台湾妇女胎次、首次足月妊娠年龄、母乳喂养与乳癌之病例对照研究。

F M Lai, P Chen, H C Ku, M S Lee, S C Chang, T M Chang, S H Liou
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摘要

本研究旨在探讨台湾地区胎次、母乳喂养与乳癌的关系。通过问卷调查对经病理或细胞学证实的乳腺癌患者的生殖史进行评估,并与年龄匹配的健康对照进行比较。这项研究招募了114例病例和228例年龄匹配的对照。根据这些结果,有过三次以上足月妊娠、首次足月妊娠年龄小于30岁、母乳喂养3年以上的女性对乳腺癌有明显的保护作用。在调整了种族和绝经状态后,三次以上足月妊娠和首次足月妊娠年龄小于30岁的妇女患乳腺癌的风险降低。然而,在调整种族和绝经状态后,母乳喂养的持续时间与乳腺癌无关。研究发现,足月妊娠次数对乳腺癌风险的影响与首次足月妊娠的年龄无关。此外,首次足月妊娠年龄和足月妊娠次数的影响也独立于母乳喂养的影响。
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A case-control study of parity, age at first full-term pregnancy, breast feeding and breast cancer in Taiwanese women.

A hospital-based case-control study was designed herein to investigate the relationship between parity, breast feeding and breast cancer in Taiwan. Reproductive histories of patients with breast cancer confirmed by either pathology or cytology were assessed by questionnaire and compared with age-matched healthy controls. One hundred and fourteen cases and 228 age-matched controls were recruited for this study. According to those results, women having had more than three full-term pregnancies, age at first full-term pregnancy younger than 30, and breast feeding for more than 3 years displayed significantly protective effects against breast cancer. Following adjustment for ethnicity and menopausal status, women with more than three full-term pregnancies and younger than 30 years old at first full-term pregnancy had a decreased risk of breast cancer. However, duration of breast feeding was not related to breast cancer, after adjustment for ethnicity and menopausal status. The effect of number of full-term pregnancies on the risk of breast cancer was found to be independent of the effect of age at first full-term pregnancy. Moreover, the effect of age at first full-term pregnancy and number of full-term pregnancies was also independent of the effect of breast feeding.

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