Evidence map›Paper›PMID 32066618›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2020

Alcohol and Tobacco Use in Relation to Mammographic Density in 23,456 Women.

Russell B McBride, Kezhen Fei, Joseph H Rothstein, Stacey E Alexeeff, Xiaoyu Song, Lori C Sakoda, Valerie McGuire, Ninah Achacoso, Luana Acton, Rhea Y Liang and 6 more

Open access · greenAbstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Cancer disparities: an extensive review.Ecancermedicalscience · 2026
    Review
  3. Article
  4. Review
  5. The epidemiologic factors associated with breast density: A review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    Review
  6. Cigarette Smoking and Estrogen-Related Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Review
  7. Article
  8. 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

16 authors at 5 institutions in 2 countries.

Russell B McBrideInstitute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York.
Kezhen FeiDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
Joseph H RothsteinDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.
Stacey E AlexeeffDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Xiaoyu SongDepartment of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.ORCID 0000-0003-1909-6244
Lori C SakodaDivision of Research, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0002-0900-5735
Valerie McGuireDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.
Ninah AchacosoDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Luana ActonDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Rhea Y LiangDepartment of Radiology, Stanford University School of Medicine, Stanford, California.
Jafi A LipsonDepartment of Radiology, Stanford University School of Medicine, Stanford, California.
Martin J YaffeDepartments of Medical Biophysics and Medical Imaging, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-7227-9915
Daniel L RubinDepartment of Radiology, Stanford University School of Medicine, Stanford, California.
Alice S WhittemoreDepartment of Epidemiology and Population Health, Stanford University School of Medicine, Stanford, California.
Laurel A Habel *Division of Research, Kaiser Permanente Northern California, Oakland, California.
Weiva Sieh *Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, New York. weiva.sieh@mssm.edu.
Icahn School of Medicine at Mount Sinai · USKaiser Permanente · USStanford Medicine · USStanford Health Care · USUniversity of Toronto · CA

Funding

A Resource for Genetic Epidemiology Research in Adult Health and AgingRC2AG036607 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI RISCH, NEIL J., SCHAEFER, CATHERINE ANN · 2009 to 2010
$24.8M
Genome-Wide Association Study of Mammographic DensityR01CA166827 · NCI · STANFORD UNIVERSITY · PI HABEL, LAUREL A, SIEH, WEIVA · 2012 to 2016
$2.3M
Mammographic Density & Prognosis among Breast Cancer Intrinsic SubtypesR01CA168893 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HABEL, LAUREL A · 2012 to 2015
$2.1M
Genomic and Transcriptomic Analysis of Mammographic DensityR01CA237541 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HABEL, LAUREL A, SIEH, WEIVA · 2020 to 2023
$2.0M
NCI NIH HHS R01 CA166827NCI NIH HHS R01 CA168893NCI NIH HHS R01 CA237541NIA NIH HHS RC2 AG036607
6 · The paper itself

Abstract

backgroundPercent density (PD) is a strong risk factor for breast cancer that is potentially modifiable by lifestyle factors. PD is a composite of the dense (DA) and nondense (NDA) areas of a mammogram, representing predominantly fibroglandular or fatty tissues, respectively. Alcohol and tobacco use have been associated with increased breast cancer risk. However, their effects on mammographic density (MD) phenotypes are poorly understood.

methodsWe examined associations of alcohol and tobacco use with PD, DA, and NDA in a population-based cohort of 23,456 women screened using full-field digital mammography machines manufactured by Hologic or General Electric. MD was measured using Cumulus. Machine-specific effects were estimated using linear regression, and combined using random effects meta-analysis.

resultsAlcohol use was positively associated with PD (

conclusionsThese findings suggest that associations of alcohol and tobacco use with PD result more from their associations with NDA than DA. IMPACT: PD and NDA may mediate the association of alcohol drinking, but not tobacco smoking, with increased breast cancer risk. Further studies are needed to elucidate the modifiable lifestyle factors that influence breast tissue composition, and the important role of the fatty tissues on breast health.

Indexed as

Breast DensityAdultAgedAged, 80 and overAlcohol DrinkingBreastBreast NeoplasmsCohort StudiesFemaleHumansMammographyMiddle AgedRisk AssessmentRisk FactorsTobacco Smoking

Identifiers

PMID32066618
PMCPMC7196522
OpenAlexW3006080005

What OpenQuestion holds

Textmetadata
LicenceTDM
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.