Document Type : Original Article(s)
Authors
- Maleika Heenaye- Mamode Khan 1
- Jasmine Selimah Fauzee 2
- Naushad Mamode Khan 3
- Hudaa Neetoo 4
- Zaynab Toorabally 5
- Yashvinee Ahku 1
- Ashwinee Devi Soobhug 3
1 Department of Software and Information Systems, University of Mauritius, Reduit, Mauritius
2 Ministry of Health and Quality of Life, Central Health Laboratory, Victoria Hospital Candos, Mauritius
3 Department of Economics and Statistics, University of Mauritius, Reduit, Mauritius
4 Department of Agricultural and Food Science, University of Mauritius, Reduit, Mauritius
5 Department of Health Sciences, University of Mauritius, Reduit, Mauritius
Abstract
Background: Female breast cancer (FBC) is a public health issue which represents the third leading cause of deaths in Mauritius (accounting for 13.5% of all the deaths in 2017), after diabetes and cardiovascular diseases. The present research aimed to identify the potential causative factors associated with FBC in Mauritius, given the genetic polymorphisms of different ethnic groups.
Method: From January to August 2019, a questionnaire was administered to women who had consented to participate in this case-control study. Overall, there were 394 women, comprising 149 cases and 245 controls. The cases were BC patients who visited two non-governmental organizations (NGOs) involved in providing support and counselling to BC patients in Mauritius. The controls were women matched by age approached from these NGOs as well as the public at large. A logistic regression model was then applied in R statistical software to identify the potential significant factors associated with BC in Mauritius.
Results: Herein, age, family history of cancer, the prolonged use of female hormone as contraception, smoking habits, consumption of non-bio food products, and the frequent use of plastic bottles and Styrofoam containers to serve hot food were identified as the determinant factors attributing to BC incidence.
Conclusion: The extended use of female hormones for birth controls, smoking habits, consumption of non-bio food products, along with the frequent use of plastic bottles and Styrofoam containers to serve hot food were identified as modifiable factors. There is an urgent need for sensitizing people to change their lifestyle in order to minimize their risk of developing breast cancer.
Keywords
How to cite this article:
Mamode Khan MH, Fauzee JS, Khan NM, Neetoo H, Toorabally Z, Ahku Y. A case-control study of female breast cancer risk factors in Mauritius. Middle East J Cancer. 2022;13(3):491-9. doi: 10.30476/mejc.2022.87731.1432.
- World Health Organisation. 2018 [cited 10 March 2020]. Available from: https://www.who.int/cancer/prevention/diagnosis-screening/breast-cancer/en/.
- American Cancer Society. 2018 [cited 10 March 2020]. Available from: https://www.cancer.org/cancer/cancer-causes/antiperspirants-and-breast-cancer-risk.html.
- Ziperstein M, Guzman A, Kaufman L. Evaluating breast cancer cell morphology as a predictor of invasive capacity. Biophys J. 2016;110(3):621a.
- Bernstein L. Epidemiology of endocrine-related risk factors for breast cancer. J Mammary Gland Biol Neoplasia. 2002;7(1):3-15. doi: 10.1023/a:1015714305420.
- Persson I, Weiderpass E, Bergkvist L, Bergström R, Schairer C. Risks of breast and endometrial cancer after estrogen and estrogen-progestin replacement. Cancer Causes Control. 1999;10(4):253-60. doi: 10.1023/a:1008909128110.
- Alviggi C, Humaidan P, Howles CM, Tredway D, Hillier SG. Biological versus chronological ovarian age: implications for assisted reproductive technology. Reprod Biol Endocrinol. 2009;7:101. doi: 10.1186/1477-7827-7-101.
- Setiawan VW, Haiman CA, Stanczyk FZ, Le Marchand L, Henderson BE. Racial/ethnic differences in postmenopausal endogenous hormones: the multiethnic cohort study. Cancer Epidemiol Biomarkers Prev. 2006;15(10):1849-55. doi: 10.1158/1055-9965.EPI-06-0307.
- Enger SM, Ross RK, Henderson B, Bernstein L. Breastfeeding history, pregnancy experience and risk of breast cancer. Br J Cancer. 1997;76(1):118-23. doi: 10.1038/bjc.1997.346.
- Binukumar B, Mathew A. Dietary fat and risk of breast cancer. World J Surg Oncol. 2005;3:45.doi: 10.1186/1477-7819-3-45.
- Nelson D, Jarman D, Rehm J, Greenfield T, Rey G, Kerr W, et al. Alcohol-attributable cancer deaths and years of potential life lost in the United States. Am J Public Health. 2013; 103(4): 641–8.
- Bar David Y, Gesundheit B, Urkin J, Kapelushnik J. Water intake and cancer prevention. J Clin Oncol. 2004;22(2):383-5. doi: 10.1200/JCO.2004.99.245.
- Shafei A, Ramzy M, HegazyA, Husseny A, EL-hadary U, Taha M, et al. The molecular mechanisms of action of the endocrine disrupting chemical bisphenol A in the development of cancer. Gene. 2018;647:235-43doi: 10.1016/j.gene.2018.01.016.
- Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013; 35(2): 121-6.doi: 10.4103/0253-7176.116232.
- Autier P. Risk factors for breast cancer for women aged 40 to 49 years. Ann Intern Med. 2012;157(7):529.doi: 10.7326/0003-4819-157-7-201210020-00016.
- Melby M, Lock M, Kaufert P. Culture and symptom reporting at menopause. Hum Reprod Update. 2005;11(5):495-512. doi: 10.1093/humupd/dmi018.
- Kharazmi E, Chen T, Narod S, Sundquist K, Hemminki K. Effect of multiplicity, laterality, and age at onset of breast cancer on familial risk of breast cancer: a nationwide prospective cohort study. Breast Cancer Res Treat.2014;144(1):185-92. doi: 10.1007/s10549-014-2848-3.
- Nelson H, Zakher B, Cantor A, Fu R, Griffin J, O'Meara ES, et al. Risk factors for breast cancer for women aged 40 to 49 years: a systematic review and meta-analysis. Ann Intern Med. 2012;156(9):635-48. doi: 10.7326/0003-4819-156-9-201205010-00006.
- News: World Cancer Day 2020. [Cited 10 March 2020] Available from: http://www.govmu.org/English/News/Pages/World-Cancer-Day-2020-Mauritians-urged-to-go-for-cancer-screening.aspx.
- Kamińska M, Ciszewski T, Łopacka-Szatan K, Miotła P, Starosławska E. Breast cancer risk factors. Prz Menopauzalny. 2015;14(3):196-202.doi: 10.5114/pm.2015.54346.
- Kerlikowske K, Cook A, Buist D, Cummings S, Vachon C, Vacek P, et al. Breast cancer risk by breast density, menopause, and postmenopausal hormone therapy use. J Clin Oncol.2010;28(24):3830-7. doi: 10.1200/JCO.2009.26.4770.
- Goldvaser H, Gal O, Rizel S, Hendler D, Neiman V, Shochat T, et al. The association between smoking and breast cancer characteristics and outcome. BMC Cancer. 2017; 17: 624. doi: 10.1186/s12885-017-3611-z.
- Strumylaite L, Kregzdyte R, Poskiene L, Bogusevicius A, Pranys D, Norkute R. Association between lifetime exposure to passive smoking and risk of breast cancer subtypes defined by hormone receptor status among non-smoking Caucasian women. PLoS One. 2017;12(2): e0171198.doi: 10.1371/journal.pone.0171198
- Morabia A, Bernstein M, Ruiz J, Héritier S, Diebold Berger S, Borisch B. Relation of smoking to breast cancer by estrogen receptor status. Int J Cancer. 1998 Jan 30;75(3):339-42., 75(3), pp.339-342. doi: 10.1002/(sici)1097-0215(19980130)75:3<339::aid-ijc2>3.0.co;2-3.
- Laniece I, Pesticide usage and associated health hazards in Mauritius [cited on: 25 March 2020] Available from: https://adlsn.org/greenstone/collect/healthco/index/assoc/HASH016a.dir/pesticide.pdf
- The use of pesticides bill (No. VI of 2018), [cited on: 25 March 2020], Available From: http://mauritiusassembly.govmu.org/English/bills/Documents/intro/2018/bill0618.pdf.
- Gao H, Yang BJ, Li N, Feng L, Shi X, Zhao W, et al. Bisphenol A and hormone-associated cancers: current progress and perspectives. Medicine (Baltimore). 2015;94(1):e211. doi: 10.1097/MD.0000000000000211.
- Collins JJ, Delzell E. A systematic review of epidemiologic studies of styrene and cancer. Crit Rev Toxicol. 2018;48(6):443-70. doi: 10.1080/10408444.2018.1445700.
- Anstey E, Shoemaker M, Barrera C, O’Neil M, Verma A, Holman D. Breastfeeding and breast cancer risk reduction: implications for black mothers. Am J Prev Med. 2017;53(3S1):S40-S46.doi: 10.1016/j.amepre.2017.04.024.
- Jafari-Mehdiabad F, Savabi-Esfahani M, Mokaryan F, Kazemi A. Relationship between breastfeeding factors and breast cancer in women referred to Seyed Al-Shohada Hospital in Isfahan, Iran. Iran J Nurs Midwifery Res. 2016;21(6):622-627. doi: 10.4103/1735-9066.197670.
- Hennessy S, Bilker W, Berlin J, Strom B. Factors influencing the optimal control-to-case ratio in matched case-control studies. Am J Epidemiol.1999;149(2):195-7. doi: 10.1093/oxfordjournals.aje.a009786.