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Breast Cancer Among Women Who Work at Night

2001· article· en· W2318468750 on OpenAlexaff
Johnni Hansen

Bibliographic record

VenueEpidemiology · 2001
Typearticle
Languageen
FieldMedicine
TopicCancer Risks and Factors
Canadian institutionsInstitute of Cancer Research
Fundersnot available
KeywordsBreast cancerDemographyMedicineOdds ratioNight workConfoundingCancerDanishRecord linkageInformation biasEpidemiologyShift workSelection biasEnvironmental healthGerontologyInternal medicinePathologyPopulationPsychiatry

Abstract

fetched live from OpenAlex

The authors reply: Although most breast cancers appear to be attributable to environmental exposures, 1 little is known about specific causes for this disease. Therefore, it is important to conduct epidemiologic studies in order to test all biological plausible hypotheses. It has been suggested that light-at-night may cause breast cancer and other hormone-related tumours. 2 Despite the high prevalence of persons who work at night and therefore are exposed to light-at-night, no major study has investigated this hypothesis. As an initial step to evaluate an association between night work and female breast cancer, we used a comprehensive data linkage for this purpose, in which it was possible to control for the major confounder, i.e. the reproductive outcome. 3 The strengths of our nationwide register linkage studies are their size and the lack of selection and information bias. 4 A major problem, however, is often the relatively imprecise available information on some exposures. In our attempt to classify workers with predominantly night work, we used the registered information of being employed over half a year in trades in which at least 60% of the women worked at night. Thereby we omitted a major group of hospital workers in which the proportion of night workers is 41%. Owing to our data linkage, the odds ratio for breast cancer among female Danish hospital workers is 1.2 (1.1–1.5), and among the major subgroup, the nurses, the OR is 1.3 (1.1–1.4). Thus, among these groups, which have a lower proportion of night workers than those in our recent study, 3 the increased relative risk of breast cancer further supports our hypothesis. As suggested by O’Connell and Buttimer, women employed in some trades with predominantly nighttime work may also be exposed to electromagnetic or cosmic radiation, which may also contribute to breast cancer risk in our study. Further, confounders such as alcohol, use of oral contraceptives or a lower level of physical activity among the night-time workers may at least partly have contributed to their observed increased risk of breast cancer, and should be considered in subsequent studies. Johnni Hansen

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.117
Threshold uncertainty score0.994

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0070.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.039
GPT teacher head0.339
Teacher spread0.300 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations13
Published2001
Admission routes1
Has abstractyes

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