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Published in: Cancer Causes & Control 2/2020

01-02-2020 | Breast Cancer | Original Paper

Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis

Authors: Eunjung Lee, Namphuong Doanvo, MiHee Lee, Zayar Soe, Alice W. Lee, Cam Van Doan, Dennis Deapen, Giske Ursin, Darcy Spicer, Peggy Reynolds, Anna H. Wu

Published in: Cancer Causes & Control | Issue 2/2020

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Abstract

Purpose

Breast density is an important risk factor for breast cancer and varies substantially across racial-ethnic groups. However, determinants of breast density in Vietnamese immigrants in the United States (US) have not been studied. We investigated whether reproductive factors, immigration history, and other demographic and lifestyle factors were associated with breast density in Vietnamese Americans.

Methods

We collected information on demographics, immigration history, and other lifestyle factors and mammogram reports from a convenience sample of 380 Vietnamese American women in California aged 40 to 70 years. Breast Imaging Reporting and Data System (BI-RADS) breast density was abstracted from mammogram reports. Multivariable logistic regression was used to investigate the association between lifestyle factors and having dense breasts (BI-RADS 3 or 4).

Results

All participants were born in Viet Nam and 82% had lived in the US for 10 years or longer. Younger age, lower body mass index, nulliparity/lower number of deliveries, and longer US residence (or younger age at migration) were associated with having dense breasts. Compared to women who migrated at age 40 or later, the odds ratios and 95% confidence intervals for having dense breasts among women who migrated between the ages of 30 and 39 and before age 30 were 1.72 (0.96–3.07) and 2.48 (1.43–4.32), respectively.

Conclusions

Longer US residence and younger age at migration were associated with greater breast density in Vietnamese American women. Identifying modifiable mediating factors to reduce lifestyle changes that adversely impact breast density in this traditionally low-risk population for breast cancer is warranted.
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Metadata
Title
Immigration history, lifestyle characteristics, and breast density in the Vietnamese American Women’s Health Study: a cross-sectional analysis
Authors
Eunjung Lee
Namphuong Doanvo
MiHee Lee
Zayar Soe
Alice W. Lee
Cam Van Doan
Dennis Deapen
Giske Ursin
Darcy Spicer
Peggy Reynolds
Anna H. Wu
Publication date
01-02-2020
Publisher
Springer International Publishing
Published in
Cancer Causes & Control / Issue 2/2020
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-019-01264-1

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