The Modifying Effect of Social Class on the Relationship Between Body Mass Index and Breast Cancer Incidence

Bibliographic Data

ID11035339
AuthorsCeleste Marie Torio (At the time of this study, Celeste Marie Torio was a doctoral candidate with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ann C. Klassen is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore. Frank C. Curriero is with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore. Benjamin Caballero is with the Department of...), Ann C Klassen (0000-0001-6981-5708, At the time of this study, Celeste Marie Torio was a doctoral candidate with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ann C. Klassen is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore. Frank C. Curriero is with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore. Benjamin Caballero is with the Department of...), Frank C Curriero (0000-0001-8252-0648, At the time of this study, Celeste Marie Torio was a doctoral candidate with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ann C. Klassen is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore. Frank C. Curriero is with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore. Benjamin Caballero is with the Department of...), Benjamin Caballero (At the time of this study, Celeste Marie Torio was a doctoral candidate with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ann C. Klassen is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore. Frank C. Curriero is with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore. Benjamin Caballero is with the Department of...), Benjamı́n Caballero (Johns Hopkins University), Kathy J Helzlsouer (0000-0003-4477-4326, Johns Hopkins University), Kathy Helzlsouer (At the time of this study, Celeste Marie Torio was a doctoral candidate with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Ann C. Klassen is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore. Frank C. Curriero is with the Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore. Benjamin Caballero is with the Department of...)
Year2010
Volume100
Issue1
Pages146-151
Publication date2010-01-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.126979
PMID19150917
PMCIDPMC2791249
OpenAlexW2118188333
LanguageEN
References cited18

Objectives. We sought to determine whether social class modifies the effect of BMI on breast cancer incidence. Methods. Participants included 5642 postmenopausal White women recruited in 1989 to CLUE II, a prospective cohort study in Washington County, Maryland. We obtained exposure data from CLUE II and the 1990 US Census. We used survival and random-effects Cox proportional hazards analyses to determine the association of social class and BMI with breast cancer incidence. Results. Education was independently associated with increased risk of breast cancer incidence (hazard ratio [HR] = 1.06; 95% confidence interval [CI] = 1.01, 1.11; P Conclusions. Social class moderates the influence of body size on breast cancer incidence. Public health efforts, therefore, should advocate for policies that improve social conditions to decrease the burden of breast cancer

Body mass index · Breast cancer · Cancer · Cohort study · Confidence interval · Gynecology · Hazard ratio · Incidence (geometry) · Proportional hazards model · Prospective cohort study · Social class · Cancer Risks and Factors · Demography · Global Cancer Incidence and Screening · Health disparities and outcomes · Internal Medicine · Medicine · Oncology · Gerontology