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Evaluating Allostatic Load as a Framework for Breast Cancer Risk Assessment Across Sociodemographic Groups: Insights
Antonio R Lopez1, Laura Jean Podewils2,3, Joanna Garcia4
1Department of Radiology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Allostatic load (AL), a measure of physiological stress, was linked to higher odds of malignant breast biopsy results in White, non-Hispanic women. This finding suggests AL may be a modifiable risk factor for breast cancer.
Area of Science:
- Biomedical Science
- Public Health
- Oncology
Background:
- Allostatic load (AL) quantifies physiological dysregulation from chronic stress exposure.
- Understanding AL's role in health disparities is crucial for targeted interventions.
Purpose of the Study:
- To investigate the association between allostatic load (AL) and malignant breast biopsy outcomes.
- To examine these associations across diverse sociodemographic subgroups.
Main Methods:
- Retrospective study of women (18+) undergoing image-guided breast biopsy.
- AL score calculated using eight biomarkers (e.g., blood pressure, BMI, creatinine).
- Multivariable logistic regression and stratified analyses by race/ethnicity were employed.
Main Results:
- The study included 668 participants; most were Hispanic and insured by Medicaid.
- A significant association between higher AL and malignant biopsy results was found in White, non-Hispanic women.
- Each one-unit increase in AL correlated with a 46% increased likelihood of malignancy in this subgroup (OR 1.46, P=0.03).
Conclusions:
- Allostatic load is associated with malignant breast biopsy results in specific sociodemographic groups.
- AL may represent a modifiable risk factor in breast cancer prevention strategies.
- Further research in diverse populations is needed to confirm findings and explore contributing factors.
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