| | | Document Type | : | Latin Dissertation | | Language of Document | : | English | | Record Number | : | 53506 | | Doc. No | : | TL23460 | | Call number | : | 3188979 | | Main Entry | : | Michael N. Okobia | | Title & Author | : | Estrogens, genetic polymorphisms and breast cancer risk in Nigerian womenMichael N. Okobia | | College | : | University of Pittsburgh | | Date | : | 2005 | | Degree | : | Ph.D. | | student score | : | 2005 | | Page No | : | 152 | | Abstract | : | Breast cancer is major cause of morbidity and mortality globally and the incidence appears to be rising faster in population groups that hitherto experience lower incidence. This case control study recruiting 250 women with breast cancer and 250 age-matched controls from four University Teaching Hospitals in Nigeria was designed to evaluate the risk factors for breast cancer in Nigerian women. Family history of breast cancer was associated with a 15-fold increased risk of breast cancer [Odd ratio (OR) = 14.99, 95% Confidence interval (CI), 1.98, 113.47]. Also, waist to hip ratio (OR = 2.10, 95% CI 1.44, 3.06), history of abortion (OR = 2.83, 95% CI 1.12, 7.19), increasing age at first childbirth (OR = 1.39 95% CI 1.11, 1.73) and higher level of education (OR = 1.31, 95% CI 1.07, 1.61) conferred increased risk of breast cancer. Increasing parity (OR = 0.87, 95% CI 0.77, 0.99) and increasing duration of breastfeeding (OR = 0.75, 95% CI 0.62, 0.91) conferred protection against breast cancer. In the final multivariate conditional logistic regression in all women, carrying at least one low-activity COMT (Met) allele was associated with a significant 43% reduced risk of breast cancer (OR = 0.57, 95% CI 0.36-0.91). While harboring the CYP1A1 M1 polymorphic variant was associated with nonsignificant reduced risk of breast cancer (OR = 0.79, 95% CI 0.48-1.29), the CYP1A1 M3 polymorphism conferred a non-significant 24% reduced risk of breast cancer (OR = 0.76, 95% CI 0.47-1.22). Results of this study have important public health implications; it has provided evidence for a role for reproductive and other variables in susceptibility to breast cancer in indigenous African women, thus contributing to the global epidemiologic literature on risk factors for breast cancer in populations of African ancestry. It has also provided data suggesting protection for breast cancer for women harboring the low-activity COMT (Met) allele of the codon 158 polymorphism of the COMT gene. In addition, the findings of this study will serve a useful resource tool in future research and policy decisions aimed at breast cancer control and prevention in these populations. | | Subject | : | Health and environmental sciences; Breast cancer; Estrogens; Genetic polymorphisms; Nigerian; Public health; Oncology; Estrogen; Genetics; Polymorphism; Women; Nigeria; 0573:Public health; 0992:Oncology | | Added Entry | : | C. H. Bunker | | Added Entry | : | University of Pittsburgh |
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