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American Journal of Epidemiology 2005 161(3):250-259; doi:10.1093/aje/kwi041
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Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health

ORIGINAL CONTRIBUTIONS

Occupational Magnetic Fields and Female Breast Cancer: A Case-Control Study using Swedish Population Registers and New Exposure Data

Ulla M. Forssén1 , Lars Erik Rutqvist2, Anders Ahlbom1,3 and Maria Feychting1

1 Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
2 Department of Medicine, Huddinge University Hospital, Karolinska Institutet, Stockholm, Sweden.
3 Division of Epidemiology, Stockholm Center of Public Health, Stockholm, Sweden.

Several recent epidemiologic studies on occupational magnetic field exposure have suggested an association with female breast cancer. The purpose of this study was to test this hypothesis by using the extensive Swedish population registers in combination with improved exposure assessment. The study base consisted of all women between 1976 and 1999 gainfully employed in Stockholm or Gotland County in Sweden. A total of 20,400 cases of breast cancer were identified from the cancer registry, and 116,227 controls were selected randomly from the study base. Information was available on estrogen receptor status, occupation, socioeconomic status, and age. Parity was available for a subset. The exposure was assessed by linkage to a newly developed job-exposure matrix based on personal magnetic field measurements on women. All risk estimates were close to unity regardless of exposure cutpoint or choice of exposure parameter. The overall odds ratio for women exposed to 0.30 µT or more was 1.01 (95% confidence interval: 0.93, 1.10). The size of the study allowed for estimates with good precision also in subgroups where previous studies have suggested increased risk, but the findings do not support the hypothesis that magnetic fields influence the risk of female breast cancer.

breast neoplasms; case-control studies; electromagnetic fields; female; receptors, estrogen


Abbreviations: CI, confidence interval.


Correspondence to Dr. Ulla Forssén, Institute of Environmental Medicine, Karolinska Institutet, P.O. Box 210, SE-171 77 Stockholm, Sweden (e-mail: ulla.forssen{at}imm.ki.se).


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