Relationships between Breast Cancer and Common Non-Communicable Disease Risk Factors: an Ecological Study

Abstract

<b>Background:</b> Breast cancer is one the most common cause of cancer-related deaths among women worldwide.The aims of this study were to investigate the impact of dietary factors and health status indicators on breastcancer (BC) incidence. Materials and <br/><b>Methods</b>: Risk factor data (RFD) of 89,404 individuals (15-64 years old)were gathered by questionnaire and laboratory examinations through a cross sectional study from the Non-Communicable Disease Surveillance Centre (NCDSC) of Iran. BC incidences of all provinces through 2001-2006segregated by age and gender were obtained from the Cancer Registry Ministry of Health (CRMH). <br/><b>Results</b>:a significant positive relationship was seen between diabetes mellitus, fish consumption, percent of academiceducation and non-consumption of fruit, and breast cancer in women. However, non fish consumption, percentage illiteracy and taking fruit showed a significant negative relationship with the incidence of breast cancer. Inaddition, multiple linear regression analysis showed associations among percentage with academic education,fruit consumption and diabetes. <br/><b>Conclusions</b>: We conclude that dietary factors such as fish and fruit consumption,dairy products, health status indicators, academic education, and some diseases like diabetes mellitus can affectthe BC incidence, although the results of ecologic studies like this must naturally be interpreted with caution.