Abortion Contortion
Janet R. Daling, Louise A. Brinton, Lynda F. Voigt,
Noel S. Weiss, Ralph Coates, Kathleen Malone,
Janet Schoenberg, and Marilie Gammon
  Am J Epidemiol  1996;144:373-380
Over the past several years, four published studies have weakly associated abortion with an
increased risk in breast cancer.
Despite the weak association, these studies have given pro-choice supporters a headache. So
much so that the National Cancer Institute (NCI) even issued a press release indicating that
weak association epidemiology was not very reliable.
 
Of course, NCI thinks that weak association epidemiology is bad only in the context of
abortion. For anything else, weak association epidemiology is just hunky-dory!
In this fine tradition, Daling et al. pull off a remarkable feat by both repudiating their own
abortion-breast cancer link while asking for more money to study it.
Daling et al. interviewed 1,302 women with breast cancer about their reproductive histories,
including induced abortion, and reported that:
Women who had been pregnant once and had an abortion had a 20
percent higher rate of breast cancer than women who had no abortion (95 percent confidence
interval, 0 percent to 50 percent).
Women who had never had a child and had a first trimester abortion had a 100 percent higher
rate of breast cancer (95 percent confidence interval, 20 percent to 230
percent).
Usually, when public health researchers report their results, they FIRST try to SUPPORT
their results and then, almost as an afterthought, point out flaws and weaknesses as an
afterthought. Not Daling et al.
The very first sentence in the discussion section is
 
Some possible limitations of our study warrant discussion.
Daling et al. then go on to discuss how they were able to directly interview only about 80
percent of the women in their study. And they question the accuracy of the responses from
their own interviews. Then they state
Although a positive association has been seen in a number of studies that have focused
on young women, the overall magnitude is not so great that the possibility of bias... can be
excluded.
Funny, I can remember how a reported 30 percent increase in lung cancer risk associated
with second-hand smoke was SO definite and meaningful to the public health research crowd.
But a 100 percent increase in breast cancer risk from abortion "is not so great"?
Then Daling et al. close with their shameless pitch and not-so veiled threat for more research
funding on this issue:
Nonetheless, as additional studies are carried out [shameless pitch] among cohorts of
women who have had legal abortions available to them for most of their lives,... there is
reason to hope that in the future we [where future funding should go] will have a better
understanding of the possible role of induced abortion [not-so veiled threat] in the etiology of
breast cancer.
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