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[目的]研究女性乳腺癌的危险因素。[方法]在重庆市进行了首次1:1流行病学病例对用研究。[结果]多因素条件Logistic回归分析显示了下列因素对乳腺癌的影响:女性初期年龄(OR=0.79.95%CI=0.67-0.92),月经紊乱史(OR=1.47,95%CI=1.07-2.02),高龄初产(OR=1.55,95%CI=1.20-1.98),乳腺良性疾病史(OR=2.33,95%CI=1.02-5.33),肿瘤家族史(OR=1.61,95%CI=1.27-2.08),长期生活精神刺激因素(OR=2.55,95%CI=1.19-5.44)和被动吸烟史(OR=2.22,95%CI=1.37-3.59).[结论]女性初潮年龄与乳腺癌发生应呈负相关,而月经紊乱,高龄初产,乳腺良性疾病史,肿瘤家族史,长期生活精神刺激因素和被动吸烟是乳腺癌的高危因素。
[Objective] To study the risk factors of female breast cancer. [Methods] The first 1:1 epidemiological case study was conducted in Chongqing City. [Results] Multivariate conditional logistic regression analysis revealed the following factors affecting breast cancer: initial female age (OR = 0.79.95% CI = 0.67-0.92), history of menstrual disorders (OR = 1.47, 95% CI = 1.07-2.02), Old age (OR=1.55, 95%CI=1.20-1.98), History of benign breast disease (OR=2.33, 95%CI=1.02-5.33), Family history of cancer (OR=1.61, 95%CI=1.27-2.08), long-term life-stimulating factors (OR=2.55, 95%CI=1.19-5.44) and history of passive smoking ( OR = 2.22, 95% CI = 1.37-3.59). [Conclusion] The age of menarche in women should be negatively correlated with the occurrence of breast cancer. Menstrual disorders, first-year births at high age, history of benign breast disease, family history of cancer, long-term life-stimulating factors Passive smoking is a risk factor for breast cancer.