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 |
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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. |
doi_str_mv | 10.1007/s10552-019-01264-1 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7842111</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2343250128</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-2a2ec6f6e56b469c3b44ce217cbb2836161bdb5876e1538b5f26a1d303d0c0a53</originalsourceid><addsrcrecordid>eNp9kbtuFDEUhi0EIkvgBSiQJRqKDPjYY3uXIlIUAYkUiYJbaXk8Z3YczXiC7UGajkeg5fV4ErzZEC4FheXi_85_Lj8hj4E9B8b0iwRMSl4x2JTHVV3BHbICqUWlOZd3yYptpK4kr8UBeZDSJWNMKs7ukwMBG1BMqxX5dj6Ofhtt9lOgvU95issRHXyHKS8DUtfbaF3GWCTv0hG1oaVNRJsybTEknxfqA8090o8ec7AjJqQnYylwNtBP04jhx9fviZ6hHXJP3-W5XV5SS12cUqoSul1nOxRfOyzJp4fkXmeHhI9u_kPy4fWr96dn1cXbN-enJxeVq3WdK245OtUplKqp1caJpq4dctCuafhaKFDQtI1ca4UgxbqRHVcWWsFEyxyzUhyS473v1dyM2DoMOdrBXEU_2riYyXrztxJ8b7bTF6PXNQeAYvDsxiBOn-dyLjP65HAYbMBpToYLIUGD4KqgT_9BL6c5loV3VC24LPGtC8X31PVpIna3wwAzu8DNPnBTAjfXgZvdFE_-XOO25FfCBRB7IBUpbDH-7v0f25_lobpi</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2343250128</pqid></control><display><type>article</type><title>Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis</title><source>MEDLINE</source><source>Jstor Complete Legacy</source><source>SpringerLink Journals (MCLS)</source><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.</creator><creatorcontrib>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.</creatorcontrib><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><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 & 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 & control, 2020-02, Vol.31 (2), p.127-138</ispartof><rights>Springer Nature Switzerland AG 2020</rights><rights>Cancer Causes & 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 & 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 & ethnic groups</subject><subject>Odds Ratio</subject><subject>Oncology</subject><subject>Original Paper</subject><subject>Parity</subject><subject>Public Health</subject><subject>Risk analysis</subject><subject>Risk Factors</subject><subject>Statistical analysis</subject><subject>United States</subject><subject>Women's Health</subject><issn>0957-5243</issn><issn>1573-7225</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kbtuFDEUhi0EIkvgBSiQJRqKDPjYY3uXIlIUAYkUiYJbaXk8Z3YczXiC7UGajkeg5fV4ErzZEC4FheXi_85_Lj8hj4E9B8b0iwRMSl4x2JTHVV3BHbICqUWlOZd3yYptpK4kr8UBeZDSJWNMKs7ukwMBG1BMqxX5dj6Ofhtt9lOgvU95issRHXyHKS8DUtfbaF3GWCTv0hG1oaVNRJsybTEknxfqA8090o8ec7AjJqQnYylwNtBP04jhx9fviZ6hHXJP3-W5XV5SS12cUqoSul1nOxRfOyzJp4fkXmeHhI9u_kPy4fWr96dn1cXbN-enJxeVq3WdK245OtUplKqp1caJpq4dctCuafhaKFDQtI1ca4UgxbqRHVcWWsFEyxyzUhyS473v1dyM2DoMOdrBXEU_2riYyXrztxJ8b7bTF6PXNQeAYvDsxiBOn-dyLjP65HAYbMBpToYLIUGD4KqgT_9BL6c5loV3VC24LPGtC8X31PVpIna3wwAzu8DNPnBTAjfXgZvdFE_-XOO25FfCBRB7IBUpbDH-7v0f25_lobpi</recordid><startdate>20200201</startdate><enddate>20200201</enddate><creator>Lee, Eunjung</creator><creator>Doanvo, Namphuong</creator><creator>Lee, MiHee</creator><creator>Soe, Zayar</creator><creator>Lee, Alice W.</creator><creator>Van Doan, Cam</creator><creator>Deapen, Dennis</creator><creator>Ursin, Giske</creator><creator>Spicer, Darcy</creator><creator>Reynolds, Peggy</creator><creator>Wu, Anna H.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8287-6131</orcidid></search><sort><creationdate>20200201</creationdate><title>Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis</title><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-2a2ec6f6e56b469c3b44ce217cbb2836161bdb5876e1538b5f26a1d303d0c0a53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Asian</topic><topic>Asian Americans</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Breast cancer</topic><topic>Breast Density - ethnology</topic><topic>Breast Neoplasms - epidemiology</topic><topic>California</topic><topic>Cancer Research</topic><topic>Confidence intervals</topic><topic>Cross-Sectional Studies</topic><topic>Demographics</topic><topic>Demography</topic><topic>Density</topic><topic>Emigrants and Immigrants</topic><topic>Emigration and Immigration</topic><topic>Epidemiology</topic><topic>Ethnic factors</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Hematology</topic><topic>Humans</topic><topic>Immigrants</topic><topic>Immigration</topic><topic>Life Style</topic><topic>Lifestyles</topic><topic>Mammography</topic><topic>Middle Aged</topic><topic>Migration</topic><topic>Minority & ethnic groups</topic><topic>Odds Ratio</topic><topic>Oncology</topic><topic>Original Paper</topic><topic>Parity</topic><topic>Public Health</topic><topic>Risk analysis</topic><topic>Risk Factors</topic><topic>Statistical analysis</topic><topic>United States</topic><topic>Women's Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cancer causes & control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Eunjung</au><au>Doanvo, Namphuong</au><au>Lee, MiHee</au><au>Soe, Zayar</au><au>Lee, Alice W.</au><au>Van Doan, Cam</au><au>Deapen, Dennis</au><au>Ursin, Giske</au><au>Spicer, Darcy</au><au>Reynolds, Peggy</au><au>Wu, Anna H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis</atitle><jtitle>Cancer causes & 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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