-Caveat Lector-

Scientific Evidence Ignored in Abortion-Breast Cancer Link
Source:   Chicago Tribune; July 2, 2001

[Note:  The following article is by Chicago Tribune columnist Dennis
Byrne. Mr. Byrne is a Chicago-area writer and public affairs consultant.]

When I wrote about a possible link between induced abortions and increased
risk of breast cancer, I simply was suggesting that women have a right to
know about the scientific evidence.

Turns out we're not even supposed to talk about it, according to some
indignant responses to my May 21 column. Just discussing it is like
shouting "fire" in a crowded theater. Disappointingly, some of this
sentiment came from "scientists," who should know better.

In general, they said, it was not enough to count up studies. Naturally,
that had nothing to do with the fact that most studies establish a link
between breast cancer and induced abortions. In science, the majority
doesn't rule, they said. That's true, and I hope they send the same
message to those who insist the global warming question is "settled"
because "most mainstream scientists" agree that it is.

Some of my critics wanted to argue from authority. We can do that, if we
include a British authority, Thomas Stuttaford. A year ago he denied the
existence of a "causative link" between abortion and breast cancer but
then changed his mind, noting that among the 33,000 British women
diagnosed with breast cancer each year, "an unusually high proportion had
an abortion before eventually starting a family. Such women are up to four
times more likely to develop breast cancer."

So let's discuss the science itself. Among the few studies cited by those
who don't want a public debate on the abortion-breast cancer link is the
"Melbye" study. This supposedly trumps all other studies because it
included every woman born in Denmark between 1935 and l978--1.5
million--more than 400,000 abortions and more than 10,000 cases of breast
cancer.

Its supporters say it proved that induced abortions "have no overall
effect on the risk of breast cancer." But just as the volume of studies do
not automatically make a scientific premise correct, neither do large
numbers of participants, as in the Melbye study. Cancer researcher Joel
Brind (who produced an analysis supporting the ABC link) argues that
Melbye is critically flawed: It only started logging abortions in 1973 and
began logging breast cancer cases from 1968--a five-year difference. That
left out 300 cases of breast cancer from the study that should have been
included.  It also left out as many as 80,000 abortions, but the 60,000
women who had them were included in the study. Why? The excuse was that
Denmark legalized the right to an induced abortion through 12 weeks
gestation in 1973. I say "excuse" because abortion rights had been
incrementally liberalized in Denmark as far back as 1939.

The study is, in a word, garbage.

With 80,000 abortions expunged from the records, it's no wonder they said
they found no ABC link, even though the numbers showed a 44 percent
increased risk. To rid the conclusion of even that, they came up with a
"cohort adjustment," which, to oversimplify, tried to explain away the
link by adjusting for age differences. Unfortunately for the study's
authors it didn't work, Brind said. When you cut through it all, not only
do you find an ABC link, but in Denmark induced abortion is a particularly
strong risk factor--somewhere between double or triple the risk,
especially for those with a family history of cancer.

This family history effect was found in another study by Janet Daling, in
which 900 women with breast cancer were compared with a control group of
900 other women. This risk was particularly strong for a first abortion
that occurred before age 18. Critics of the study say it is flawed by
"recall bias"--apparently meaning that women's recollections of having an
abortion were mistaken or deceptive. Specifically, that women with breast
cancer made up abortions that they didn't have.

One last study, not mentioned by critics of the ABC link: The "Adelaide"
(Australia) study found several risk factors in breast cancer but didn't
mention abortion. That stayed in the file cabinet because it showed a 160
percent increased ABC risk. This data wasn't made public until it was
uncovered by another researcher.

No one suggests that every woman who has breast cancer had an abortion; or
that every woman who has had an abortion will get breast cancer. But the
scientific evidence of an ABC link is growing stronger, and a
paternalistic and self-serving abortion industry should not be trying to
hide it from women.

--
http://www.roevwade.org

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