高级检索
李君, 刘桦, 荣素英, 牛凤玲, 张国志, 姚三巧, 王茂清, 赵茜. 唐山市女性乳腺癌环境危险因素病例对照研究[J]. 中国公共卫生, 2007, 23(3): 312-314. DOI: 10.11847/zgggws2007-23-03-31
引用本文: 李君, 刘桦, 荣素英, 牛凤玲, 张国志, 姚三巧, 王茂清, 赵茜. 唐山市女性乳腺癌环境危险因素病例对照研究[J]. 中国公共卫生, 2007, 23(3): 312-314. DOI: 10.11847/zgggws2007-23-03-31
LI Jun, LIU Hua, RONG Su-ying, . A case-control study on environmental risk factors of female breast cancer in Tangshan city[J]. Chinese Journal of Public Health, 2007, 23(3): 312-314. DOI: 10.11847/zgggws2007-23-03-31
Citation: LI Jun, LIU Hua, RONG Su-ying, . A case-control study on environmental risk factors of female breast cancer in Tangshan city[J]. Chinese Journal of Public Health, 2007, 23(3): 312-314. DOI: 10.11847/zgggws2007-23-03-31

唐山市女性乳腺癌环境危险因素病例对照研究

A case-control study on environmental risk factors of female breast cancer in Tangshan city

  • 摘要: 目的 探讨乳腺癌发病的环境危险因素,为乳腺癌的病因研究及其一级预防提供理论依据.方法 采用1:1配比的病例对照研究,调查2004年4月-2005年7月在唐山市各大医院就诊的新发女性乳腺癌患者和非乳腺癌对照各175例.采用面对面访谈式进行调查,应用配对χ2检验进行单因素分析,用条件Logistic回归进行多因素分析.结果 单因素分析表明,室内杀虫剂使用年限长、有机溶剂暴露年限长、农药暴露年限长、居住区环境污染、被动吸烟年限长、放射线检查次数多为乳腺癌的危险因素;多因素条件Logistic回归分析显示,室内杀虫剂使用年限长、有机溶剂暴露年限长与女性乳腺癌的发生有关,即接触年限越长,患乳腺癌的危险性越高.豆类食品摄入、蔬菜摄入对女性乳腺癌的发生有保护作用,即摄入频率越高,患乳腺癌的危险性降低.结论 室内杀虫剂使用年限长、有机溶剂等化学物接触年限长为乳腺癌的危险因素;蔬菜、豆类食品摄入量高为保护因素.

     

    Abstract: Objective To explore the environmental risk factors of female breast cancer and to provide theory foundation for studying the etiology and primary prevention of breast cancer.Methods A 1:1 matched case-control study method was adopted.All cases and controls were recruited from five large hospitals in Tangshan.175 new female breast cancer patients from April 2004 to July 2005 were selected as cases.Face-to-face investigation was carried out adopting the questionnaire.1:1 matched χ2 test was adopted to analyse single factor.Conditional logistic regression analysis was used to develop multivariate model for risk factors of breast cancer.Results One-way analysis showed the long years of indoor pesticides use,the long years of organic solvents exposure and pesticides exposure,pollution around residence,long years of passive smoking and more radiation examination were risk factors.Multivariate conditional logistic regression analysis showed the long years of indoor pesticides use and organic solvents exposure were associated with female breast cancer.The more longer exposure,the more greater risks.Higher intake frequencies of vegetables and soybean food were related to decreased risks of female breast cancer.Conclusion The long years of indoor pesticides use and organic solvents exposure were risk factors of breast cancer.Higher intake of vegetables and soybean food were protective factors.

     

/

返回文章
返回