Abstract:
PURPOSE:Massachusetts cancer registry and case-control data suggest that breast cancer incidence is elevated on Cape Cod relative to other parts of the state. We examined the association between length of residence on Cape Cod and breast cancer, since residential history could be acting as a surrogate for unidentified environmental risk factors. METHODS:We computed odds ratios (OR) and 95% confidence limits (CL) for 1121 cases occurring between 1988 and 1995 on Cape Cod and 992 controls, according to categories of residence time on Cape Cod, after adjusting for age, family history, parity and age at first live or stillbirth, education, body mass index, and breast cancer history. RESULTS:Breast cancer risk was elevated among women living on Cape Cod 5 or more years with a peak occurring in the 25 to less than 30 year category (adjusted OR=1.72; 95% CL, 1.12, 2.64). Adjusting for confounding strengthened the associations. Odds ratios did not increase monotonically over categories of longer residence. CONCLUSIONS:Our results suggest that longer residence on Cape Cod is associated with elevated breast cancer risk, however inconsistency in the pattern of association limits conclusions that might be drawn about it. Suspected environmental exposures include pesticides and drinking water contaminated by industrial, agricultural, and residential land use.
journal_name
Ann Epidemioljournal_title
Annals of epidemiologyauthors
McKelvey W,Brody JG,Aschengrau A,Swartz CHdoi
10.1016/S1047-2797(03)00120-0keywords:
subject
Has Abstractpub_date
2004-02-01 00:00:00pages
89-94issue
2eissn
1047-2797issn
1873-2585pii
S1047279703001200journal_volume
14pub_type
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/s1047-2797(98)00060-x
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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journal_title:Annals of epidemiology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1991-08-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/1047-2797(94)90086-8
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journal_title:Annals of epidemiology
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更新日期:2018-12-01 00:00:00
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更新日期:2018-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2003-04-01 00:00:00
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更新日期:2013-07-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:1996-05-01 00:00:00
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更新日期:2011-04-01 00:00:00
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更新日期:2013-06-01 00:00:00
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更新日期:2004-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-03-01 00:00:00
abstract:PURPOSE:Prescription drug overdose (PDO) deaths are a critical public health problem in the United States. This study aims to assess the association between emergency department (ED) utilization patterns in a cohort of ED patients and the risk of subsequent unintentional PDO mortality. METHODS:Using data from the New ...
journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2003.08.003
更新日期:2004-03-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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journal_title:Annals of epidemiology
pub_type: 杂志文章
doi:10.1016/j.annepidem.2008.09.004
更新日期:2008-12-01 00:00:00