J Natl Cancer Inst 97(18):1366–1376. https://doi.org/10.1093/jnci/dji279 CrossRefPubMed

18.

Buist DS, Anderson ML, Reed SD, Aiello Bowles EJ, Fitzgibbons ED, Gandara JC, Seger D, Newton KM (2009) Short-term hormone therapy suspension and mammography recall: a randomized trial. Ann Intern Med 150(11):752–765CrossRef

19.

Kerlikowske K, Ichikawa L, Miglioretti DL, Buist DS, Vacek PM, Smith-Bindman R, Yankaskas B, Carney PA, Ballard-Barbash R (2007) Longitudinal measurement of clinical mammographic breast density to improve estimation of breast cancer risk. J Natl Cancer Inst 99(5):386–395. https://doi.org/10.1093/jnci/djk066 CrossRefPubMed

20.

Byrne C, Ursin G, Martin CF, Peck JD, Cole EB, Zeng D, Kim E, Yaffe MD, Boyd NF, Heiss G, McTiernan A, Chlebowski RT, Lane DS, Manson JE, Wactawski-Wende J, Pisano ED (2017) Mammographic density change with estrogen and progestin therapy and breast cancer risk. J Natl Cancer Inst. https://doi.org/10.1093/jnci/djx001 CrossRefPubMedPubMedCentral

21.

Cuzick J, Warwick J, Pinney E, Duffy SW, Cawthorn S, Howell A, Forbes JF, Warren RM (2011) Tamoxifen-induced reduction in mammographic density and breast cancer risk reduction: a nested case-control study. J Natl Cancer Inst 103(9):744–752. https://doi.org/10.1093/jnci/djr079 CrossRefPubMed

22.

Heng D, Gao F, Jong R, Fishell E, Yaffe M, Martin L, Li T, Stone J, Sun L, Hopper J, Boyd NF (2004) Risk factors for breast cancer associated with mammographic features in Singaporean chinese women. Cancer Epidemiol Biomark Prev 13(11 Pt 1):1751–1758

23.

Qureshi SA, Couto E, Hofvind S, Wu AH, Ursin G (2012) Alcohol intake and mammographic density in postmenopausal Norwegian women. Breast Cancer Res Treat 131(3):993–1002. https://doi.org/10.1007/s10549-011-1812-8 CrossRefPubMed

24.

Riza E, dos Santos SI, De Stavola B, Perry N, Karadedou-Zafiriadou E, Linos D, Remoundos DD, Linos A (2005) Correlates of high-density mammographic parenchymal patterns by menopausal status in a rural population in Northern Greece. Eur J Cancer 41(4):590–600. https://doi.org/10.1016/j.ejca.2004.12.014 CrossRefPubMed

25.

Sung H, Ren J, Li J, Pfeiffer RM, Wang Y, Guida JL, Fang Y, Shi J, Zhang K, Li N, Wang S, Wei L, Hu N, Gierach GL, Dai M, Yang XR, He J (2018) Breast cancer risk factors and mammographic density among high-risk women in urban China. NPJ breast cancer 4:3. https://doi.org/10.1038/s41523-018-0055-9 CrossRefPubMedPubMedCentral

26.

Vachon CM, Kuni CC, Anderson K, Anderson VE, Sellers TA (2000) Association of mammographically defined percent breast density with epidemiologic risk factors for breast cancer (United States). Cancer Causes Control 11(7):653–662CrossRef

27.

Woolcott CG, Koga K, Conroy SM, Byrne C, Nagata C, Ursin G, Vachon CM, Yaffe MJ, Pagano I, Maskarinec G (2012) Mammographic density, parity and age at first birth, and risk of breast cancer: an analysis of four case-control studies. Breast Cancer Res Treat 132(3):1163–1171. https://doi.org/10.1007/s10549-011-1929-9 CrossRefPubMedPubMedCentral

28.

Islami F, Liu Y, Jemal A, Zhou J, Weiderpass E, Colditz G, Boffetta P, Weiss M (2015) Breastfeeding and breast cancer risk by receptor status—a systematic review and meta-analysis. Ann Oncol 26(12):2398–2407. https://doi.org/10.1093/annonc/mdv379 CrossRefPubMedPubMedCentral

29.

Sung J, Song YM, Stone J, Lee K, Lee D (2011) Reproductive factors associated with mammographic density: a Korean co-twin control study. Breast Cancer Res Treat 128(2):567–572. https://doi.org/10.1007/s10549-011-1469-3 CrossRefPubMed

30.

Ursin G, Sun CL, Koh WP, Khoo KS, Gao F, Wu AH, Yu MC (2006) Associations between soy, diet, reproductive factors, and mammographic density in Singapore Chinese women. Nutr Cancer 56(2):128–135. https://doi.org/10.1207/s15327914nc5602_2 CrossRefPubMed

31.

Dai H, Yan Y, Wang P, Liu P, Cao Y, Xiong L, Luo Y, Pan T, Ma X, Wang J, Yang Z, Liu X, Chen C, Huang Y, Li Y, Wang Y, Hao X, Ye Z, Chen K (2014) Distribution of mammographic density and its influential factors among Chinese women. Int J Epidemiol 43(4):1240–1251. https://doi.org/10.1093/ije/dyu042 CrossRefPubMedPubMedCentral

32.

The Premenopausal Breast Cancer Collaborative Group, Schoemaker MJ, Nichols HB, Wright LB, Brook MN, Jones ME, O'Brien KM, Adami HO, Baglietto L, Bernstein L, Bertrand KA, Boutron-Ruault MC, Braaten T, Chen Y, Connor AE, Dorronsoro M, Dossus L, Eliassen AH, Giles GG, Hankinson SE, Kaaks R, Key TJ, Kirsh VA, Kitahara CM, Koh WP, Larsson SC, Linet MS, Ma H, Masala G, Merritt MA, Milne RL, Overvad K, Ozasa K, Palmer JR, Peeters PH, Riboli E, Rohan TE, Sadakane A, Sund M, Tamimi RM, Trichopoulou A, Ursin G, Vatten L, Visvanathan K, Weiderpass E, Willett WC, Wolk A, Yuan JM, Zeleniuch-Jacquotte A, Sandler DP, Swerdlow AJ (2018) Association of body mass index and age with subsequent breast cancer risk in premenopausal women. JAMA Oncol 4(11):e181771. https://doi.org/10.1001/jamaoncol.2018.1771 CrossRefPubMedCentral

33.

Picon-Ruiz M, Morata-Tarifa C, Valle-Goffin JJ, Friedman ER, Slingerland JM (2017) Obesity and adverse breast cancer risk and outcome: mechanistic insights and strategies for intervention. CA 67(5):378–397. https://doi.org/10.3322/caac.21405 CrossRefPubMedPubMedCentral

34.

Burton A, Maskarinec G, Perez-Gomez B, Vachon C, Miao H, Lajous M, Lopez-Ridaura R, Rice M, Pereira A, Garmendia ML, Tamimi RM, Bertrand K, Kwong A, Ursin G, Lee E, Qureshi SA, Ma H, Vinnicombe S, Moss S, Allen S, Ndumia R, Vinayak S, Teo SH, Mariapun S, Fadzli F, Peplonska B, Bukowska A, Nagata C, Stone J, Hopper J, Giles G, Ozmen V, Aribal ME, Schuz J, Van Gils CH, Wanders JOP, Sirous R, Sirous M, Hipwell J, Kim J, Lee JW, Dickens C, Hartman M, Chia KS, Scott C, Chiarelli AM, Linton L, Pollan M, Flugelman AA, Salem D, Kamal R, Boyd N, Dos-Santos-Silva I, McCormack V (2017) Mammographic density and ageing: a collaborative pooled analysis of cross-sectional data from 22 countries worldwide. PLoS Med 14(6):e1002335. https://doi.org/10.1371/journal.pmed.1002335 CrossRefPubMedPubMedCentral

35.

Ursin G, Ma H, Wu AH, Bernstein L, Salane M, Parisky YR, Astrahan M, Siozon C, Pike MC (2003) Mammographic density and breast cancer in three ethnic groups. Cancer Epidemiol Biomark Prev 12:332–338

36.

Maskarinec G, Meng L, Ursin G (2001) Ethnic differences in mammographic densities. Int J Epidemiol 30(5):959–965CrossRef

37.

Habel LA, Capra AM, Oestreicher N, Greendale GA, Cauley JA, Bromberger J, Crandall CJ, Gold EB, Modugno F, Salane M, Quesenberry C, Sternfeld B (2007) Mammographic density in a multiethnic cohort. Menopause 14(5):891–899. https://doi.org/10.1097/gme.0b013e318032569c CrossRefPubMed

38.

Tseng M, Byrne C (2011) Adiposity, adult weight gain and mammographic breast density in US Chinese women. Int J Cancer 128(2):418–425. https://doi.org/10.1002/ijc.25338 CrossRefPubMed

39.

Maskarinec G, Nagata C, Shimizu H, Kashiki Y (2002) Comparison of mammographic densities and their determinants in women from Japan and Hawaii. Int J Cancer 102(1):29–33. https://doi.org/10.1002/ijc.10673 CrossRefPubMed

40.

Tseng M, Byrne C, Evers KA, London WT, Daly MB (2006) Acculturation and breast density in foreign-born, US Chinese women. Cancer Epidemiol Biomark Prev 15(7):1301–1305. https://doi.org/10.1158/1055-9965.EPI-06-0159 CrossRef

41.

Quach T, Gunier R, Tran A, Von Behren J, Doan-Billings PA, Nguyen KD, Okahara L, Lui BY, Nguyen M, Huynh J, Reynolds P (2011) Characterizing workplace exposures in Vietnamese women working in California nail salons. Am J Public Health 101(Suppl 1):S271–276. https://doi.org/10.2105/ajph.2010.300099 CrossRefPubMedPubMedCentral

42.

Quach T, Nguyen KD, Doan-Billings PA, Okahara L, Fan C, Reynolds P (2008) A preliminary survey of Vietnamese nail salon workers in Alameda County California. J Community Health 33(5):336–343. https://doi.org/10.1007/s10900-008-9107-7 CrossRefPubMed

43.

D'Orsi CJ, Mendelson EB, Ikeda DM (2003) Breast Imaging Reporting and Data System: ACR BI-RADS-breast imaging atlas, 4th edn. American College of Radiology, Reson, VA

44.

D'Orsi CJ, Sickles EA, Mendelson EB, Morris EA (2013) ACR BI-RADS atlas: breast imaging re-porting and data system, 5th edn. American College of Radiology, Reston, VA, USA

45.

Conant EF, Sprague BL, Kontos D (2018) Beyond BI-RADS density: a call for quantification in the breast imaging clinic. Radiology 286(2):401–404. https://doi.org/10.1148/radiol.2017170644 CrossRefPubMedPubMedCentral

46.

The California Health Interview Survey (CHIS). https://healthpolicy.ucla.edu/chis/Pages/default.aspx. Accessed May 2019

47.

Adams SV, Newcomb PA, Shafer MM, Atkinson C, Bowles EJ, Newton KM, Lampe JW (2011) Urinary cadmium and mammographic density in premenopausal women. Breast Cancer Res Treat 128(3):837–844. https://doi.org/10.1007/s10549-011-1383-8 CrossRefPubMedPubMedCentral

48.

Peplonska B, Bukowska A, Sobala W, Reszka E, Gromadzinska J, Wasowicz W, Lie JA, Kjuus H, Ursin G (2012) Rotating night shift work and mammographic density. Cancer Epidemiol Biomark Prev 21(7):1028–1037. https://doi.org/10.1158/1055-9965.epi-12-0005 CrossRef

49.

Stone J, Willenberg L, Apicella C, Treloar S, Hopper J (2012) The association between mammographic density measures and aspirin or other NSAID use. Breast Cancer Res Treat 132(1):259–266. https://doi.org/10.1007/s10549-011-1834-2 CrossRefPubMed

50.

Hiatt RA, Haslam SZ, Osuch J (2009) The breast cancer and the environment research centers: transdisciplinary research on the role of the environment in breast cancer etiology. Environ Health Perspect 117(12):1814–1822. https://doi.org/10.1289/ehp.0800120 CrossRefPubMedPubMedCentral

51.

Mariapun S, Li J, Yip CH, Taib NA, Teo SH (2015) Ethnic differences in mammographic densities: an Asian cross-sectional study. PLoS ONE 10(2):e0117568. https://doi.org/10.1371/journal.pone.0117568 CrossRefPubMedPubMedCentral

52.

Bae JM, Kim EH (2016) Breast density and risk of breast cancer in asian women: a meta-analysis of observational studies. J Prev Med Public Health 49(6):367–375. https://doi.org/10.3961/jpmph.16.054 CrossRefPubMedPubMedCentral

53.

Jakes RW, Duffy SW, Ng FC, Gao F, Ng EH (2000) Mammographic parenchymal patterns and risk of breast cancer at and after a prevalence screen in Singaporean women. Int J Epidemiol 29(1):11–19CrossRef

54.

Demchig D, Mello-Thoms C, Khulan K, Ramish A, Brennan PC (2017) Mammographic appearances in Mongolia: causal factors for varying densities. Asian Pac J Cancer Prev 18(9):2425–2430. https://doi.org/10.22034/APJCP.2017.18.9.2425 CrossRefPubMedPubMedCentral

55.

Dung Yun Trieu P, Mello-Thoms C, Peat JK, Doan Do T, Brennan PC (2017) Associations of breast density with demographic, reproductive, and lifestyle factors in a developing southeast asian population. Asia Pac J Public Health 29(5):377–387. https://doi.org/10.1177/1010539517717313 CrossRefPubMed

56.

Wu AH, Ursin G, Koh WP, Wang R, Yuan JM, Khoo KS, Yu MC (2008) Green tea, soy, and mammographic density in Singapore Chinese women. Cancer Epidemiol Biomark Prev 17(12):3358–3365. https://doi.org/10.1158/1055-9965.EPI-08-0132 CrossRef

57.

Rice MS, Bertrand KA, VanderWeele TJ, Rosner BA, Liao X, Adami HO, Tamimi RM (2016) Mammographic density and breast cancer risk: a mediation analysis. Breast Cancer Res 18(1):94. https://doi.org/10.1186/s13058-016-0750-0 CrossRefPubMedPubMedCentral

58.

Butler LM, Gold EB, Greendale GA, Crandall CJ, Modugno F, Oestreicher N, Quesenberry CP Jr, Habel LA (2008) Menstrual and reproductive factors in relation to mammographic density: the Study of Women's Health Across the Nation (SWAN). Breast Cancer Res Treat 112(1):165–174. https://doi.org/10.1007/s10549-007-9840-0 CrossRefPubMed

59.

Aitken Z, Walker K, Stegeman BH, Wark PA, Moss SM, McCormack VA, Silva Idos S (2010) Mammographic density and markers of socioeconomic status: a cross-sectional study. BMC Cancer 10:35. https://doi.org/10.1186/1471-2407-10-35 CrossRefPubMedPubMedCentral

60.

Heck KE, Pamuk ER (1997) Explaining the relation between education and postmenopausal breast cancer. Am J Epidemiol 145(4):366–372CrossRef

61.

Heck KE, Schoendorf KC, Ventura SJ, Kiely JL (1997) Delayed childbearing by education level in the United States, 1969–1994. Matern Child Health J 1(2):81–88CrossRef

62.

Jakes RW, Duffy SW, Ng FC, Gao F, Ng EH, Seow A, Lee HP, Yu MC (2002) Mammographic parenchymal patterns and self-reported soy intake in Singapore Chinese women. Cancer Epidemiol Biomark Prev 11(7):608–613

63.

Tehranifar P, Rodriguez CB, April-Sanders AK, Desperito E, Schmitt KM (2018) Migration history, language acculturation, and mammographic breast density. Cancer Epidemiol Biomark Prev 27(5):566–574. https://doi.org/10.1158/1055-9965.EPI-17-0885 CrossRef

64.

Ziegler RG, Hoover RN, Pike MC, Hildesheim A, Nomura AM, West DW, Wu-Williams AH, Kolonel LN, Horn-Ross PL, Rosenthal JF, Hyer MB (1993) Migration patterns and breast cancer risk in Asian-American women. J Natl Cancer Inst 85(22):1819–1827CrossRef

65.

John EM, Phipps AI, Davis A, Koo J (2005) Migration history, acculturation, and breast cancer risk in Hispanic women. Cancer Epidemiol Biomark Prev 14(12):2905–2913. https://doi.org/10.1158/1055-9965.EPI-05-0483 CrossRef

66.

Colditz GA, Bohlke K, Berkey CS (2014) Breast cancer risk accumulation starts early: prevention must also. Breast Cancer Res Treat 145(3):567–579. https://doi.org/10.1007/s10549-014-2993-8 CrossRefPubMedPubMedCentral

67.

Xiao Y, Xia J, Li L, Ke Y, Cheng J, Xie Y, Chu W, Cheung P, Kim JH, Colditz GA, Tamimi RM, Su X (2019) Associations between dietary patterns and the risk of breast cancer: a systematic review and meta-analysis of observational studies. Breast Cancer Res 21(1):16. https://doi.org/10.1186/s13058-019-1096-1 CrossRefPubMedPubMedCentral

68.

Farvid MS, Cho E, Chen WY, Eliassen AH, Willett WC (2014) Dietary protein sources in early adulthood and breast cancer incidence: prospective cohort study. BMJ 348:g3437. https://doi.org/10.1136/bmj.g3437 CrossRefPubMedPubMedCentral

69.

Bertrand KA, Burian RA, Eliassen AH, Willett WC, Tamimi RM (2016) Adolescent intake of animal fat and red meat in relation to premenopausal mammographic density. Breast Cancer Res Treat 155(2):385–393. https://doi.org/10.1007/s10549-016-3679-1 CrossRefPubMedPubMedCentral

70.

Destounis S, Arieno A, Morgan R, Roberts C, Chan A (2017) Qualitative versus quantitative mammographic breast density assessment: applications for the US and abroad. Diagnostics 7(2):30. https://doi.org/10.3390/diagnostics7020030 CrossRefPubMedCentral

Titel: Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis
verfasst von: Eunjung Lee
Namphuong Doanvo
MiHee Lee
Zayar Soe
Alice W. Lee
Cam Van Doan
Dennis Deapen
Giske Ursin
Darcy Spicer
Peggy Reynolds
Anna H. Wu
Publikationsdatum: 01.02.2020
Verlag: Springer International Publishing
Erschienen in: Cancer Causes & Control / Ausgabe 2/2020
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI: https://doi.org/10.1007/s10552-019-01264-1

Springer Medizin

Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis