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Lack of an Association between Passive Smoking and Incidence of Female Breast Cancer in Non-Smokers: Evidence from 10 Prospective Cohort Studies

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  • Yuan Yang
  • Fan Zhang
  • Laura Skrip
  • Yang Wang
  • Shengchun Liu

Abstract

Background: Several case-control studies have suggested that passive smoking may increase the incidence of female breast cancer. However, the results of cohort studies have been inconsistent in establishing an association. The present study evaluated the association between passive smoking and incidence of female breast cancer through a meta-analysis of prospective cohort studies. Methods: Relevant articles published before August 2012 were identified by searching the electronic databases PubMed, Embase, and Web of Science. Pooled relative risks (RRs) were determined with either a fixed or random effects model and were used to assess the strength of the association. Sensitivity and subgroup analyses according to ethnicity, menopausal status, and the period and place of exposure to passive smoking were also performed. Results: Ten prospective cohort studies involving 782 534 female non-smokers were included in the meta-analysis and 14 831 breast cancer cases were detected. Compared with the women without exposure to passive smoking, the overall combined RR of breast cancer was 1.01 (95% confidence interval: 0.96 to 1.06, P = 0.73) among women with exposure to passive smoking. Similar results were achieved through the subgroup analyses. No evidence of publication bias was observed. Conclusion: The results suggest that passive smoking may not be associated with increased incidence of breast cancer. However, the present conclusion should be considered carefully and confirmed with further studies.

Suggested Citation

  • Yuan Yang & Fan Zhang & Laura Skrip & Yang Wang & Shengchun Liu, 2013. "Lack of an Association between Passive Smoking and Incidence of Female Breast Cancer in Non-Smokers: Evidence from 10 Prospective Cohort Studies," PLOS ONE, Public Library of Science, vol. 8(10), pages 1-9, October.
    • Handle: RePEc:plo:pone00:0077029
    DOI: 10.1371/journal.pone.0077029
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Unknown, 2009. "Canadian Expert Panel on Tobacco Smoke and Breast Cancer Risk," University of California at San Francisco, Center for Tobacco Control Research and Education qt5x79f22t, Center for Tobacco Control Research and Education, UC San Francisco.
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    1. Shiyi Cao & Chen Yang & Yong Gan & Zuxun Lu, 2015. "The Health Effects of Passive Smoking: An Overview of Systematic Reviews Based on Observational Epidemiological Evidence," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-12, October.

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