Evidence map›Paper›PMID 34999865›Full record

ArticleInternational journal of epidemiology2022

Never-smokers and the fraction of breast cancer attributable to second-hand smoke from parents during childhood: the Norwegian Women and Cancer Study 1991-2018.

Inger T Gram, Arne Bastian Wiik, Eiliv Lund, Idlir Licaj, Tonje Braaten

Open access · hybridAbstract read
In one paragraph

Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
3.0field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. The effect of BMI on survival outcome of breast cancer patients: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Association between secondhand smoke and cancers in adults in the US population.Journal of cancer research and clinical oncology · 2023
    Article
  8. Article
  9. Public Health Burden of Secondhand Smoking: Case Reports of Lung Cancer and a Literature Review.International journal of environmental research and public health · 2022
    Review
  10. 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

5 authors at 1 institution in 1 country.

Inger T GramDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT) The Arctic University of Norway, Tromsø, Norway.ORCID 0000-0002-0031-4152
Arne Bastian WiikDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT) The Arctic University of Norway, Tromsø, Norway.
Eiliv LundDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT) The Arctic University of Norway, Tromsø, Norway.
Idlir LicajDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT) The Arctic University of Norway, Tromsø, Norway.
Tonje BraatenDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø (UiT) The Arctic University of Norway, Tromsø, Norway.
UiT The Arctic University of Norway · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecond-hand smoke (SHS) is not an established risk factor for breast cancer. We examined exposure to SHS from parents during childhood and breast-cancer risk overall and by oestrogen- and progesterone-receptor status in the Norwegian Women and Cancer Study. Furthermore, we utilized our nationally representative prospective cohort study to estimate the fraction of breast cancer attributable to parental SHS during childhood.

methodsWe followed 45 923 never-smoking women, aged 34-70 years, who completed a baseline questionnaire between 1991 and 2007 through linkages to national registries through December 2018. We used Cox proportional-hazards models to estimate age-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs). We estimated the attributable and the population attributable fraction of breast cancer with 95% CIs.

resultsDuring a mean follow-up of 19.8 (6.8) years, 2185 women developed invasive breast cancer, confirmed by histology. Women exposed to SHS from parents during childhood had an 11% higher (95% CI: 1.02-1.22) risk of breast cancer compared with those who were not. No difference was found for oestrogen (Pheterogeneity = 0.31) and progesterone (Pheterogeneity = 0.95) receptor status. For women exposed, the attributable fraction was 10.3% (95% CI: 1.8-18.0), whereas the population attributable fraction of breast cancer was 7.0% (95% CI: 1.0-13.0).

conclusionsOur results suggest that 1 in 14 breast-cancer cases could have been avoided in the absence of SHS exposure from parents during childhood in a population of never-smoking women. The cancer burden attributable to SHS may be underestimated.

Indexed as

Breast NeoplasmsTobacco Smoke PollutionAdultAgedFemaleHumansMiddle AgedParentsProspective StudiesRisk FactorsSmokersTobacco Smoke PollutionAvoidable breast cancerbreast-cancer preventionbreast-cancer riskchildhood exposurecohort studiesenvironmental tobacco smokeNorwegian Women and Cancer Studypassive smokingpopulation attributable fractionsecond-hand smoke

Identifiers

PMID34999865
PMCPMC8743119
OpenAlexW3188107679

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.