Oral contraceptive use and malignant melanoma in Australia
1984

Oral Contraceptives and Melanoma Risk in Young Women

Sample size: 861 publication Evidence: moderate

Author Information

Author(s): V. Beral, S. Evans, H. Shaw, G. Milton

Primary Institution: London School of Hygiene and Tropical Medicine; The University of Sydney

Hypothesis

Does prolonged use of oral contraceptives increase the risk of malignant melanoma in young women?

Conclusion

Prolonged use of oral contraceptives for 5 years or more, starting at least 10 years before diagnosis, may increase the risk of malignant melanoma by 50%.

Supporting Evidence

  • Women with melanoma were more likely to have taken oral contraceptives for long periods.
  • The relative risk for those who used oral contraceptives for 5 years or more was 1.5.
  • The risk persisted after controlling for various confounding factors.
  • Similar findings were reported in other studies regarding long-term oral contraceptive use.

Takeaway

Using birth control pills for a long time might make young women more likely to get skin cancer after many years.

Methodology

A case control study involving 287 women with malignant melanoma and 574 matched controls, using interviews and questionnaires to gather data.

Potential Biases

There is a low risk of bias as data on oral contraceptive use were corroborated with clinic records.

Limitations

The study may not account for all potential confounding factors and relied on self-reported data.

Participant Demographics

287 white women aged 15-24 years with malignant melanoma and 574 matched controls.

Statistical Information

P-Value

0.05

Confidence Interval

1.03 to 2.14

Statistical Significance

p<0.05

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