 |
|
Characteristics of Women With and Without Breast Augmentation
Linda S. Cook, PhD;
Janet R. Daling, PhD;
Lynda F. Voigt, PhD;
M. Patricia deHart, ScD;
Kathleen E. Malone, PhD;
Janet L. Stanford, PhD;
Noel S. Weiss, MD, DrPH;
Louise A. Brinton, PhD;
Marilie D. Gammon, PhD;
Donna Brogan, PhD
JAMA. 1997;277(20):1612-1617.
Abstract
| |
Objective.
—To compare selected characteristics of women with and without augmentation mammaplasty to identify differences between these 2 groups of women.
Design and Study Participants.
—White women identified as controls in previously conducted population-based, case-control studies formed the study population for the present cross-sectional analysis (N=3570).
Main Outcome Measure.
—Interview information on selected characteristics was compared between women who had received augmentation mammaplasty (n=80) and other women (n=3490) using the prevalence odds ratio (pOR) as the measure of association.
Results.
—Women with breast implants were more likely to drink a greater average number of alcoholic drinks per week (for >7 drinks vs 0 drinks: pOR=2.9, 95% confidence interval [Cl]=1.5-5.5), be younger at first pregnancy (for age <20 years vs age 20-29 years: pOR=1.6,95% Cl=1.0-2.7), be younger at first birth (for age <20 years vs age 20-29 years: pOR=11.9, 95% Cl=11.1-3.3), have a history of terminated pregnancies (for  1 termination vs 0 terminations: pOR=2.0, 95% Cl=1.2-3.4), have ever used oral contraceptives (pOR=2.2,95% Cl=1.0-4.7), have ever used hair dyes (pOR=4.5, 95% Cl=1.3-15.4), and have had a greater lifetime number of sexual partners (for 14 partners vs  4 partners: pOR=8.9, 95% Cl=3.1-25.5) than other women. A history of smoking, lactation, high blood pressure, or thyroid disorders, as well as the number of pregnancies, full-term births, or miscarriages, differed little between women with and without implants. Women with breast augmentation were much less likely to be heavy than other women (for >74 kg vs <56 kg: pOR=0.1, 95% Cl=0.03-0.3).
Conclusion.
—The differences we found between women with and without breast implants suggest that consideration and evaluation of confounding factors in future studies will help to clarify some of the long-term health consequences of having breast implants.
Author Affiliations
From the Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Wash (Drs Cook, Daling, Voigt, deHart, Malone, and Weiss); Department of Epidemiology, University of Washington, Seattle (Drs Daling, Voigt, Malone, and Weiss); Department of Oncological Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City (Dr Stanford); Environmental Epidemiology Branch, National Cancer Institute, Bethesda, Md (Dr Brinton); Division of Epidemiology, Columbia University, New York,; NY (Dr Gammon); and Department of Biostatistics, Emory University, Atlanta, Ga (Dr Brogan).
Footnotes
Dr Daling once served as an expert witness in epidemiologic methods in litigation relating to breast implants. Dr Weiss has been a consultant to several law firms that were representing defendants in litigation relating to breast implants.
Corresponding author: Linda S. Cook, PhD, Fred Hutchinson Cancer Research Center, 1110 Fairview Ave N, PO Box 19024, Seattle, WA 98109-1024.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
|
Cosmetic Breast Augmentation and Suicide
Sarwer et al.
Am. J. Psychiatry 2007;164:1006-1013.
ABSTRACT
| FULL TEXT
Long-term cancer risk among Swedish women with cosmetic breast implants: an update of a nationwide study.
McLaughlin et al.
JNCI J Natl Cancer Inst 2006;98:557-560.
ABSTRACT
| FULL TEXT
Mortality and Suicide Among Danish Women With Cosmetic Breast Implants
Jacobsen et al.
Arch Intern Med 2004;164:2450-2455.
ABSTRACT
| FULL TEXT
Increased Risk of Suicide Among Patients With Breast Implants: Do the Epidemiologic Data Support Psychiatric Consultation?
McLaughlin et al.
Psychosomatics 2004;45:277-280.
ABSTRACT
| FULL TEXT
Lay Experts and the Politics of Breast Implants
Kent
Public Understanding of Science 2003;12:403-421.
ABSTRACT
Breast implants and illness: a model of psychological factors
Dush
Ann Rheum Dis 2001;60:653-657.
ABSTRACT
| FULL TEXT
Meta-Analyses of the Relation between Silicone Breast Implants and the Risk of Connective-Tissue Diseases
Janowsky et al.
NEJM 2000;342:781-790.
ABSTRACT
| FULL TEXT
Silicone Breast Implants, Breast Cancer and Specific Connective Tissue Diseases: A Systematic Review of the Data in the Epidemiological Literature
Lamm
International Journal of Toxicology 1998;17:497-527.
ABSTRACT
Characteristics of Women With and Without Breast Implants
Stewart and Elliott
JAMA 1997;278:818-818.
ABSTRACT
More Breast Implant Prose and Cons: Contractures and Confounding: The Controversy Continues
del Junco
JAMA 1997;277:1643-1644.
ABSTRACT
|
