Risk factors for endometrial cancer in Black women
Purpose The incidence of endometrial cancer (EC) has been increasing faster among Black women than among other racial/ethnic groups in the United States. Although the mortality rate is nearly twice as high among Black than White women, there is a paucity of literature on risk factors for EC among Bl...
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Published in | Cancer causes & control Vol. 34; no. 5; pp. 421 - 430 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Cham
Springer International Publishing
01.05.2023
Springer Nature B.V |
Subjects | |
Online Access | Get full text |
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Summary: | Purpose
The incidence of endometrial cancer (EC) has been increasing faster among Black women than among other racial/ethnic groups in the United States. Although the mortality rate is nearly twice as high among Black than White women, there is a paucity of literature on risk factors for EC among Black women, particularly regarding menopausal hormone use and severe obesity.
Methods
We pooled questionnaire data on 811 EC cases and 3,124 controls from eight studies with data on self-identified Black women (4 case–control and 4 cohort studies). We analyzed cohort studies as nested case–control studies with up to 4 controls selected per case. We used logistic regression to estimate multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs).
Results
We observed a positive association between BMI and EC incidence (
P
trend
< 0.0001) The OR comparing BMI ≥ 40 vs. < 25 kg/m
2
was 3.92 (95% CI 2.91, 5.27). Abdominal obesity among those with BMI < 30 kg/m
2
was not appreciably associated with EC risk (OR 1.21, 95% CI 0.74, 1.99). Associations of reproductive history with EC were similar to those observed in studies of White women. Long-term use of estrogen-only menopausal hormones was associated with an increased risk of EC (≥ 5 years vs. never use: OR 2.08, 95% CI: 1.06, 4.06).
Conclusions
Our results suggest that the associations of established risk factors with EC are similar between Black and White women. Other explanations, such as differences in the prevalence of known risk factors or previously unidentified risk factors likely underlie the recent increases in EC incidence among Black women. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Author Contributions: All authors contributed to study design, data collection and quality control, interpretation of results, and writing of the paper. Todd Sponholtz performed the literature review, data harmonization, statistical analyses, presentation of results, and writing of the manuscript. All authors read and approved the final manuscript. |
ISSN: | 0957-5243 1573-7225 |
DOI: | 10.1007/s10552-022-01653-z |