Alcohol intake and cigarette smoking and risk of a contralateral breast cancer Journal Article


Authors: Knight, J. A.; Bernstein, L.; Largent, J.; Capanu, M.; Begg, C. B.; Mellemkjær, L.; Lynch, C. F.; Malone, K. E.; Reiner, A. S.; Liang, X.; Haile, R. W.; Boice, J. D. Jr; Bernstein, J. L.
Article Title: Alcohol intake and cigarette smoking and risk of a contralateral breast cancer
Abstract: Women with primary breast cancer are at increased risk of developing second primary breast cancer. Few studies have evaluated risk factors for the development of asynchronous contralateral breast cancer in women with breast cancer. In the Women's Environmental Cancer and Radiation Epidemiology Study (1985-2001), the roles of alcohol and smoking were examined in 708 women with asynchronous contralateral breast cancer (cases) compared with 1,399 women with unilateral breast cancer (controls). Cases and controls aged less than 55 years at first breast cancer diagnosis were identified from 5 population-based cancer registries in the United States and Denmark. Controls were matched to cases on birth year, diagnosis year, registry region, and race and countermatched on radiation treatment. Risk factor information was collected by telephone interview. Rate ratios and 95% confidence intervals were estimated by using conditional logistic regression. Ever regular drinking was associated with an increased risk of asynchronous contralateral breast cancer (rate ratio=1.3, 95% confidence interval: 1.0, 1.6), and the risk increased with increasing duration (P=0.03). Smoking was not related to asynchronous contralateral breast cancer. In this, the largest study of asynchronous contralateral breast cancer to date, alcohol is a risk factor for the disease, as it is for a first primary breast cancer.
Keywords: adult; controlled study; middle aged; major clinical study; clinical trial; cigarette smoking; cancer risk; united states; cohort studies; breast cancer; logistic models; cohort analysis; risk factors; smoking; breast neoplasms; risk factor; confidence interval; europe; confidence intervals; multicenter study; breast tumor; alcohol; comorbidity; cancer registry; interview; neoplasms, second primary; second cancer; epidemiology; alcohol consumption; regression analysis; statistical model; alcohol drinking; womens health; denmark; telephone; drinking behavior; eurasia; north america; northern europe; scandinavia
Journal Title: American Journal of Epidemiology
Volume: 169
Issue: 8
ISSN: 0002-9262
Publisher: Oxford University Press  
Date Published: 2009-04-01
Start Page: 962
End Page: 968
Language: English
DOI: 10.1093/aje/kwn422
PUBMED: 19211621
PROVIDER: scopus
PMCID: PMC2727227
DOI/URL:
Notes: --- - "Cited By (since 1996): 6" - "Export Date: 30 November 2010" - "CODEN: AJEPA" - "Source: Scopus"
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MSK Authors
  1. Anne S Reiner
    248 Reiner
  2. Colin B Begg
    306 Begg
  3. Marinela Capanu
    386 Capanu
  4. Jonine L Bernstein
    142 Bernstein
  5. Xiaolin Liang
    62 Liang