Incidence data from the Shanghai (People's Republic of China) Cancer Registry were used to assess the temporal trends of three major female cancers during 1972–89. Rates for cancers of the breast, corpus uteri and, to a lesser extent, ovary rose over the study period. The increases in breast and ovarian cancer were most pronounced among women under age 50, whereas those for corpus uteri cancer were restricted generally to those aged 55 to 69 years. When considered by cohort year of birth, risk of breast and ovarian cancers rose among women born since 1925 and 1935, respectively, but little evidence of cohort effect was apparent for corpus uteri cancer. Potential explanations for these patterns are explored.
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References
Parkin DM. Cancers of the breast, endometrium and ovary: Geographic correlations. Eur J Cancer Clin Oncol 1989; 25: 1917–25.
Miller AB, Bulbrook RD. UICC multidisciplinary project on breast cancer: the epidemiology, aetiology and prevention of breast cancer. Int J Cancer 1986; 37: 173–7.
Parazzini F, La Vecchia C, Bocciolone L, Franceschi S. The epidemiology of endometrial cancer. Gynecol Oncol 1991; 41: 1–16.
Parazzini F, Franceschi S, La Vecchia C, Fasoli M. The epidemiology of ovarian cancer. Gynecol Oncol 1991; 43: 9–23.
Waterhouse J, Muir C, Correa P, Powell J. Cancer Incidence in Five Continents, Vol. III. Lyon, France: International Agency for Research on Cancer, 1976; IARC Sci. Pub. No. 15.
Waterhouse J, Muir C, Shanmugaratnam K, Powell J. Cancer Incidence in Five Continents, Vol. IV. Lyon, France: International Agency for Research on Cancer, 1982; IARC Sci. Pub. No. 42.
Muir C, Waterhouse J, Mack T, Powell J, Whelan S. Cancer Incidence in Five Continents, Vol. V. Lyon, France: International Agency for Research on Cancer, 1987; IARC Sci. Pub. No. 88.
Jin F, Devesa SS, Zheng W, Blot WJ, Fraumeni JFJr, Gao YT. Cancer incidence trends in urban Shanghai, 1972–1989. Int J Cancer 1993; 53: 764–70.
World Health Organization. Manual of the International Statistical Classification of Diseases, Injuries and Causes of Death, Ninth Revision. Geneva: WHO, 1977.
Key TJA, Pike MC. The dose-effect relationship between “unopposed” oestrogens and endometrial mitotic rate: Its central role in explaining and predicting endometrial cancer risk. Br J Cancer 1988; 57: 205–12.
Key TJA, Pike MC. The role of oestrogens and progestogens in the epidemiology and prevention of breast cancer. Eur J Cancer 1988; 24: 29–43.
Kelsey JL, Berkowitz GS. Breast cancer epidemiology. Cancer Res 1988; 48: 5615–23.
Yuan JM, Gao YT, Yu MC, Henderson BE. The risk factors of female breast cancer in Shanghai. Tumor (Shangbai) 1987; 7: 244–8.
Shu XO, Brinton LA, Gao YT, Yuan JM. A population-based case-control study of ovarian cancer in Shanghai. Cancer Res 1989; 49: 611–21.
Shu XO, Brinton LA, Zheng W, Gao YT, Jin F, Fraumeni JFJr. A population-based case-control study of endometrial cancer in Shanghai, China. Int J Cancer 1991; 49: 38–43.
Gao YT, Gao RN, Jin F. A changing cancer pattern in Shanghai urban area. Tumor (Shanghai) 1988; 8: 3–6.
Tarone RE, Chu KC. Implications of birth cohort patterns in interpreting trends in breast cancer rates. JNCI 1992; 84: 1402–10.
Marrett LD, Meigs JW, Flannery JT. Trends in the incidence of cancer of the corpus uteri in Connecticut, 1964–1979, in relation to consumption of exogenous estrogens. Am J Epidemiol 1982; 116: 57–67.
Devesa SS, Silverman DT, Young JLJr, et al. Cancer incidence and mortality trends among whites in the United States, 1947–84. JNCI 1987; 79: 701–70.
Persky V, Davis F, Barrett R, Ruby E, Sailer C, Levy P. Recent time trends in uterine cancer. Am J Public Health 1990; 80: 935–9.
Villard L, Murphy M. Endometrial cancer trends in England and Wales: A possible protective effect of oral contraception. Int J Epidemiol 1990; 19: 255–8.
Steinberg KK, Tracker SB, Smith SJ, et al. A meta-analysis of the effect of estrogen replacement therapy on the risk of breast cancer. JAMA 1991; 265: 1985–90.
Van Leeuwen FE, Rookus MA. The role of expgenous hormones in the epidemiology of breast, ovarian and endometrial cancer. Eur J Cancer Clin Oncol 1989; 25: 1961–72.
Schlesselman JJ. Cancer of the breast and reproductive tract in relation to use of oral contraceptives. Contraception 1989; 40: 1–38.
Thomas DB. Oral contraceptives and breast cancer: review of the epidemiologic literature. Contraception 1991; 43: 547–642.
Gao ES, Gu XY, Xie LY, et al. Trend analysis of contraceptives in Shengxi and Hebe provinces and urban Shanghai during 1970–85 (in Chinese). Population 1988; 4: 64–80.
Armstrong B, Doll R. Environmental factors and cancer incidence and mortality in different countries, with special reference to dietary practices. Int J Cancer 1975; 15: 617–31.
Prentice RL, Sheppard L. Dietary fat and cancer: consistency of epidemiologic data, and disease prevention that may follow from a practical reduction in fat consumption. Cancer Causes Control 1990; 1: 81–97.
La Vecchia C. Nutritional factors and cancers of the breast, endometrium and ovary. Eur J Cancer Clin Oncol 1989; 25: 1945–51.
Howe GR, Hirohata T, Hislop TG, et al. Dietary factors and risk of breast cancer: combined analysis of 12 case-control studies. JNCI 1990; 82: 561–9.
Cramer DW, Harlow BL, Willett WC, et al. Galactose consumption and metabolism in relation to the risk of ovarian cancer. Lancet 1989; 2: 66–71.
Lu RF, Xiu DD. A study of association between cancer incidence and diet in Shanghai. Tumor (Shanghai) 1987; 7: 68–70.
Shu XO, Zheng W, Potichman N, et al. A population-based case-control study of dietary factors and endometrial cancer in Shanghai, People's Republic of China. Am J Epidemiol 1993; 137: 155–65.
Shu XO, Gao YT, Jian MY, Ziegler RG, Brinton LA. Dietary factors and epithelial ovarian cancer. Br J Cancer 1989; 59: 92–6.
Yu SZ, Lu RF, Xu DD, Howe GR. A case-control study of dietary and non-dietary risk factors for breast cancer in Shanghai. Cancer Res 1990; 50: 5017–21.
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Jin, F., Shu, XO., Devesa, S.S. et al. Incidence trends for cancers of the breast, ovary, and corpus uteri in urban Shanghai, 1972–89. Cancer Causes Control 4, 355–360 (1993). https://doi.org/10.1007/BF00051338
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DOI: https://doi.org/10.1007/BF00051338