Null Assoc Pregnancy Termination & Bca

Epidemiology

Null association between pregnancy termination and breast cancer in a registry-based study of parous women

Timothy L. Lash 1 2 *, Aliza K. Fink 1 3

1Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA 2Department of Medicine, Boston University School of Medicine, Boston, MA, USA 3Geriatrics Section, Boston Medical Center, Boston, MA, USA

email: Timothy L. Lash (tlash@bu.edu)

*Correspondence to Timothy L. Lash, Boston Medical Center, 88 E. Newton Street, B2100, Boston, MA 02118

Fax: +617-638-8312.

Abstract Studies suggesting a positive association between pregnancy termination and breast cancer risk have often been of retrospective case-control design, so subject to selection and recall biases.

We undertook a registry-based analysis with minimal selection bias and prospective record-based ascertainment of terminations. The source population comprised Massachusetts women with a record of giving birth between 1987 and 1999 in the Massachusetts Vital Statistics Registry.

Primary breast cancer cases were 25-55 years old at diagnosis between 1988 and 2000 and had a record of the diagnosis in the Massachusetts Cancer Registry.

We matched 3 controls to each case on maternal age, year of giving birth and birth facility. Information on terminations (induced and spontaneous) before the birth of record, the matched factors and potential confounders were collected from the birth certificate.

After adjustment for the matched factors, age, parity and maternal and paternal education, the odds ratio associating any termination history with breast cancer risk equaled 0.91 (95% CI = 0.79-1.05).

The marginally protective adjusted odds ratio largely derived from a protective effect among women with parity equaled to 1 (OR for any termination = 0.68; 95% CI = 0.45-1.03), suggesting a protective effect of terminated pregnancy among women with one live birth

International Journal of Cancer Volume 110, Issue 3 , Pages 443 - 448

Remember we are NOT Doctors and have NO medical training.

This site is like an Encylopedia - there are many pages, many links on many topics.

Support our work with any size DONATION - see left side of any page - for how to donate. You can help raise awareness of CAM.