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Erschienen in: Cancer Causes & Control 5/2011

01.05.2011 | Original paper

Smoking and alcohol consumption in relation to risk of triple-negative breast cancer in a cohort of postmenopausal women

verfasst von: Geoffrey C. Kabat, Mimi Kim, Amanda I. Phipps, Christopher I. Li, Catherine R. Messina, Jean Wactawski-Wende, Lewis Kuller, Michael S. Simon, Shagufta Yasmeen, Sylvia Wassertheil-Smoller, Thomas E. Rohan

Erschienen in: Cancer Causes & Control | Ausgabe 5/2011

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Abstract

Purpose

Little is known about the risk factors for triple-negative breast cancer (TNBC), which has a worse prognosis compared to hormone receptor-positive breast cancer. We examined the association of smoking and alcohol intake with TNBC and estrogen receptor-positive (ER+) breast cancer.

Methods

Among 148,030 women enrolled in the Women’s Health Initiative, 300 TNBC cases and 2,479 ER+ cases were identified over a median of 8.0 years of follow-up. Cox proportional hazards models were used to estimate hazard ratios (HR) and 95% confidence intervals (95% CI).

Results

Cigarette smoking was not associated with TNBC, whereas drinkers had reduced risk compared to never drinkers. In contrast, both exposures showed slight positive associations with ER+ breast cancer: for women with ≥40 pack-years of smoking, the HR was 1.24, 95% CI 1.06–1.44; for women consuming ≥7 servings of alcohol per week, the HR was 1.26, 95% CI 1.06–1.50. Intakes of wine and hard liquor were also significantly positively associated with ER+ breast cancer.

Conclusions

These findings from a large cohort of postmenopausal women suggest that smoking and alcohol consumption are not associated with increased risk of TNBC, but may be modestly associated with increased risk of ER+ breast cancer.
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Metadaten
Titel
Smoking and alcohol consumption in relation to risk of triple-negative breast cancer in a cohort of postmenopausal women
verfasst von
Geoffrey C. Kabat
Mimi Kim
Amanda I. Phipps
Christopher I. Li
Catherine R. Messina
Jean Wactawski-Wende
Lewis Kuller
Michael S. Simon
Shagufta Yasmeen
Sylvia Wassertheil-Smoller
Thomas E. Rohan
Publikationsdatum
01.05.2011
Verlag
Springer Netherlands
Erschienen in
Cancer Causes & Control / Ausgabe 5/2011
Print ISSN: 0957-5243
Elektronische ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-011-9750-7

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