International Journal of Epidemiology, Vol 28, 189-195, Copyright © 1999 by International Epidemiological Association
M McCredie, C Paul, DC Skegg and S Williams
BACKGROUND: Breast cancer is more common in Maori than in non-Maori women
under the age of 40 years and is equally common in older women, despite
Maori being generally of lower socioeconomic status and having had a higher
fertility rate than non-Maori. METHODS: Data from a nationwide
population-based case-control study of breast cancer in New Zealand women
aged 25-54 years were used to compare the age-adjusted distribution of
reproductive and other risk factors for breast cancer in self-identified
Maori and non-Maori women from the control group. Separate analyses also
were carried out for women aged 25-39 years and for those aged 40-54 years.
The risk of breast cancer according to the proportion of Maori ancestry was
estimated using multiple logistic regression simultaneously adjusting for
several risk factors. RESULTS: Significant differences were found between
self-identified Maori and non-Maori women in the age-adjusted frequencies
for education level, socioeconomic status, age at first full-term
pregnancy, parity, and duration of breastfeeding; the profile in all
instances suggesting a lower risk of breast cancer for Maori than for
non-Maori. There were no significant differences with respect to age at
menarche, surgery for benign breast disease or a family history of breast
cancer. Significantly more Maori than non-Maori were in the highest
quartile of recent body mass index. Women self-identified as Maori has an
approximately twofold higher risk of breast cancer than non-Maori women.
CONCLUSIONS: Maori have high rates of breast cancer despite having a more
favourable profile than non-Maori for most identified risk factors.
ARTICLES
Breast cancer in Maori and non-Maori women
Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
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