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Departments of Nutrition [M. G., M. J. S., W. C. W.], Epidemiology [D. J. H., G. A. C., D. L. S., J. E. M., M. J. S., W. C. W.], and Biostatistics [D. L. S.] and Harvard Center for Cancer Prevention [D. J. H., G. A. C.], Harvard School of Public Health, Boston, Massachusetts 02115, and Channing Laboratory [D. J. H., G. A. C., J. E. M., M. J. S., W. C. W.] and Division of Preventive Medicine [J. E. M.], Department of Medicine, Brigham and Womens Hospital and Harvard Medical School, Boston, Massachusetts 02115
We evaluated current and past alcohol consumption prospectively in relation to breast cancer risk among 116,671 women ages 2542 years old at enrollment in 1989. During 6 years of follow-up, 445 cases of invasive breast cancer were identified. For alcohol consumption in the previous year, the multivariate relative risk associated with more than 20 g/day (approximately 10 drinks/week) was 1.23 (95% confidence interval, 0.682.21); the P for trend was 0.85. For average lifetime alcohol consumption, the multivariate relative risk associated with consumption of 10 or more drinks/week was 1.20 (95% confidence interval, 0.692.11); the P for trend was 0.18. We examined drinking in several time periods of life; only drinking at ages 2330 was significantly positively associated with risk. Although this may represent a chance finding, it merits further study. Because drinking levels in this population were low, we had limited information on heavier drinking. Our results suggest that there is unlikely to be a large effect of moderate alcohol consumption on breast cancer risk among young women, although a modest effect cannot be excluded. The association between alcohol consumption and breast cancer is unlikely to be substantially stronger among premenopausal women than among postmenopausal women.
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