Does the association of education with breast cancer replicate within twin pairs? A register-based study on Danish female twins
2011

Education and Breast Cancer Risk in Danish Twins

Sample size: 16310 publication Evidence: moderate

Author Information

Author(s): Madsen M, Andersen P K, Gerster M, Nybo Andersen A-M, Christensen K, Osler M

Primary Institution: University of Southern Denmark

Hypothesis

Does the association of education with breast cancer replicate within twin pairs?

Conclusion

The study found that education has an effect on breast cancer risk beyond shared familial factors.

Supporting Evidence

  • An educational gradient in breast cancer risk was found in the unpaired analysis.
  • Similar results were seen in the intrapair analyses, although not statistically significant.
  • The effect of education was attenuated in monozygotic twins.

Takeaway

This study looked at twins to see if education affects breast cancer risk, and it found that education matters even when family background is similar.

Methodology

Data from the Danish Twin Registry and Cancer Registry were analyzed using Cox regression for both unpaired and intrapair analyses.

Potential Biases

Potential selection bias as twins discordant on education may not represent the broader twin population.

Limitations

The study's findings in monozygotic twins may be limited due to a small number of events.

Participant Demographics

The study included 16,310 female twins born between 1921 and 1974.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI=1.15–1.67

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1038/sj.bjc.6606090

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