Abstract
Background Epigenetic changes, geography and environmental factors do surpass the genetic factors in the development of breast cancer. This study investigates the association of reproductive factors with the breast cancer in this context.
Objective To detect the association of reproductive risk factors with breast cancer in an urban set up at central India.
Study design Matched paired community-based case-control study.
Materials and methods The study was conducted for a period of a year from October 2008 to August 2009 in Bhopal (MP). Demographic data and reproductive risk factor related information were collected using structured questionnaire. Data analysis was done by Epi-info and SPSS 16.
Results History of using oral contraceptive pills (OR = 3.02, 95% CI: 1.28-7.11), history of not having breastfeeding (OR = 3.62, 95% CI: 1.29-10.16) and family history of breast cancer (OR = 3.98, 95%CI: 1.06-14.826) were associated significantly with the occurrence of breast cancer in multivariate analysis.
Conclusions The findings of the present study suggests that positive family history of breast cancer and history of using OCP may be the epigenetic factors promoting the occurrence of breast cancer while breastfeeding reduces the possibility of acquiring breast cancer.
oral contraceptives breast cancer risk, breastfeeding breast cancer protection, reproductive factors breast cancer india, ocp use malignancy risk, lactation cancer prevention, hormonal contraception oncology risk, family history breast cancer reproductive factors, breastfeeding duration cancer outcomes, birth control pills breast cancer association, contraceptive choice cancer risk counseling
Keywords
Adult, Breast Feeding, Breast Neoplasms, Case-Control Studies, Child, Contraceptives, Oral, Hormonal, Female, Humans, India, Middle Aged, Reproduction, Reproductive History, Risk Factors, Urban Population