Evidence map›Paper›PMID 17938728›Full record

SynthesisEnvironmental health perspectives2007

DDT and breast cancer in young women: new data on the significance of age at exposure.

Barbara A Cohn, Mary S Wolff, Piera M Cirillo, Robert I Sholtz

Open access · diamondAbstract readMeta-Analysis
In one paragraph

Synthesis in Environmental health perspectives, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 184 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
184citing papers in PubMed, 4 pooled it
17.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

184 citing papers in PubMed, 4 syntheses or guidelines pooled it, 472 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. DDT/DDE and breast cancer: a meta-analysis.Regulatory toxicology and pharmacology : RTP · 2013
    Pooled it
  5. Endocrine Disruptors and Gynecological Malignancies.Diagnostics (Basel, Switzerland) · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Father's occupation and colorectal cancer in his adult offspring.Journal of the National Cancer Institute · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Stress across the lifecourse and adult mental and physical health outcomes.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025
    Article
  14. Endocrine disruptors and children's health.Turkish journal of medical sciences · 2025
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

124 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Barbara A CohnChild Health and Development Studies, Center for Research on Women's and Children's Health, Public Health Institute, Berkeley, California 94709, USA. bcohn@chdstudies.org
Mary S Wolff
Piera M Cirillo
Robert I Sholtz
Public Health Institute · USIcahn School of Medicine at Mount Sinai · USWomen's & Children's Health Research Institute · AU

Funding

MAINTENANCE OF CHILD HEALTH AND DEVELOPMENT STUDIES NAME AND ADDRESS F-275013334N01HD013334 · NICHD · PUBLIC HEALTH INSTITUTE · 2002 to 2004
–
MAINTENANCE OF CHILD HEALTH AND DEVELOPMENT STUDYN01HD063258 · NICHD · WESTERN CONSORTIUM FOR PUBLIC HEALTH · PI COHN, BARBARA A · 1996 to 1999
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BREAST CANCER AND ORGANOCHLORINESR01CA072919 · NCI · PUBLIC HEALTH INSTITUTE · PI COHN, BARBARA A · 1997 to 1999
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NCI NIH HHS R01 CA72919NICHD NIH HHS N01 HD013334NICHD NIH HHS N01 HD 6 3258
6 · The paper itself

Abstract

backgroundPrevious studies of DDT and breast cancer assessed exposure later in life when the breast may not have been vulnerable, after most DDT had been eliminated, and after DDT had been banned.

objectivesWe investigated whether DDT exposure in young women during the period of peak DDT use predicts breast cancer.

methodsWe conducted a prospective, nested case-control study with a median time to diagnosis of 17 years using blood samples obtained from young women during 1959-1967. Subjects were members of the Child Health and Development Studies, Oakland, California, who provided blood samples 1-3 days after giving birth (mean age, 26 years). Cases (n = 129) developed breast cancer before the age of 50 years. Controls (n = 129) were matched to cases on birth year. Serum was assayed for p,p'-DDT, the active ingredient of DDT; o,p'-DDT, a low concentration contaminant; and p,p'-DDE, the most abundant p,p'-DDT metabolite.

resultsHigh levels of serum p,p'-DDT predicted a statistically significant 5-fold increased risk of breast cancer among women who were born after 1931. These women were under 14 years of age in 1945, when DDT came into widespread use, and mostly under 20 years as DDT use peaked. Women who were not exposed to p,p'-DDT before 14 years of age showed no association between p,p'-DDT and breast cancer (p = 0.02 for difference by age).

conclusionsExposure to p,p'-DDT early in life may increase breast cancer risk. Many U.S. women heavily exposed to DDT in childhood have not yet reached 50 years of age. The public health significance of DDT exposure in early life may be large.

Indexed as

AdultAge FactorsBreast NeoplasmsCaliforniaCarcinogens, EnvironmentalCase-Control StudiesDDTDichlorodiphenyl DichloroethyleneEnvironmental ExposureFemaleHumansMiddle AgedProspective StudiesUnited StatesCarcinogens, EnvironmentalDDTDichlorodiphenyl Dichloroethylenebreast cancerchild health and development studiesexposure timingo, p′-DDTorganochlorinesp, p′-DDEp, p′-DDTpregnancypremenopausal

Identifiers

PMID17938728
PMCPMC2022666
OpenAlexW2075605442

What OpenQuestion holds

Textmetadata
LicenceCC0
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.