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ABSTRACT: Rotating Night Shifts and Risk of Breast Cancer in Women
Participating in the Nurses' Health Study
[10/17/2001; Journal of the National Cancer Institute]
Melatonin shows potential oncostatic action, and light
exposure during night suppresses melatonin production. There
is little information, however, about the direct effect of night
work on the risk of cancer.
We investigated the effect of night
work in breast cancer.
Methods: We examined the relationship
between breast cancer and working on rotating night shifts during
10 years of follow-up in 78 562 women from the Nurses' Health
Study.
Information was ascertained in 1988 about the total number
of years during which the nurses had worked rotating night shifts
with at least three nights per month. From June 1988 through
May 1998, we documented 2441 incident breast cancer cases. Logistic
regression models were used to calculate relative risks (RRs)
and 95% confidence intervals (CIs), adjusted for confounding
variables and breast cancer risk factors. All statistical tests
were two-sided.
Results: We observed a moderate increase in breast
cancer risk among the women who worked 1-14 years or 15-29
years on rotating night shifts (multivariate adjusted RR = 1.08
[95% CI = 0.99 to 1.18] and RR = 1.08 [95% CI = 0.90 to 1.30],
respectively). The risk was further increased among women who
worked 30 or more years on the night shift (RR = 1.36; 95% CI
= 1.04 to 1.78). The test for trend was statistically significant
(P = .02).
Conclusions: Women who work on rotating night shifts
with at least three nights per month, in addition to days and
evenings in that month, appear to have a moderately increased
risk of breast cancer after extended periods of working rotating
night shifts.
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