Evidence map›Paper›PMID 19667298›Full record

ArticleArchives of internal medicine2009

Lactation and incidence of premenopausal breast cancer: a longitudinal study.

Alison M Stuebe, Walter C Willett, Fei Xue, Karin B Michels

Abstract read
In one paragraph

Article in Archives of internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Public health evaluation of PFAS exposures and breastfeeding: a systematic literature review.Toxicological sciences : an official journal of the Society of Toxicology · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Safety of Drugs in Breastfeeding Women With CKD.Kidney international reports · 2025
    Article
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  9. Review
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  14. Women who breastfeed exhibit cognitive benefits after age 50.Evolution, medicine, and public health · 2021
    Article
  15. Knowledge of the Relationship Between Breastfeeding and Breast Cancer Risk Among Racial and Ethnic Minority Women.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
  16. Article
  17. Article
  18. Breastfeeding and the Benefits of Lactation for Women's Health.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2018
    Review
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  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alison M StuebeDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, School of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. astuebe@med.unc.edu
Walter C Willett
Fei Xue
Karin B Michels

Funding

Risk Factors for Breast Cancer in Younger NursesR01CA050385 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ELIASSEN, A. HEATHER, WILLETT, WALTER C. · 1989 to 2019
$32.3M
NCI NIH HHS CA50385NCI NIH HHS R01 CA050385
6 · The paper itself

Abstract

backgroundFindings from observational studies suggest an inverse association between lactation and premenopausal breast cancer risk, but results are inconsistent, and data from large prospective cohort studies are lacking.

methodsWe used information from 60,075 parous women participating in the prospective cohort study of the Nurses' Health Study II from 1997 to 2005. Our primary outcome was incident premenopausal breast cancer.

resultsWe ascertained 608 incident cases of premenopausal breast cancer during 357,556 person-years of follow-up. Women who had ever breastfed had a covariate-adjusted hazard ratio (HR) of 0.75 (95% confidence interval [CI], 0.56-1.00) for premenopausal breast cancer compared with women who had never breastfed. No linear trend was found with duration of total lactation (P = .95), exclusive lactation (P = .74), or lactation amenorrhea (P = .88). The association between lactation and premenopausal breast cancer was modified by family history of breast cancer (P value for interaction = .03). Among women with a first-degree relative with breast cancer, those who had ever breastfed had a covariate-adjusted HR of 0.41 (95% CI, 0.22-0.75) for premenopausal breast cancer compared with women who had never breastfed, whereas no association was observed among women without a family history of breast cancer.

conclusionIn this large, prospective cohort study of parous premenopausal women, having ever breastfed was inversely associated with incidence of breast cancer among women with a family history of breast cancer.

Indexed as

Breast FeedingPremenopauseAdultBreast NeoplasmsCohort StudiesFemaleGenetic Predisposition to DiseaseHumansIncidenceLongitudinal StudiesMiddle AgedParityPregnancyProportional Hazards ModelsRiskRisk Factors

Identifiers

PMID19667298
PMCPMC2888088

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Registered trials

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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.