Post Graduated Program of Environment and Health, Cuiaba University, Cuiabá 78065900, Brazil.
National School of Public Health, Fundação Oswaldo Cruz, Rio de Janeiro 21041-210, Brazil.
Int J Environ Res Public Health. 2019 Oct 17;16(20):3951. doi: 10.3390/ijerph16203951.
: Breast cancer is a serious public health problem and is the second most prevalent cancer type in the world. The purpose of this article is to evaluate the association between pesticide use and breast cancer in a region of intense agribusiness activity in the state of Mato Grosso, Brazil. : A case-control study was conducted on women living in the city of Rondonópolis, in the south of Mato Grosso state. There were 85 cases of women with confirmed breast cancer and 266 controls who were randomly selected from primary health care users. Bivariate and stratified analyses were performed. Multiple logistic regression was then performed, keeping in the final model the factors with a significance level lower than or equal to 0.05 or considered important according to apriori biological criteria. : In the final model, living near cropland with pesticides (OR: 2.37; CI: 95% 1.78-3.16) and women aged over 50 years who experienced early menarche (OR: 2.08; CI: 95% 1.06-4.12) had a higher risk of developing breast cancer compared to control subjects. : This study highlights the importance of exposure to pesticides as an environmental risk factor for the development of breast cancer among women.
乳腺癌是一个严重的公共卫生问题,也是世界上第二大常见的癌症类型。本文旨在评估巴西马托格罗索州一个农业综合企业活动密集地区的农药使用与乳腺癌之间的关联。
这是一项在马托格罗索州南部的朗多诺波利斯市进行的病例对照研究。共有 85 名确诊患有乳腺癌的女性病例和 266 名随机选自初级保健服务使用者的对照女性。进行了双变量和分层分析。然后进行了多变量逻辑回归分析,保留了最终模型中具有统计学意义(P≤0.05)或根据先验生物学标准认为重要的因素。
在最终模型中,与对照相比,居住在施用过农药的农田附近(OR:2.37;95%CI:1.78-3.16)和 50 岁以上经历初潮较早的女性(OR:2.08;95%CI:1.06-4.12)发生乳腺癌的风险更高。
本研究强调了接触农药作为环境风险因素在女性乳腺癌发展中的重要性。