Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis

Purpose Breast density is an important risk factor for breast cancer and varies substantially across racial-ethnic groups. However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration histo...

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Veröffentlicht in:Cancer causes & control 2020-02, Vol.31 (2), p.127-138
Hauptverfasser: Lee, Eunjung, Doanvo, Namphuong, Lee, MiHee, Soe, Zayar, Lee, Alice W., Van Doan, Cam, Deapen, Dennis, Ursin, Giske, Spicer, Darcy, Reynolds, Peggy, Wu, Anna H.
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container_end_page 138
container_issue 2
container_start_page 127
container_title Cancer causes & control
container_volume 31
creator Lee, Eunjung
Doanvo, Namphuong
Lee, MiHee
Soe, Zayar
Lee, Alice W.
Van Doan, Cam
Deapen, Dennis
Ursin, Giske
Spicer, Darcy
Reynolds, Peggy
Wu, Anna H.
description Purpose Breast density is an important risk factor for breast cancer and varies substantially across racial-ethnic groups. However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration history, and other demographic and lifestyle factors were associated with breast density in Vietnamese Americans. Methods We collected information on demographics, immigration history, and other lifestyle factors and mammogram reports from a convenience sample of 380 Vietnamese American women in California aged 40 to 70 years. Breast Imaging Reporting and Data System (BI-RADS) breast density was abstracted from mammogram reports. Multivariable logistic regression was used to investigate the association between lifestyle factors and having dense breasts (BI-RADS 3 or 4). Results All participants were born in Viet Nam and 82% had lived in the US for 10 years or longer. Younger age, lower body mass index, nulliparity/lower number of deliveries, and longer US residence (or younger age at migration) were associated with having dense breasts. Compared to women who migrated at age 40 or later, the odds ratios and 95% confidence intervals for having dense breasts among women who migrated between the ages of 30 and 39 and before age 30 were 1.72 (0.96–3.07) and 2.48 (1.43–4.32), respectively. Conclusions Longer US residence and younger age at migration were associated with greater breast density in Vietnamese American women. Identifying modifiable mediating factors to reduce lifestyle changes that adversely impact breast density in this traditionally low-risk population for breast cancer is warranted.
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However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration history, and other demographic and lifestyle factors were associated with breast density in Vietnamese Americans. Methods We collected information on demographics, immigration history, and other lifestyle factors and mammogram reports from a convenience sample of 380 Vietnamese American women in California aged 40 to 70 years. Breast Imaging Reporting and Data System (BI-RADS) breast density was abstracted from mammogram reports. Multivariable logistic regression was used to investigate the association between lifestyle factors and having dense breasts (BI-RADS 3 or 4). Results All participants were born in Viet Nam and 82% had lived in the US for 10 years or longer. Younger age, lower body mass index, nulliparity/lower number of deliveries, and longer US residence (or younger age at migration) were associated with having dense breasts. Compared to women who migrated at age 40 or later, the odds ratios and 95% confidence intervals for having dense breasts among women who migrated between the ages of 30 and 39 and before age 30 were 1.72 (0.96–3.07) and 2.48 (1.43–4.32), respectively. Conclusions Longer US residence and younger age at migration were associated with greater breast density in Vietnamese American women. Identifying modifiable mediating factors to reduce lifestyle changes that adversely impact breast density in this traditionally low-risk population for breast cancer is warranted.</description><identifier>ISSN: 0957-5243</identifier><identifier>EISSN: 1573-7225</identifier><identifier>DOI: 10.1007/s10552-019-01264-1</identifier><identifier>PMID: 31916076</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Age ; Aged ; Asian ; Asian Americans ; Biomedical and Life Sciences ; Biomedicine ; Body mass ; Body Mass Index ; Body size ; Breast cancer ; Breast Density - ethnology ; Breast Neoplasms - epidemiology ; California ; Cancer Research ; Confidence intervals ; Cross-Sectional Studies ; Demographics ; Demography ; Density ; Emigrants and Immigrants ; Emigration and Immigration ; Epidemiology ; Ethnic factors ; Female ; Health risk assessment ; Health risks ; Hematology ; Humans ; Immigrants ; Immigration ; Life Style ; Lifestyles ; Mammography ; Middle Aged ; Migration ; Minority &amp; ethnic groups ; Odds Ratio ; Oncology ; Original Paper ; Parity ; Public Health ; Risk analysis ; Risk Factors ; Statistical analysis ; United States ; Women's Health</subject><ispartof>Cancer causes &amp; control, 2020-02, Vol.31 (2), p.127-138</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Cancer Causes &amp; Control is a copyright of Springer, (2020). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2a2ec6f6e56b469c3b44ce217cbb2836161bdb5876e1538b5f26a1d303d0c0a53</citedby><cites>FETCH-LOGICAL-c474t-2a2ec6f6e56b469c3b44ce217cbb2836161bdb5876e1538b5f26a1d303d0c0a53</cites><orcidid>0000-0002-8287-6131</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10552-019-01264-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10552-019-01264-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31916076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Eunjung</creatorcontrib><creatorcontrib>Doanvo, Namphuong</creatorcontrib><creatorcontrib>Lee, MiHee</creatorcontrib><creatorcontrib>Soe, Zayar</creatorcontrib><creatorcontrib>Lee, Alice W.</creatorcontrib><creatorcontrib>Van Doan, Cam</creatorcontrib><creatorcontrib>Deapen, Dennis</creatorcontrib><creatorcontrib>Ursin, Giske</creatorcontrib><creatorcontrib>Spicer, Darcy</creatorcontrib><creatorcontrib>Reynolds, Peggy</creatorcontrib><creatorcontrib>Wu, Anna H.</creatorcontrib><title>Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis</title><title>Cancer causes &amp; control</title><addtitle>Cancer Causes Control</addtitle><addtitle>Cancer Causes Control</addtitle><description>Purpose Breast density is an important risk factor for breast cancer and varies substantially across racial-ethnic groups. However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration history, and other demographic and lifestyle factors were associated with breast density in Vietnamese Americans. Methods We collected information on demographics, immigration history, and other lifestyle factors and mammogram reports from a convenience sample of 380 Vietnamese American women in California aged 40 to 70 years. Breast Imaging Reporting and Data System (BI-RADS) breast density was abstracted from mammogram reports. Multivariable logistic regression was used to investigate the association between lifestyle factors and having dense breasts (BI-RADS 3 or 4). Results All participants were born in Viet Nam and 82% had lived in the US for 10 years or longer. Younger age, lower body mass index, nulliparity/lower number of deliveries, and longer US residence (or younger age at migration) were associated with having dense breasts. Compared to women who migrated at age 40 or later, the odds ratios and 95% confidence intervals for having dense breasts among women who migrated between the ages of 30 and 39 and before age 30 were 1.72 (0.96–3.07) and 2.48 (1.43–4.32), respectively. Conclusions Longer US residence and younger age at migration were associated with greater breast density in Vietnamese American women. Identifying modifiable mediating factors to reduce lifestyle changes that adversely impact breast density in this traditionally low-risk population for breast cancer is warranted.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Asian</subject><subject>Asian Americans</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Breast cancer</subject><subject>Breast Density - ethnology</subject><subject>Breast Neoplasms - epidemiology</subject><subject>California</subject><subject>Cancer Research</subject><subject>Confidence intervals</subject><subject>Cross-Sectional Studies</subject><subject>Demographics</subject><subject>Demography</subject><subject>Density</subject><subject>Emigrants and Immigrants</subject><subject>Emigration and Immigration</subject><subject>Epidemiology</subject><subject>Ethnic factors</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Hematology</subject><subject>Humans</subject><subject>Immigrants</subject><subject>Immigration</subject><subject>Life Style</subject><subject>Lifestyles</subject><subject>Mammography</subject><subject>Middle Aged</subject><subject>Migration</subject><subject>Minority &amp; 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control</jtitle><stitle>Cancer Causes Control</stitle><addtitle>Cancer Causes Control</addtitle><date>2020-02-01</date><risdate>2020</risdate><volume>31</volume><issue>2</issue><spage>127</spage><epage>138</epage><pages>127-138</pages><issn>0957-5243</issn><eissn>1573-7225</eissn><abstract>Purpose Breast density is an important risk factor for breast cancer and varies substantially across racial-ethnic groups. However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration history, and other demographic and lifestyle factors were associated with breast density in Vietnamese Americans. Methods We collected information on demographics, immigration history, and other lifestyle factors and mammogram reports from a convenience sample of 380 Vietnamese American women in California aged 40 to 70 years. Breast Imaging Reporting and Data System (BI-RADS) breast density was abstracted from mammogram reports. Multivariable logistic regression was used to investigate the association between lifestyle factors and having dense breasts (BI-RADS 3 or 4). Results All participants were born in Viet Nam and 82% had lived in the US for 10 years or longer. Younger age, lower body mass index, nulliparity/lower number of deliveries, and longer US residence (or younger age at migration) were associated with having dense breasts. Compared to women who migrated at age 40 or later, the odds ratios and 95% confidence intervals for having dense breasts among women who migrated between the ages of 30 and 39 and before age 30 were 1.72 (0.96–3.07) and 2.48 (1.43–4.32), respectively. Conclusions Longer US residence and younger age at migration were associated with greater breast density in Vietnamese American women. Identifying modifiable mediating factors to reduce lifestyle changes that adversely impact breast density in this traditionally low-risk population for breast cancer is warranted.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>31916076</pmid><doi>10.1007/s10552-019-01264-1</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0002-8287-6131</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Age
Aged
Asian
Asian Americans
Biomedical and Life Sciences
Biomedicine
Body mass
Body Mass Index
Body size
Breast cancer
Breast Density - ethnology
Breast Neoplasms - epidemiology
California
Cancer Research
Confidence intervals
Cross-Sectional Studies
Demographics
Demography
Density
Emigrants and Immigrants
Emigration and Immigration
Epidemiology
Ethnic factors
Female
Health risk assessment
Health risks
Hematology
Humans
Immigrants
Immigration
Life Style
Lifestyles
Mammography
Middle Aged
Migration
Minority & ethnic groups
Odds Ratio
Oncology
Original Paper
Parity
Public Health
Risk analysis
Risk Factors
Statistical analysis
United States
Women's Health
title Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis
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