論文種別 原著論文
言語種別 英語
表題 Reproductive and menstrual factors and thyroid cancer among Japanese women: the Japan Collaborative Cohort Study
掲載誌名 正式名:Journal of women's health (2002)
略  称:J.Womens Health.(Larchmt)
ISSNコード:1931-843X/1540-9996
出版社 (United States)
巻・号・頁 18(3),pp.331-335
著者・共著者 Pham,T. M.;Fujino,Y.;Mikami,H.;Okamoto,N.;Hoshiyama,Y.;Tamakoshi,A.;Matsuda,S.;Yoshimura,T.;Japan Collaborative Cohort Study Group
発行年月 2009/03
概要 キーワード:Adult;Aged;Cohort Studies;Confidence Intervals;Female;Health Status;Humans;Incidence;Japan/epidemiology;Life Style;Menarche;Middle Aged;Odds Ratio;Reproductive History;Retrospective Studies;Risk Factors;Thyroid Neoplasms/epidemiology;Women's Health
AIM: Thyroid cancer is more frequent in women than in men, suggesting the potential role of reproductive and menstrual factors in this cancer. To investigate the association with these factors, we examined 37,986 women involved in the Japan Collaborative Cohort (JACC) Study from 1988 to 1997. METHODS: Reproductive and menstrual factors were assessed with a self-administered questionnaire at baseline. Hazard ratios (HR) and 95% confidence intervals (95% CI) of thyroid cancer incidence were estimated using Cox proportional hazards regression. RESULTS: Eighty-six new cases of thyroid cancer were recorded during 379,281 person-years of follow-up. Overall incidence rate was 22.7 per 100,000 person-years, with a diagnosed peak of 38.2 per 100,000 at 55-59 years old. Multivariate HRs of 0.56 (95% CI 0.25-1.24) and 0.52 (95% CI 0.24-1.16) were observed for women who had experienced pregnancy or a live birth, respectively, but without statistical significance. Further, we saw no associations with other factors, such as age at menarche, age at menopause, age at first birth, or hormone use. CONCLUSIONS: There was no significant association between thyroid cancer and reproductive and menstrual factors in the present study. Additional cohort studies should further examine this possible relationship among Japanese women.
Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan. ptrminh@med.uoeh-u.ac.jp
PMID 19281316