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Biomedical subjects

Richard G Stevens

Publications and source records attributed to Richard G Stevens.

21 records · Page 2Linked to original sources

Residential magnetic fields and the risk of breast cancer.

Chronic exposure to 60-Hz magnetic fields may increase the risk of breast cancer by suppressing the normal nocturnal production of melatonin. This population-based case-control study investigated whether such exposure is associated with an increased risk of breast cancer in women aged 20-74 years from the greater Seattle, Washington, area. Cases were diagnosed between November 1992 and March 1995 (n = 813); controls were identified by random digit dialing and were frequency matched by 5-year age groups (n = 793). Exposure was estimated using magnetic field measurements in the home at diagnosis, wiring configuration of all homes occupied in the 10 years prior to diagnosis, and self-reported measures of at-home electric appliance use. Odds ratios and 95% confidence intervals were estimated using conditional logistic regression with adjustment for other potential risk factors. Risk did not increase with measured nighttime bedroom magnetic field level, wiring configuration of the home at diagnosis, weighted summary wire codes of all homes occupied 5 and 10 years prior to diagnosis, or reported use of common household appliances, including bed-warming devices. These data do not support the hypothesis that exposure to residential magnetic fields is associated with an increased risk of developing breast cancer.

Adult↗

Lighting during the day and night: possible impact on risk of breast cancer.

Risk of breast cancer varies by about 5-fold among societies, and incidence and mortality have been increasing worldwide for many decades. Migrants from low-risk Asian societies to the U.S. suffer elevated risk of breast cancer in their own lifetimes, and the second or third generation Asian-Americans attain the high risk of the multi-generational European immigrants [1,2]. Something about a modern Western lifestyle apparently increases risk dramatically. Madigan et al. [3] estimate that 41% of the new U.S. cases of breast cancer are explained by "known risk factors"; these include the reproductive factors of age at first birth, menarche, menopause. They ascribe about 30% to reproductive factors when they are analyzed alone. "High income" is estimated to account for about 19% when analyzed by itself. The 41% is an analysis taking all the factors together, and since they are related, the total is less than the sum of estimates for the individual items. By itself, "High income" has no biological interpretation and must reflect attributes of lifestyle and/or environment that increase risk. So, the proportion of breast cancer cases in the U.S. that can be accounted for by known biological risk factors is about one third. Therefore, at least half of breast cancer risk in the U.S., and other Westernized/industrialized societies, is in excess of that found in non-industrialized societies and is without any agreed-upon explanation. Many candidate factors exist, each with a cadre of proponents. The sum of these may turn out to explain the bulk of the excess risk in modern societies. On the other hand, they may not, and worse, may fall woefully short.

Breast Neoplasms↗