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Chunk #4 — The Limits of Epidemiology — Temporal issues and their implication for mechanisms

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Moderate alcohol consumption and breast cancer in women: from epidemiology to mechanisms and interventions.
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Some epidemiologic studies relate lifetime breast cancer risk to alcohol consumption reported at a single point in time (Allen et al., 2009; Li et al., 2010). However, alcohol consumption is typically a lifelong habit. In addition, the development of breast cancer is a multi-step, time dependent process. Below we briefly discuss some temporal and mechanistic aspects of human carcinogenesis, followed by a consideration of the implications of this information for the interpretation of epidemiologic studies relating alcohol consumption to breast cancer risk.