Commentary
Cancers in Australia in 2010 attributable to total breastfeeding durations of 12 months or less by parous women

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Abstract

Objectives:

To estimate the proportion and number of cancers occurring in Australia in 2010 attributable to parous women having breastfed for total durations of ≤12 months.

Methods:

We estimated the population attributable fraction (PAF) of breast cancers (the only cancer site with convincing evidence of causal association) associated with women breastfeeding for ≤12 months in total, using standard formulae incorporating breastfeeding prevalence data, relative risks associated with breastfeeding and cancer incidence. We also estimated the proportion change in disease incidence (potential impact fraction [PIF]) that might have occurred under two hypothetical scenarios of women breastfeeding for longer durations.

Results:

An estimated 235 (1.7%) breast cancer cases that occurred in Australian in 2010 could be attributed to women breastfeeding for total durations of ≤12 months. Assuming a hypothetical increase in breastfeeding, we estimated that the number of breast cancers prevented would range from 36 to 51 (prevented fraction = 0.3% to 0.4%).

Conclusions:

More than 200 breast cancers were attributable to women breastfeeding for total durations of ≤12 months.

Implications:

Policies to increase breastfeeding duration may help prevent breast cancers in the future.

Keywords

population attributable fraction
cancer
risk factor
breast feeding
potential impact fraction

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The authors have stated they have no conflict of interest.