Evidence map›Paper›PMID 41022397›Full record

ArticleJournal of the National Cancer Institute2026

Use of hair straighteners and chemical relaxers and incidence of non-reproductive cancers.

Jared T Bailey, Che-Jung Chang, Symielle A Gaston, Chandra L Jackson, Dale P Sandler, Katie M O'Brien, Alexandra J White

Abstract read
In one paragraph

Article in Journal of the National Cancer Institute, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Jared T BaileyGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, United States.ORCID 0009-0004-1417-0921
Che-Jung ChangEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, United States.ORCID 0000-0003-0352-7572
Symielle A GastonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, United States.ORCID 0000-0001-9495-1592
Chandra L JacksonEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, United States.ORCID 0000-0002-0915-8272
Dale P SandlerEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, United States.ORCID 0000-0002-6776-0018
Katie M O'BrienEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, United States.
Alexandra J WhiteEpidemiology Branch, National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC 27709, United States.ORCID 0000-0003-2455-2945

Funding

Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
Social and Environmental Determinants of Health EquityZIAES103325 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI JACKSON, CHANDRA · 2017 to 2025
$12.7M
Graduate and Postdoctoral Training in ToxicologyT32ES012870 · NIEHS · EMORY UNIVERSITY · PI Carmen Joseph Marsit · 2004 to 2026
$9.1M
Environment and Cancer EpidemiologyZIAES103332 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI WHITE, ALEXANDRA · 2019 to 2025
$8.9M
Genetic and Environmental Risk Factors for Breast Cancer: The Sister StudyZ01ES044005 · NIEHS · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · PI SANDLER, DALE P · 1999 to 2008
$1.3M
Intramural NIH HHS Z01 ES044005Intramural NIH HHS ZIA ES103325Intramural NIH HHS ZIA ES103332Intramural Research ProgramNational Institute of HealthNIEHS NIH HHS P30 ES019776NIEHS NIH HHS T32 ES012870NIEHS NIH HHS Z01 ES 44005NIEHS NIH HHS Z1A ES103325NIEHS NIH HHS Z1A ES103332
6 · The paper itself

Abstract

backgroundUse of hair straighteners and chemical relaxers has been associated with increased incidence of breast, ovarian, and uterine cancers. However, their potential association with non-reproductive cancers remains unknown, despite evidence that some ingredients in these products may be genotoxic. We therefore examined use of hair straighteners and chemical relaxers in relation to the incidence of non-reproductive cancers.

methodsWe analyzed data from 46 287 cancer-free women aged 35-74 years from the Sister Study, a US-wide cohort enrolled between 2003 and 2009. Participants reported frequency of hair straightener and chemical relaxer use in the 12 months prior to enrollment. Incident cancers (melanoma, thyroid, lung, non-Hodgkin lymphoma, leukemia, pancreatic, colorectal, and kidney cancers) were self-reported and confirmed with pathology reports when possible. We used multivariable Cox proportional hazards models to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for hair straightener and chemical relaxer use and incident cancers, adjusting for age, race and ethnicity, educational attainment, and smoking status.

resultsDuring a median follow-up of 13.1 years, use of hair straighteners and chemical relaxers was associated with a higher incidence of thyroid cancer (n = 225 cases; HR = 1.71, 95% CI = 1.01 to 2.89), non-Hodgkin lymphoma (n = 313 cases; HR = 1.62, 95% CI = 0.94 to 2.80), and pancreatic cancer (n = 138 cases; HR = 2.66, 95% CI = 1.25 to 5.66). There was little evidence of dose response with increasing frequency of use. We observed negligible or imprecise associations for the remaining cancer types.

conclusionsUse of hair straighteners and chemical relaxers may be associated with a higher incidence of thyroid cancer, non-Hodgkin lymphoma, and pancreatic cancer. Further research is needed to confirm these findings.

Indexed as

Hair PreparationsNeoplasmsAdultAgedBreast NeoplasmsColorectal NeoplasmsFemaleFollow-Up StudiesHumansIncidenceKidney NeoplasmsLung NeoplasmsLymphoma, Non-HodgkinMelanomaMiddle AgedPancreatic NeoplasmsHair Preparations

Identifiers

PMID41022397
PMCPMC12487841

What OpenQuestion holds

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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.