Reproductive factors, exogenous hormone use and incidence of melanoma among women in the United States

Background Although the photosensitising effects of oestrogens may increase the impact of ultraviolet radiation (UVR) on melanoma risk, few prospective studies have comprehensively assessed the association between oestrogen-related factors and melanoma. Methods We examined the associations between r...

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Veröffentlicht in:British journal of cancer 2019-04, Vol.120 (7), p.754-760
Hauptverfasser: Donley, Grayson M., Liu, Wayne T., Pfeiffer, Ruth M., McDonald, Emily C., Peters, Kamau O., Tucker, Margaret A., Cahoon, Elizabeth K.
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container_issue 7
container_start_page 754
container_title British journal of cancer
container_volume 120
creator Donley, Grayson M.
Liu, Wayne T.
Pfeiffer, Ruth M.
McDonald, Emily C.
Peters, Kamau O.
Tucker, Margaret A.
Cahoon, Elizabeth K.
description Background Although the photosensitising effects of oestrogens may increase the impact of ultraviolet radiation (UVR) on melanoma risk, few prospective studies have comprehensively assessed the association between oestrogen-related factors and melanoma. Methods We examined the associations between reproductive factors, exogenous oestrogen use and first primary invasive melanoma among 167 503 non-Hispanic white, postmenopausal women in the NIH-AARP Diet and Health Study. Satellite-based ambient UVR estimates were linked to geocoded residential locations of participants at study baseline. Results Increased risk of melanoma was associated with early age at menarche (≤10 vs ≥15 years: HR = 1.25, 95% CI: 0.92, 1.71; P for trend = 0.04) and late age at menopause (≥50 vs
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Methods We examined the associations between reproductive factors, exogenous oestrogen use and first primary invasive melanoma among 167 503 non-Hispanic white, postmenopausal women in the NIH-AARP Diet and Health Study. Satellite-based ambient UVR estimates were linked to geocoded residential locations of participants at study baseline. Results Increased risk of melanoma was associated with early age at menarche (≤10 vs ≥15 years: HR = 1.25, 95% CI: 0.92, 1.71; P for trend = 0.04) and late age at menopause (≥50 vs &lt;45 years: HR = 1.34, 95% CI: 1.13, 1.59; P for trend = 0.001). The relationship between ambient UVR and melanoma risk was highest among women with age at menarche ≤10 years (HR per UVR quartile increase = 1.29; 95% CI: 1.05, 1.58; P -interaction = 0.02). Melanoma risk was not associated with parity, age at first birth, use of oral contraceptives or use of menopausal hormone therapy. Conclusions Our findings suggest that increased melanoma risk is associated with early age at menarche and late age at menopause. Effect modification findings support the hypothesis that endogenous oestrogen exposure in childhood increases photocarcinogenicity. Future studies should include information on personal UVR exposure and sun sensitivity.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/s41416-019-0411-z</identifier><identifier>PMID: 30814688</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/67/1813/1634 ; 631/67/2324 ; Age ; Age Factors ; Aged ; Biomedical and Life Sciences ; Biomedicine ; Cancer Research ; Children ; Contraceptives ; Contraceptives, Oral, Hormonal - therapeutic use ; Drug Resistance ; Epidemiology ; Estrogen Replacement Therapy - statistics &amp; numerical data ; Estrogens ; Estrogens - therapeutic use ; Exposure ; Female ; Health risk assessment ; Humans ; Incidence ; Melanoma ; Melanoma - epidemiology ; Menarche ; Menopause ; Middle Aged ; Molecular Medicine ; Oncology ; Oral contraceptives ; Photosensitization ; Post-menopause ; Proportional Hazards Models ; Prospective Studies ; Residential location ; Skin Neoplasms - epidemiology ; Ultraviolet radiation ; Ultraviolet Rays ; United States - epidemiology ; Whites</subject><ispartof>British journal of cancer, 2019-04, Vol.120 (7), p.754-760</ispartof><rights>The Author(s) 2019</rights><rights>This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-548c58a5a354ab54c9f6eeddef480ba831084823f52a10ad19e8cef5022a48683</citedby><cites>FETCH-LOGICAL-c470t-548c58a5a354ab54c9f6eeddef480ba831084823f52a10ad19e8cef5022a48683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461881/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6461881/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30814688$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Donley, Grayson M.</creatorcontrib><creatorcontrib>Liu, Wayne T.</creatorcontrib><creatorcontrib>Pfeiffer, Ruth M.</creatorcontrib><creatorcontrib>McDonald, Emily C.</creatorcontrib><creatorcontrib>Peters, Kamau O.</creatorcontrib><creatorcontrib>Tucker, Margaret A.</creatorcontrib><creatorcontrib>Cahoon, Elizabeth K.</creatorcontrib><title>Reproductive factors, exogenous hormone use and incidence of melanoma among women in the United States</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background Although the photosensitising effects of oestrogens may increase the impact of ultraviolet radiation (UVR) on melanoma risk, few prospective studies have comprehensively assessed the association between oestrogen-related factors and melanoma. Methods We examined the associations between reproductive factors, exogenous oestrogen use and first primary invasive melanoma among 167 503 non-Hispanic white, postmenopausal women in the NIH-AARP Diet and Health Study. Satellite-based ambient UVR estimates were linked to geocoded residential locations of participants at study baseline. Results Increased risk of melanoma was associated with early age at menarche (≤10 vs ≥15 years: HR = 1.25, 95% CI: 0.92, 1.71; P for trend = 0.04) and late age at menopause (≥50 vs &lt;45 years: HR = 1.34, 95% CI: 1.13, 1.59; P for trend = 0.001). The relationship between ambient UVR and melanoma risk was highest among women with age at menarche ≤10 years (HR per UVR quartile increase = 1.29; 95% CI: 1.05, 1.58; P -interaction = 0.02). Melanoma risk was not associated with parity, age at first birth, use of oral contraceptives or use of menopausal hormone therapy. Conclusions Our findings suggest that increased melanoma risk is associated with early age at menarche and late age at menopause. Effect modification findings support the hypothesis that endogenous oestrogen exposure in childhood increases photocarcinogenicity. Future studies should include information on personal UVR exposure and sun sensitivity.</description><subject>631/67/1813/1634</subject><subject>631/67/2324</subject><subject>Age</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cancer Research</subject><subject>Children</subject><subject>Contraceptives</subject><subject>Contraceptives, Oral, Hormonal - therapeutic use</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Estrogen Replacement Therapy - statistics &amp; numerical data</subject><subject>Estrogens</subject><subject>Estrogens - therapeutic use</subject><subject>Exposure</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Incidence</subject><subject>Melanoma</subject><subject>Melanoma - epidemiology</subject><subject>Menarche</subject><subject>Menopause</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Oncology</subject><subject>Oral contraceptives</subject><subject>Photosensitization</subject><subject>Post-menopause</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Residential location</subject><subject>Skin Neoplasms - epidemiology</subject><subject>Ultraviolet radiation</subject><subject>Ultraviolet Rays</subject><subject>United States - epidemiology</subject><subject>Whites</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kU2LFDEQhoMo7rj6A7xIwKutVel0T_oiyOIXLAjqnkNNujLTy3QyJulV99ebZdZVD55CqKfet-AR4inCS4TWvMoaNfYN4NCARmyu74kVdq1q0Kj1fbECgHUDg4IT8Sjny_odwKwfipMWDOremJXwn_mQ4ri4Ml2x9ORKTPmF5B9xyyEuWe5immNguWSWFEY5BTeNHBzL6OXMewpxJkmV2crvceZQCVl2LC_CVHiUXwoVzo_FA0_7zE9u31Nx8e7t17MPzfmn9x_P3pw3Tq-hNJ02rjPUUdtp2nTaDb5nHkf22sCGTItgtFGt7xQh0IgDG8e-A6VIm960p-L1MfewbGYeHYeSaG8PaZop_bSRJvvvJEw7u41Xttc9GoM14PltQIrfFs7FXsYlhXqzVarWQD8MbaXwSLkUc07s7xoQ7I0ae1Rjqxp7o8Ze151nf592t_HbRQXUEch1FLac_lT_P_UXArqcHw</recordid><startdate>20190402</startdate><enddate>20190402</enddate><creator>Donley, Grayson M.</creator><creator>Liu, Wayne T.</creator><creator>Pfeiffer, Ruth M.</creator><creator>McDonald, Emily C.</creator><creator>Peters, Kamau O.</creator><creator>Tucker, Margaret A.</creator><creator>Cahoon, Elizabeth K.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20190402</creationdate><title>Reproductive factors, exogenous hormone use and incidence of melanoma among women in the United States</title><author>Donley, Grayson M. ; 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Methods We examined the associations between reproductive factors, exogenous oestrogen use and first primary invasive melanoma among 167 503 non-Hispanic white, postmenopausal women in the NIH-AARP Diet and Health Study. Satellite-based ambient UVR estimates were linked to geocoded residential locations of participants at study baseline. Results Increased risk of melanoma was associated with early age at menarche (≤10 vs ≥15 years: HR = 1.25, 95% CI: 0.92, 1.71; P for trend = 0.04) and late age at menopause (≥50 vs &lt;45 years: HR = 1.34, 95% CI: 1.13, 1.59; P for trend = 0.001). The relationship between ambient UVR and melanoma risk was highest among women with age at menarche ≤10 years (HR per UVR quartile increase = 1.29; 95% CI: 1.05, 1.58; P -interaction = 0.02). Melanoma risk was not associated with parity, age at first birth, use of oral contraceptives or use of menopausal hormone therapy. Conclusions Our findings suggest that increased melanoma risk is associated with early age at menarche and late age at menopause. Effect modification findings support the hypothesis that endogenous oestrogen exposure in childhood increases photocarcinogenicity. Future studies should include information on personal UVR exposure and sun sensitivity.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30814688</pmid><doi>10.1038/s41416-019-0411-z</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/67/1813/1634
631/67/2324
Age
Age Factors
Aged
Biomedical and Life Sciences
Biomedicine
Cancer Research
Children
Contraceptives
Contraceptives, Oral, Hormonal - therapeutic use
Drug Resistance
Epidemiology
Estrogen Replacement Therapy - statistics & numerical data
Estrogens
Estrogens - therapeutic use
Exposure
Female
Health risk assessment
Humans
Incidence
Melanoma
Melanoma - epidemiology
Menarche
Menopause
Middle Aged
Molecular Medicine
Oncology
Oral contraceptives
Photosensitization
Post-menopause
Proportional Hazards Models
Prospective Studies
Residential location
Skin Neoplasms - epidemiology
Ultraviolet radiation
Ultraviolet Rays
United States - epidemiology
Whites
title Reproductive factors, exogenous hormone use and incidence of melanoma among women in the United States
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