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Risk and protective factors for developing breast cancer

Risk and protective factors for developing breast cancer
  Risk group
Low risk High risk Relative risk
Risk factors
Deleterious BRCA1/BRCA2 genes Negative Positive 3.0 to 7.0
Mother or sister with breast cancer No Yes 2.6
Age 30 to 34 70 to 74 18.0
Age at menarche >14 <12 1.5
Age at first birth <20 >30 1.9 to 3.5
Age at menopause <45 >55 2.0
Use of contraceptive pills Never Past/current use 1.07 to 1.2
Hormone replacement therapy (estrogen + progestin) Never Current 1.2
Alcohol None 2 to 5 drinks/day 1.4
Breast density on mammography (percents) 0 ≥75 1.8 to 6.0
Bone density Lowest quartile Highest quartile 2.7 to 3.5
History of a benign breast biopsy No Yes 1.7
History of atypical hyperplasia on biopsy No Yes 3.7
Protective factors
Breast feeding (months) ≥16 0 0.73
Parity ≥5 0 0.71
Recreational exercise Yes No 0.70
Postmenopause body mass index (kg/m2) <22.9 >30.7 0.63
Oophorectomy before age 35 years Yes No 0.3
Aspirin ≥Once/week for ≥6 months Nonusers 0.79
Adapted from: Clemons M, Goss P. Estrogen and the risk of breast cancer. N Engl J Med 2001; 344:276.
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