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Influence of education level on breast cancer risk and survival in Sweden between 1990 and 2004
International journal of cancer, 2008-01, Vol.122 (1), p.165-169
Hussain, Shehnaz K.
Altieri, Andrea
Sundquist, Jan
Hemminki, Kari
2008
Details
Autor(en) / Beteiligte
Hussain, Shehnaz K.
Altieri, Andrea
Sundquist, Jan
Hemminki, Kari
Titel
Influence of education level on breast cancer risk and survival in Sweden between 1990 and 2004
Ist Teil von
International journal of cancer, 2008-01, Vol.122 (1), p.165-169
Ort / Verlag
Hoboken: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2008
Link zum Volltext
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
On account of limited recent data regarding the role of education in breast cancer risk and prognosis, we conducted this study to assess the association between education level and in situ and invasive breast cancer risk and invasive breast cancer survival, using the 2006 update of the Swedish Family‐Cancer Database. Cox's proportional hazards models were used to calculate the hazard ratio (HR) and 95% confidence interval (CI) adjusted for age, time‐period, parity, age at first birth, county of residence, and family history of breast cancer. Compared to women completing less than 9 years of education, university graduates were more likely to be diagnosed with in situ (HR = 1.44, 95% CI: 1.28–1.63) and invasive (HR = 1.28, 95% CI: 1.20–1.36) breast cancer, and the lack of homogeneity between these two HRs was statistically significant, p = 0.007. Further stratification revealed that the lack of homogeneity was greatest for breast cancers diagnosed before age 50. Compared to women completing less than 9 years of education, university graduates were associated with the highest survival following a breast cancer diagnosis (lowest fatality hazard ratio), HR = 0.68, 95% CI: 0.61–0.75. Further research is warranted to elucidate possible behaviors or characteristics associated with education that could explain the differences in incidence and survival, such as compliance with cancer screening. © 2007 Wiley‐Liss, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 0020-7136, 1097-0215
eISSN: 1097-0215
DOI: 10.1002/ijc.23007
Titel-ID: cdi_swepub_primary_oai_prod_swepub_kib_ki_se_116253070
Format
–
Schlagworte
Adult
,
Biological and medical sciences
,
breast cancer
,
Breast Neoplasms - epidemiology
,
Carcinoma, Ductal, Breast - epidemiology
,
Carcinoma, Lobular - epidemiology
,
education
,
Educational Status
,
Female
,
Gynecology. Andrology. Obstetrics
,
Humans
,
incidence
,
Mammary gland diseases
,
Medical sciences
,
Medicin och hälsovetenskap
,
Middle Aged
,
Registries
,
Risk Assessment
,
Risk Factors
,
survival
,
Survival Rate
,
Sweden - epidemiology
,
Tumors
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