Skip to main content

Advertisement

Log in

A temporal analysis of the association between breast cancer and socioeconomic and environmental factors

  • Published:
GeoJournal Aims and scope Submit manuscript

Abstract

Although some biological factors have been confirmed to increase the risk of breast cancer, they only account for a small portion of the overall incidence in females. Women’s socioeconomic status and hazardous exposures to potential breast cancer carcinogens could modify their risks of breast cancer. From a public health perspective, it is important to understand what socioeconomic and environmental factors are associated with an elevated risk of breast cancer and how they vary geographically, temporally, and among different populations. Using an integrated approach, this study examines the associations between the incidence rate of invasive breast cancer and socioeconomic characteristics and environmental risks over time in Illinois for two periods: 1999–2003 and 2009–2013. Based on data from the US Census, ACS, and EPA, this study builds two sets of regression models to investigate the associations. The findings reveal that compared to environmental risks, socioeconomic factors are much more significant factors associated with the risk of breast cancer. The significant explanatory variables differ somehow between the two periods, yet with some agreement. Among the environmental risk variables examined, two toxic carcinogens, ethylene oxide and benzene were associated with an elevated risk of breast cancer for each time period respectively.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  • American Cancer Society (ACS). (2015). Breast cancer facts & figures 2015–2016. Atlanta: American Cancer Society Inc.

    Google Scholar 

  • American Cancer Society (ACS). (2017). Cancer facts and figures 2017. Atlanta, GA: American Cancer Society. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/cancer-facts-figures-2017.html. Accessed April 10, 2017.

  • American Chemistry Council (ACC). (2017). “Products&Technology: ethylene oxide.” Accessed April 10, 2017. https://www.americanchemistry.com/ethyleneoxide/?gclid=Cj0KEQjwiI3HBRDv0q_qhqXZ-N4BEiQAOTiCHhQrrqxe1PKJ_wNM7Uowt_ms18ppChYPmor65ZOMbgcaAuBv8P8HAQ.

  • Bakken, K., Fournier, A., Lund, E., Waaseth, M., Dumeaux, V., Clavel-Chapelon, F., et al. (2011). Menopausal hormone therapy and breast cancer risk: Impact of different treatments. The European prospective investigation into cancer and nutrition. International Journal of Cancer, 128(1), 144–156. doi:10.1002/ijc.25314.

    Article  Google Scholar 

  • Baquet, C. R., & Commiskey, P. (2000). Socioeconomic factors and breast carcinoma in multicultural women. Cancer, 88(5 Suppl), 1256–1264.

    Article  Google Scholar 

  • Boscoe, F. P., Henry, K. A., Sherman, R. L., & Johnson, C. J. (2016). The relationship between cancer incidence, stage and poverty in the United States. International Journal of Cancer, 139(3), 607–612. doi:10.1002/ijc.30087.

    Article  Google Scholar 

  • Braaten, T., Weiderpass, E., Kumle, M., Adami, H.-O., & Lund, E. (2004). Education and risk of breast cancer in the Norwegian-Swedish Women’s lifestyle and health cohort study. International Journal of Cancer, 110(4), 579–583. doi:10.1002/ijc.20141.

    Article  Google Scholar 

  • Brody, J. G., & Rudel, R. A. (2003). Environmental pollutants and breast cancer. Environmental Health Perspectives, 111(8), 1007–1019.

    Article  Google Scholar 

  • Brown, P. (2007). Toxic exposures: Contested illnesses and the environmental health movement. New York: Columbia University Press. https://cup.columbia.edu/book/toxic-exposures/9780231129480.

  • Cohn, B. A., Wolff, M. S., Cirillo, P. M., & Sholtz, R. I. (2007). DDT and breast cancer in young women: New data on the significance of age at exposure. Environmental Health Perspectives, 115(10), 1406–1414.

    Google Scholar 

  • Colditz, G. A., & Rosner, B. (2000). Cumulative risk of breast cancer to age 70 years according to risk factor status: Data from the Nurses’ Health Study. American Journal of Epidemiology, 152(10), 950–964.

    Article  Google Scholar 

  • Costantini, A. S., Gorini, G., Consonni, D., Miligi, L., Giovannetti, L., & Quinn, M. (2009). Exposure to benzene and risk of breast cancer among shoe factory workers in Italy. Tumori, 95(1), 8–12.

    Article  Google Scholar 

  • Darbre, P. D., & Charles, A. K. (2010). Environmental oestrogens and breast cancer: Evidence for combined involvement of dietary, household and cosmetic xenoestrogens. Anticancer Research, 30(3), 815–827.

    Google Scholar 

  • David, A. R. (2015). Plumbing and kitchen facilities in housing units. https://www.census.gov/content/dam/Census/library/working-papers/2015/acs/2015_Raglin_01.pdf.

  • Davies, J. E., Barquet, A., Morgade, C., & Raffonelli, A. (1976). Epidemiologic studies of DDT and dieldrin residues and their relationship to human carcinogenesis. Recent advances in the assessment of health effects of environmental pollution. In International symposium proceedings (pp. 695–702), WHO, CEC, US EPA, Paris (France).

  • Davis, D. L., & Bradlow, H. L. (1995). Can environmental estrogens cause breast cancer? Scientific American, 273(4), 167–172.

    Google Scholar 

  • Dewailly, E., Dodin, S., Verreault, R., Ayotte, P., Sauve, L., Morin, J., et al. (1994). High organochlorine body burden in women with estrogen receptor-positive breast cancer. Journal of the National Cancer Institute, 86(3), 232–234.

    Article  Google Scholar 

  • Endogenous Hormones and Breast Cancer Collaborative Group (EHBCCG). (2011). Circulating sex hormones and breast cancer risk factors in postmenopausal women: Reanalysis of 13 studies. British Journal of Cancer, 105(5), 709–722.

    Article  Google Scholar 

  • Engel, L. S., Hill, D. A., Hoppin, J. A., Lubin, J. H., Lynch, C. H., Pierce, J., et al. (2005). Pesticide use and breast cancer risk among farmers’ wives in the Agricultural Health Study. American Journal of Epidemiology, 161(2), 121–135. doi:10.1093/aje/kwi022.

    Article  Google Scholar 

  • Ewertz, M., Duffy, S. W., Adami, H. O., Kvale, G., Lund, E., Meirik, O., et al. (1990). Age at first birth, parity and risk of breast cancer: A meta-analysis of 8 studies from the Nordic countries. International Journal of Cancer, 46(4), 597–603.

    Article  Google Scholar 

  • Ford, D., Easton, D. F., Stratton, M., Narod, S., Goldgar, D., Devilee, P., et al. (1998). Genetic heterogeneity and penetrance analysis of the BRCA1 and BRCA2 genes in breast cancer families. The American Journal of Human Genetics, 62(3), 676–689. doi:10.1086/301749.

    Article  Google Scholar 

  • Fotheringham, A. S., Brunsdon, C., & Charlton, M. (2002). Geographically weighted regression the analysis of spatially varying relationships. Chichester: Wiley.

    Google Scholar 

  • Fuhrman, B. J., Schairer, C., Gail, M. H., Boyd-Morin, J., Xia, X., Sue, L. Y., et al. (2012). Estrogen metabolism and risk of breast cancer in postmenopausal women. Journal of the National Cancer Institute, 104(4), 326–339. doi:10.1093/jnci/djr531.

    Article  Google Scholar 

  • Fujino, Y., Mori, M., Tamakoshi, A., Sakauchi, F., Suzuki, S., Wakai, K., et al. (2008). A prospective study of educational background and breast cancer among Japanese women. Cancer Causes and Control, 19(9), 931–937. doi:10.1007/s10552-008-9154-5.

    Article  Google Scholar 

  • Garner, K., & Shen, T. F. (2016). Illinois state cancer incidence review and update, 1986–2013. Epidemiologic Report Series 16:04. Springfield, IL: Illinois Department of Public Health, February 2016.

  • Gierisch, J. M., Coeytaux, R. R., Urrutia, R. P., Havrilesky, L. J., Moorman, P. G., Lowery, W. J., et al. (2013). Oral contraceptive use and risk of breast, cervical, colorectal, and endometrial cancers: A systematic review. Cancer Epidemiology Biomarkers Prevention, 22(11), 1931–1943. doi:10.1158/1055-9965.EPI-13-0298.

    Article  Google Scholar 

  • Harvey, P. W., & Darbre, P. (2004). Endocrine disrupters and human health: Could oestrogenic chemicals in body care cosmetics adversely affect breast cancer incidence in women? Journal of Applied Toxicology: JAT, 24(3), 167–176. doi:10.1002/jat.978.

    Article  Google Scholar 

  • Howlader, N., Noone, A. M., Krapcho, M., Miller, D., Bishop, K., Altekruse, S. F., et al. (Eds.). (2016). SEER cancer statistics review, 1975–2013. National Cancer Institute. Bethesda, MD, http://seer.cancer.gov/csr/1975_2013/, based on November 2015 SEER data submission, posted to the SEER web site, April 2016.

  • Illinois Department of Public Health (IDPH). (2015). Illinois State Cancer Registry, Public Data Set V23, 1986–2013. data as of November 2015.

  • Irving, S. K. (2014). Public assistance receipt: 2000 to 2012—American community survey briefs. https://www.census.gov/content/dam/Census/library/publications/2014/acs/acsbr13-13.pdf. Accessed April 10, 2017.

  • Jagne, J., White, D., & Jefferson, F. (2016). Endocrine-disrupting chemicals: Adverse effects of bisphenol A and parabens to women’s health. Water, Air, and Soil pollution, 227(6), 182. doi:10.1007/s11270-016-2785-3.

    Article  Google Scholar 

  • Ji, B.-T., Blair, A., Shu, X.-O., Chow, W.-H., Hauptmann, M., Dosemeci, M., et al. (2008). Occupation and breast cancer risk among Shanghai women in a population-based cohort study. American Journal of Industrial Medicine, 51(2), 100–110. doi:10.1002/ajim.20507.

    Article  Google Scholar 

  • Jones, A. (2003). Supplemental security income and its noninstitutional recipients: July 1997 and 1999. https://www.census.gov/prod/2003pubs/p70-90.pdf. Accessed April 10, 2017.

  • Kohler, B. A., Sherman, R. L., Howlader, N., Jemal, A., BlytheRyerson, A., Henry, K. A., et al. (2015). Annual report to the nation on the status of cancer, 1975–2011, featuring incidence of breast cancer subtypes by race/ethnicity, poverty, and state. Journal of the National Cancer Institute, 107(6), djv048. doi:10.1093/jnci/djv048.

    Article  Google Scholar 

  • Laden, F., Collman, G., Iwamoto, K., Alberg, A. J., Berkowitz, G. S., Freudenheim, J. L., et al. (2001). 1,1-Dichloro-2,2-bis(p-chlorophenyl)ethylene and polychlorinated biphenyls and breast cancer: Combined analysis of five U.S. studies. Journal of the National Cancer Institute, 93(10), 768–776.

    Article  Google Scholar 

  • Larsen, S. B., Anja, O., Lynch, J., Christensen, J., Overvad, K., Tjønneland, A., et al. (2011). Socioeconomic position and lifestyle in relation to breast cancer incidence among postmenopausal women: A prospective cohort study, Denmark, 1993–2006. Cancer Epidemiology, 35(5), 438–441. doi:10.1016/j.canep.2010.12.005.

    Article  Google Scholar 

  • Liu, Z., Zhang, K., & Xianglin, L. D. (2016). Risks of developing breast and colorectal cancer in association with incomes and geographic locations in Texas: A retrospective cohort study. BMC Cancer, 16(1), 294. doi:10.1186/s12885-016-2324-z.

    Article  Google Scholar 

  • Miller, H. J., & Han, J. (2009). Geographic data mining and knowledge discovery. Bristol, PA: Taylor & Francis Inc.

    Book  Google Scholar 

  • Mills, P. K., & Yang, R. (2005). Breast cancer risk in hispanic agricultural workers in California. International Journal of Occupational and Environmental Health, 11(2), 123–131. doi:10.1179/oeh.2005.11.2.123.

    Article  Google Scholar 

  • Moysich, K. B., Ambrosone, C. B., Vena, J. E., Shields, P. G., Mendola, P., Kostyniak, P., et al. (1998). Environmental organochlorine exposure and postmenopausal breast cancer risk. Cancer Epidemiology, Biomarkers and Prevention, 7(3), 181–188.

    Google Scholar 

  • National Cancer Institute (NCI). (2017). Breast cancer risk in American women. https://www.cancer.gov/types/breast/risk-fact-sheet. Accessed April 11, 2017.

  • NTP (National Toxicology Program). (2016). Report on Carcinogens, (14th ed.). Research Triangle Park, NC: U.S. Department of Health and Human Services, Public Health Service. http://ntp.niehs.nih.gov/go/roc14/. Accessed April 11, 2017.

  • Occupational Safety and Health Administration (OSHA). (2002). Ethylene oxide fact sheet. https://www.osha.gov/OshDoc/data_General_Facts/ethylene-oxide-factsheet.pdf. Accessed April 11, 2017.

  • Petralia, S. A., Vena, J. E., Freudenheim, J. L., Dosemeci, M., Michalek, A., Goldberg, M. S., et al. (1999). Risk of premenopausal breast cancer in association with occupational exposure to polycyclic aromatic hydrocarbons and benzene. Scandinavian Journal of Work, Environment & Health, 25(3), 215–221.

    Article  Google Scholar 

  • Reynolds, P., Hurley, S. E., Quach, A.-T., Rosen, H., Von Behren, J., Hertz, A., et al. (2005). Regional variations in breast cancer incidence among California women, 1988–1997. Cancer Causes & Control: CCC, 16(2), 139–150. doi:10.1007/s10552-004-2616-5.

    Article  Google Scholar 

  • Rosner, B., Colditz, G. A., & Willett, W. C. (1994). Reproductive risk factors in a prospective study of breast cancer: The Nurses’ Health Study. American Journal of Epidemiology, 139(8), 819–835.

    Article  Google Scholar 

  • Rudel, R. A., Ackerman, J. M., Attfield, K. R., & Brody, J. G. (2014). New exposure biomarkers as tools for breast cancer epidemiology, biomonitoring, and prevention: A systematic approach based on animal evidence. Environmental Health Perspectives, 122(9), 881–895.

    Article  Google Scholar 

  • Sheehan, T. J., DeChello, L. M., Kulldorff, M., Gregorio, D. I., Gershman, S., & Mroszczyk, M. (2004). The geographic distribution of breast cancer incidence in Massachusetts 1988 to 1997, adjusted for covariates. International Journal of Health Geographics, 3(January), 17.

    Article  Google Scholar 

  • Srinivasan, S. (2008). Spatial regression models. In S. Shekhar & H. Xiong (Eds.), Encyclopedia of GIS (pp. 1102–1105). Berlin: Springer.

    Chapter  Google Scholar 

  • Steenland, K., Stayner, L., & Deddens, J. (2004). Mortality analyses in a cohort of 18 235 ethylene oxide exposed workers: Follow up extended from 1987 to 1998. Occupational and Environmental Medicine, 61(1), 2–7.

    Google Scholar 

  • Steenland, K., Whelan, E., Deddens, J., Stayner, L., & Ward, E. (2003). Ethylene oxide and breast cancer incidence in a cohort study of 7576 women (United States). Cancer Causes and Control, 14(6), 531–539.

    Article  Google Scholar 

  • The National Institute for Occupational Safety and Health (NIOSH). (1981). Ethylene oxide (EtO): Evidence of carcinogenicity. https://www.cdc.gov/niosh/docs/81-130/. Accessed April 11, 2017.

  • US EPA. (1999). DDT—A brief history and status. https://www.epa.gov/ingredients-used-pesticide-products/ddt-brief-history-and-status. Accessed April 11, 2017.

  • US EPA. (2017). National Air Toxics Assessment. https://www.epa.gov/national-air-toxics-assessment. Accessed April 11, 2017.

  • Villeneuve, S., Fevotte, J., Anger, A., Truong, T., Lamkarkach, F., Gaye, O., et al. (2011). Breast cancer risk by occupation and industry: Analysis of the CECILE study, a population-based case–control study in France. American Journal of Industrial Medicine, 54(7), 499–509. doi:10.1002/ajim.20952.

    Article  Google Scholar 

  • Walker, K., Bratton, D. J., & Frost, C. (2011). Premenopausal endogenous oestrogen levels and breast cancer risk: A meta-analysis. British Journal of Cancer, 105(9), 1451–1457. doi:10.1038/bjc.2011.358.

    Article  Google Scholar 

  • Wassermann, M., Nogueira, D. P., Cucos, S., Mirra, A. P., Shibata, H., Arie, G., et al. (1978). Organochlorine compounds in neoplastic and adjacent apparently normal gastric mucosa. Bulletin of Environmental Contamination and Toxicology, 20(1), 544–553. doi:10.1007/BF01683562.

    Article  Google Scholar 

  • Weiderpass, E., Meo, M., & Vainio, H. (2011). Risk factors for breast cancer, including occupational exposures. Safety and Health at Work, 2(1), 1–8. doi:10.5491/SHAW.2011.2.1.1.

    Article  Google Scholar 

  • Wolff, M. S., & Toniolo, P. G. (1995). Environmental organochlorine exposure as a potential etiologic factor in breast cancer. Environmental Health Perspectives, 103(Suppl 7), 141–145. doi:10.2307/3432524.

    Article  Google Scholar 

  • Wolff, M. S., Toniolo, P. G., Lee, E. W., Rivera, M., & Dubin, N. (1993). Blood levels of organochlorine residues and risk of breast cancer. Journal of the National Cancer Institute, 85(8), 648–652.

    Article  Google Scholar 

  • Wolff, M. S., Zeleniuch-Jacquotte, A., Dubin, N., & Toniolo, P. (2000). Risk of breast cancer and organochlorine exposure. Cancer Epidemiology Biomarkers Prevention, 9(3), 271.

    Google Scholar 

  • Wong, D. (2009). The modifiable areal unit problem (MAUP). In A. S. Fortheringham & P. A. Rogerson (Eds.), The SAGE handbook of spatial analysis (pp. 105–123). Los Angeles: SAGE Publications Ltd.

    Google Scholar 

  • Yang, H. M. (2013). The case for being automatic: Introducing the automatic linear modeling (LINEAR) procedure in SPSS statistics. Multiple Linear Regression Viewpoints, 39(2), 27–37.

    Google Scholar 

  • Yedjou, C. G., Tchounwou, P. B., Payton, M., Miele, L., Fonseca, D. D., Lowe, L., et al. (2017). Assessing the racial and ethnic disparities in breast cancer mortality in the United States. International Journal of Environmental Research and Public Health, 14(5), 486.

    Article  Google Scholar 

  • Yost, K., Perkins, C., Cohen, R., Morris, C., & Wright, W. (2001). Socioeconomic status and breast cancer incidence in California for Different Race/Ethnic Groups. Cancer Causes and Control, 12(8), 703–711.

    Article  Google Scholar 

  • Zheng, T., Holford, T. R., Mayne, S. T., Tessari, j, Ward, B., Carter, D., et al. (2000). Risk of female breast cancer associated with serum polychlorinated biphenyls and 1,1-dichloro-2, 2′-bis(p-chlorophenyl)ethylene. Cancer Epidemiology Biomarkers Prevention, 9(2), 167.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Xuwei Chen.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, X. A temporal analysis of the association between breast cancer and socioeconomic and environmental factors. GeoJournal 83, 1239–1256 (2018). https://doi.org/10.1007/s10708-017-9824-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10708-017-9824-5

Keywords

Navigation