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 1 Reproductive factors and risk of glioma in women
Authors Huang-K; Whelan-EA; Ruder-AM; Ward-EM; Deddens-J; Davis-King-KE; Carreon-T; Waters-MA; Butler-MA; Calvert-GM; Schulte-P; Zivkovich-Z; Heineman-E; Mandel-J; Morton-R; Reding-D; Rosenman-K; The Brain Cancer Collaborative Safety Group 
Source Cancer Epidemiol Biomark Prev 2004 Oct; 13(10):1583-1588 
Link http://cebp.aacrjournals.org/cgi/content/abstract/13/10/1583 
NIOSHTIC No. 20025717 
AbstractObjective: Glioma is the most common primary malignant brain tumor in adults, responsible for 75% of adult primary malignant brain tumors, yet aside from its association with ionizing radiation, its etiology is poorly understood. Sex differences in brain tumor incidence suggest that hormonal factors may play a role in the etiology of these tumors, but few studies have examined this association in detail. The objective of this study was to explore the role of reproductive factors in the etiology of glioma in women. Method: As part of a population-based case-control study, histologically confirmed primary glioma cases (n = 341 women) diagnosed between January 1, 1995 and January 31, 1997 were identified through clinics and hospitals in four Midwest U.S. states. Controls (n = 527 women) were randomly selected from lists of licensed drivers and Health Care Finance Administration enrollees. In-person interviews with subjects (81%) or their proxies (19%) collected reproductive history and other exposure information. Results: Glioma risk increased with older age at menarche (P for trend = 0.009) but only among postmenopausal women. Compared with women who never breast-fed, women who breast-fed >18 months over their lifetime were at increased risk of glioma (odds ratio, 1.8; 95% confidence interval, 1.1-2.9). Women who reported using hormones for symptoms of menopause had a decreased risk of glioma compared with women who never used such hormones (odds ratio, 0.7; 95% confidence interval, 0.5-1.1). Conclusion: These results support the hypothesis that reproductive hormones play a role in the etiology of glioma among women. 
KeywordsBrain-tumors; Brain-matter; Brain-function; Brain-disorders; Farmers; Histology; Central-nervous-system; Neurotoxicity; Exposure-levels; Exposure-limits; Sex-factors; Hormones; Hormone-activity; Endocrine-system; Endocrine-function; Endocrine-system-disorders; Pesticides; Pesticide-residues; Pesticides-and-agricultural-chemicals; Demographic-characteristics; Agricultural-chemicals; Reproductive-effects; Reproductive-hazards 
ContactElizabeth A. Whelan, Industrywide Studies Branch, Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health, 4676 Columbia Parkway, R-15, Cincinnati, OH 45226 
CODENCEBPE4 
Publication Date20041001 
Document TypeJournal Article 
Email AddressEWhelan@cdc.gov 
Fiscal Year2005 
NTIS Accession No. 
NTIS Price 
Issue of Publication10 
ISSN1055-9965 
NIOSH DivisionDSHEFS; EID 
Source NameCancer Epidemiology, Biomarkers & Prevention 
StateOH 
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