Evidence map›Paper›PMID 33471235›Full record

ArticleCancer causes & control : CCC2021

Reproductive factors and risk of breast cancer in black South African women.

Isabelle Romieu, Carine Biessy, Maureen Joffe, Herbert Cubasch, Shane Norris, Hester H Vorster, Christine Taljaard-Krugell, Marc J Gunter, Sabina Rinaldi

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Occupation and Female Breast Cancer Mortality in South Africa: A Case-Control Study.International journal of environmental research and public health · 2025
    Article
  3. Article
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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

9 authors at 4 institutions in 3 countries.

Isabelle RomieuCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Carine BiessySection of Nutrition and Metabolism, International Agency for Research On Cancer, 150, Cours Albert Thomas, 69008, Lyon, France.
Maureen JoffeNon-Communicable Diseases Research Division, Wits Health Consortium (PTY) Ltd, Johannesburg, South Africa.
Herbert CubaschNon-Communicable Diseases Research Division, Wits Health Consortium (PTY) Ltd, Johannesburg, South Africa.
Shane NorrisMRC Developmental Pathways To Health Research Unit, Department of Pediatrics, Faculty of Health, Sciences, University of Witwatersrand, Johannesburg, South Africa.
Hester H VorsterCentre of Excellence for Nutrition, North-West University, Potchefstroom, South Africa.
Christine Taljaard-KrugellCentre of Excellence for Nutrition, North-West University, Potchefstroom, South Africa.
Marc J GunterSection of Nutrition and Metabolism, International Agency for Research On Cancer, 150, Cours Albert Thomas, 69008, Lyon, France.
Sabina RinaldiSection of Nutrition and Metabolism, International Agency for Research On Cancer, 150, Cours Albert Thomas, 69008, Lyon, France. rinaldis@iarc.fr.ORCID http://orcid.org/0000-0002-6846-1204
Centre international de recherche sur le cancer · FRUniversity of the Witwatersrand · ZANorth-West University · ZAInstituto Nacional de Salud Pública · MX

Funding

Novel predictors of survival among breast cancer patients with/without HIV in South AfricaR01CA250012 · NCI · WITS HEALTH CONSORTIUM (PTY), LTD · PI CUBASCH, HERBERT, EL-SADR, WAFAA M. · 2020 to 2024
$2.0M
HIV's Effects on Breast Cancer Treatment and Outcomes in South AfricaR01CA192627 · NCI · WITS HEALTH CONSORTIUM (PTY), LTD · PI JACOBSON, JUDITH S, JOFFE, MAUREEN · 2015 to 2019
$1.7M
NCI NIH HHS R01 CA192627NCI NIH HHS R01 CA250012World Health Organization 001
6 · The paper itself

Abstract

purposeBreast cancer (BC) is increasing in black South African women, but few studies have investigated its risk factors.

methodsWe conducted an analysis of reproductive factors and BC risk in the South African Breast Cancer (SABC) study-a population-based case-control study of black South African women from Soweto that included 399 cases and 399 matched controls. Information on lifestyle and reproductive history was obtained by interviews. Conditional logistic regression was used to determine the association of reproductive factors with BC, adjusting for potential confounding factors.

resultsSeventy-five percent of all BC cases were ER+, 66% PR+, 30% HER2+, and 16% TN. None of the reproductive variables were associated with BC overall or by subtype in the overall population, nor in pre- (n = 135 cases) or in post-menopausal women separately. In HIV-negative pre-menopausal women (n = 97 cases), later age at first pregnancy and longer time between menarche and first full-time pregnancy were inversely related to BC risk (OR 0.89 (95% CI 0.82-0.97; and 0.93 95% CI 0.86-1.01, respectively).

conclusionIn this population of black South African women, reproductive factors were not associated with BC risk.

Indexed as

AdultAgedBlack PeopleBreast NeoplasmsCase-Control StudiesFemaleHumansLife StyleMenopauseMiddle AgedPregnancyReproductive HistoryRisk FactorsSouth AfricaBlack South African womenBreast cancerReproductive factors

Identifiers

PMID33471235
PMCPMC8075164
OpenAlexW3125551574

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.