Women’s breast cancer risk factors in Kinshasa, Democratic Republic of the Congo

S. Sulu, O. Mukuku, Arnold Maseb Sul Sulu, François Musul Mukeng, Bienvenu Lebwaze Massamba, D. Mashinda, S. Wembonyama, V. Lokomba, Antoine Tshimpi Wola
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Abstract

Purpose: Breast cancer (BC) is the most common malignancy and the leading cause of cancer-related deaths among women worldwide. Risk factors for this disease are numerous and their prevalence varies according to racial and ethnic groups and geographical regions. Therefore, we sought to identify BC risk factors in the Congolese population. Methods: A case-control study was conducted at the Nganda Hospital Center in Kinshasa, Democratic Republic of the Congo. One hundred and sixty patients with breast cancer (cases) were compared to 320 women who did not have BC (controls). STATA version 16 was used to analyze data with statistical significance considered at p < 0.05. Results: There is a strong association between BC in Congolese women and early menarche age (adjusted odds ratio [aOR] = 2.3; 95% CI: 1.2-4.3), family history of BC (aOR = 2.5; 95% CI: 1.2-5.5), overweight (aOR = 1.8; 95% CI: 1.1-2.7), and obesity (aOR = 7.3; 95% CI: 4.0-13.4). Conclusion: Our results indicate the presence of certain conventional risk factors. Thus, these results will be of great value in establishing adequate evidence-based awareness and preventive measures among the Congolese population.
刚果民主共和国金沙萨妇女乳腺癌的危险因素
目的:乳腺癌(BC)是最常见的恶性肿瘤,也是全世界妇女癌症相关死亡的主要原因。这种疾病的危险因素很多,其流行程度因种族和族裔群体以及地理区域而异。因此,我们试图确定刚果人口中BC的危险因素。方法:在刚果民主共和国金沙萨的恩噶达医院中心进行病例对照研究。160名乳腺癌患者(病例)与320名未患乳腺癌的女性(对照组)进行了比较。采用STATA version 16对数据进行分析,p < 0.05为有统计学意义。结果:刚果妇女BC与月经初潮早期有很强的相关性(校正优势比[aOR] = 2.3;95% CI: 1.2-4.3)、BC家族史(aOR = 2.5;95% CI: 1.2-5.5),超重(aOR = 1.8;95% CI: 1.1-2.7)和肥胖(aOR = 7.3;95% ci: 4.0-13.4)。结论:我们的结果表明存在一定的常规危险因素。因此,这些结果对于在刚果人民中建立充分的基于证据的认识和预防措施具有重要价值。
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