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Home > Understanding Breast Cancer > Risk Factors and Prevention > Breast Cancer Risk Factors Table

  


Breast Cancer Risk Factors Table

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The table below shows the relative risk of breast cancer linked to a variety of factors. The relative risk represents how much higher or lower the risk of breast cancer is for a person who has the factor compared to a person who does not.

Factors are grouped based on the strength of the scientific evidence for each risk.

  • Established and probable have the strongest evidence behind them and are recognized as linked (or not linked in some cases) to breast cancer.
  • Possible factors have less evidence behind them; they suggest links to breast cancer but need more study before solid conclusions can be made.
  • Insufficient or inconsistent factors are backed by few studies or the studies to date have very mixed results, which don't allow comment on any potential link with breast cancer.

Click on any of the factors to learn more.

Relative Risk Categories
Strong increase Moderate increase Weak increase No increase or decrease Weak decrease Moderate decrease Strong decrease

Established Factors

Recognized as linked (or not linked in some cases) to breast cancer. 

Approximate risk of breast cancer
Age Strong increase in risk
Being female Strong increase in risk
BRCA1 or BRCA2 gene mutation Strong increase in risk
Family history of breast cancer
Strong increase in risk
Moderate increase in risk
High breast density Strong increase in risk
Hyperplasia (benign breast condition)
  • Atypical
Strong increase in risk
  • Usual
Moderate increase in risk
Lobular carcinoma in situ (LCIS) Strong increase in risk
Personal history of cancer (including breast cancer, DCIS, Hodgkin's disease and other cancers) Strong increase in risk
Radiation exposure or frequent X-rays during youth
  • For breast cancer diagnosed at age 40
Strong increase in risk
  • For breast cancer diagnosed at age 60
Moderate increase in risk
Childbearing
  • Not having children
Moderate increase in risk
  • Having a first child after age 35
Moderate increase in risk
High levels of blood androgrens (pre- and postmenopausal) Moderate increase in risk
High levels of blood estrogens (postmenopausal) Moderate increase in risk
Age at first period < 12 years Weak increase in risk
Age at menopause > 55 years Weak increase in risk
Alcohol consumption (one or more drinks/day) Weak increase in risk
Ashkenazi Jewish heritage Weak increase in risk
Birth control pills (current or recent use only) Weak increase in risk
Being tall Weak increase in risk
High socioeconomic status Weak increase in risk
Mammography (radiation exposure) Weak increase in risk
Postmenopausal hormone use (current or recent use only)
  • Estrogen only
Weak increase in risk
  • Estrogen + progestin
Moderate increase in risk
Body weight
  • Premenopausal
Moderate decrease in risk
  • Postmenopausal
Weak increase in risk
Breastfeeding Weak decrease in risk
Abortion No increase or decrease in risk
Hair dyes No increase or decrease in risk
 

Probable Factors

Recognized as linked (or not linked in some cases) to breast cancer, although not as solidly as established factors.


Approximate risk of breast cancer
Weight gain
  • Premenopausal
No increase or decrease in risk
  • Postmenopausal
Moderate increase in risk
African-American ethnicity
  • Premenopausal
Weak increase in risk
  • Postmenopausal
No increase or decrease in risk
High bone density Moderate increase in risk
Light at night and shift work Weak increase in risk
Physical activity
  • Premenopausal
No increase or decrease in risk
  • Postmenopausal
Weak decrease in risk
Blood organochlorine levels (exposure to certain types of pesticides and industrial chemicals) No increase or decrease in risk
Breast implants No increase or decrease in risk
Electromagnetic fields (from utility wires, electric blankets, microwave ovens, fluorescent lighting, etc.) No increase or decrease in risk
 

Possible Factors

Recognized as potentially linked (or not linked in some cases) to breast cancer, but need more study before solid conclusions can be made.


Approximate risk of breast cancer
IGF-1 hormone levels
  • Premenopausal
Moderate increase in risk
  • Postmenopausal
No increase or decrease in risk
High levels of blood estrogens (premenopausal) Moderate increase in risk
Red-meat consumption
  • Premenopausal
Weak increase in risk
  • Postmenopausal
No increase or decrease in risk
Dietary fat consumption Weak decrease in risk
Carotenoid intake Moderate decrease in risk
Dairy consumption
  • Premenopausal
No increase or decrease in risk
  • Postmenopausal
No increase or decrease in risk
Deodorant/antiperspirant use No increase or decrease in risk
Aspirin use No increase or decrease in risk
Fertility drug use No increase or decrease in risk
Fruit and vegetable consumption No increase or decrease in risk
Glycemic load/carbohydrate intake No increase or decrease in risk
 

Factors with inconsistent results or insufficient evidence

For these factors, there are very few studies to date and/or results are highly inconsistent. More research is needed to comment on any potential relationship.

Antibiotic use
Body care cosmetics containing parabens
Bras or underwire bras
Breast size
Caffeine
Cell phones
French fry consumption
Hair relaxers
Left-handedness 

Migraine headaches
Plastics
Secondhand smoke exposure
Smoking
Soy intake
Stress
Trauma to the breast
Vitamin D

Where do the data come from?

The data in this table come from two main types of research studies: observational studies (prospective cohort or case-control) and randomized controlled trials. The goal of these studies is to give information that helps support or disprove an idea about the link between an exposure (like alcohol use) and an outcome (like breast cancer) in people. Although they have the same goal, observational studies and randomized controlled trials differ in the way they are conducted and in the strength of the conclusions they reach. For more on research studies, visit the Breast Cancer Research section.

Animal studies add to our understanding of how and why some factors cause cancer in people. However, there are many differences between animals and people that make it hard to translate findings directly from one to the other. Animal studies are also designed differently than human studies and often look at exposures in larger doses and for shorter durations than are suitable for humans. Thus, animal studies can lay the groundwork for human research, but in order to draw conclusions for human populations, we need human studies. All data presented on this Web site come from human studies unless otherwise noted.

Several organizations conduct research and/or prepare summary reports of research on certain exposures that have been linked to breast and other types of cancer. If you have concerns over a news item on cancer for example, these agencies are a good place to find detailed, up-to-date information. The International Agency for Research on Cancer (IARC) is a part of the World Health Organization. The National Toxicology Program is part of the U.S. Department of Health and Human Services and the U.S. Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC) are also federal agencies.

Updated 11/16/09