Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation

Breast cancer (BrCa) holds the first rank place in morbidity and mortality due to malignant neoplasms among Russian women. BrCa is a multifactorial disease and ionizing radiation is among factors that cause elevated risks of developing BrCa. Our research aim was to assess relative risk (RR) of...

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Main Authors: A.V. Rumyantseva, T.V. Azizova, M.V. Bannikova
Format: Article
Language:English
Published: FBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies” 2021-12-01
Series:Analiz Riska Zdorovʹû
Subjects:
Online Access:https://journal.fcrisk.ru/eng/2021/4/12
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author A.V. Rumyantseva
T.V. Azizova
M.V. Bannikova
author_facet A.V. Rumyantseva
T.V. Azizova
M.V. Bannikova
author_sort A.V. Rumyantseva
collection DOAJ
description Breast cancer (BrCa) holds the first rank place in morbidity and mortality due to malignant neoplasms among Russian women. BrCa is a multifactorial disease and ionizing radiation is among factors that cause elevated risks of developing BrCa. Our research aim was to assess relative risk (RR) of incidence of BrCa among women who were occupationally exposed to chronic ionizing radiation taking into account radiation and non-radiation factors. RR of incidence of BrCa was analyzed in a cohort of women employed at a nuclear production enterprise, namely Mayak PA, in 1948–1982. 95 % of women started working at the enterprise at their reproductive age. All those women were chronically exposed to ionizing radiation at their workplaces. A mean cumulative breast absorbed dose of external gamma-ray exposure amounted to 0.45 (standard deviation was 0.68) Gy; an average cumulative muscle absorbed dose of internal alpha-particle exposure amounted to 0.003 (0.01) Gy. According to data taken from “Clinic” medical-dosimetric database, 165 BrCa cases were detected in 157 women of the analyzed cohort (8 women had BrCa in both breasts). Our analysis involved calculating RR of incidence of BrCa in relation to known non-radiation and radiation factors. Categorical data analysis was performed without age-related and calendar period-related stratification and with them. RR was analyzed based on Poisson regression with AMFIT module in EPICURE software package. Incidence of BrCa was revealed to be associated with attained age, age of menarche, age of menopause, number of abortions, age of concomitant diseases prior to cancer diagnosis, height, body mass index, age of hiring at the Mayak PA. There was no relationship between BrCa incidence and cumulative doses of occupational chronic external gamma-ray, internal alpha-particle and neutron exposure.
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spelling doaj.art-c10fdff270b24ddeaeaecf58ffeea33a2022-12-22T03:35:41ZengFBSI “Federal Scientific Center for Medical and Preventive Health Risk Management Technologies”Analiz Riska Zdorovʹû2308-11552308-11632021-12-01411011910.21668/health.risk/2021.4.12.engRisks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiationA.V. Rumyantseva0T.V. Azizova1M.V. Bannikova2Southern Urals Biophysics Institute, 19 Ozyorskoe shosse, Ozyorsk, 456780, Russian FederationSouthern Urals Biophysics Institute, 19 Ozyorskoe shosse, Ozyorsk, 456780, Russian FederationSouthern Urals Biophysics Institute, 19 Ozyorskoe shosse, Ozyorsk, 456780, Russian FederationBreast cancer (BrCa) holds the first rank place in morbidity and mortality due to malignant neoplasms among Russian women. BrCa is a multifactorial disease and ionizing radiation is among factors that cause elevated risks of developing BrCa. Our research aim was to assess relative risk (RR) of incidence of BrCa among women who were occupationally exposed to chronic ionizing radiation taking into account radiation and non-radiation factors. RR of incidence of BrCa was analyzed in a cohort of women employed at a nuclear production enterprise, namely Mayak PA, in 1948–1982. 95 % of women started working at the enterprise at their reproductive age. All those women were chronically exposed to ionizing radiation at their workplaces. A mean cumulative breast absorbed dose of external gamma-ray exposure amounted to 0.45 (standard deviation was 0.68) Gy; an average cumulative muscle absorbed dose of internal alpha-particle exposure amounted to 0.003 (0.01) Gy. According to data taken from “Clinic” medical-dosimetric database, 165 BrCa cases were detected in 157 women of the analyzed cohort (8 women had BrCa in both breasts). Our analysis involved calculating RR of incidence of BrCa in relation to known non-radiation and radiation factors. Categorical data analysis was performed without age-related and calendar period-related stratification and with them. RR was analyzed based on Poisson regression with AMFIT module in EPICURE software package. Incidence of BrCa was revealed to be associated with attained age, age of menarche, age of menopause, number of abortions, age of concomitant diseases prior to cancer diagnosis, height, body mass index, age of hiring at the Mayak PA. There was no relationship between BrCa incidence and cumulative doses of occupational chronic external gamma-ray, internal alpha-particle and neutron exposure. https://journal.fcrisk.ru/eng/2021/4/12breast cancerreproductive healthincidencerisk factorscohort studywomenlong-term occupational radiation exposuremayak pa
spellingShingle A.V. Rumyantseva
T.V. Azizova
M.V. Bannikova
Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
Analiz Riska Zdorovʹû
breast cancer
reproductive health
incidence
risk factors
cohort study
women
long-term occupational radiation exposure
mayak pa
title Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
title_full Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
title_fullStr Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
title_full_unstemmed Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
title_short Risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
title_sort risks of incidence of breast cancer in a cohort of females occupationally exposed to ionizing radiation
topic breast cancer
reproductive health
incidence
risk factors
cohort study
women
long-term occupational radiation exposure
mayak pa
url https://journal.fcrisk.ru/eng/2021/4/12
work_keys_str_mv AT avrumyantseva risksofincidenceofbreastcancerinacohortoffemalesoccupationallyexposedtoionizingradiation
AT tvazizova risksofincidenceofbreastcancerinacohortoffemalesoccupationallyexposedtoionizingradiation
AT mvbannikova risksofincidenceofbreastcancerinacohortoffemalesoccupationallyexposedtoionizingradiation