Loading…

Renal Cell Cancer and Body Size at Different Ages: An Italian Multicenter Case-Control Study

An increased risk of renal cell cancer (RCC) has been reported in overweight persons. The authors aimed to clarify which anthropometric measures are associated with risk of RCC and whether risk may vary according to selected variables. Between 1992 and 2004, they carried out an Italian multicenter c...

Full description

Saved in:
Bibliographic Details
Published in:American journal of epidemiology 2007-09, Vol.166 (5), p.582-591
Main Authors: Dal Maso, Luigino, Zucchetto, Antonella, Tavani, Alessandra, Montella, Maurizio, Ramazzotti, Valerio, Talamini, Renato, Canzonieri, Vincenzo, Garbeglio, Antonio, Negri, Eva, Tonini, Annamaria, La Vecchia, Carlo, Franceschi, Silvia
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53
cites cdi_FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53
container_end_page 591
container_issue 5
container_start_page 582
container_title American journal of epidemiology
container_volume 166
creator Dal Maso, Luigino
Zucchetto, Antonella
Tavani, Alessandra
Montella, Maurizio
Ramazzotti, Valerio
Talamini, Renato
Canzonieri, Vincenzo
Garbeglio, Antonio
Negri, Eva
Tonini, Annamaria
La Vecchia, Carlo
Franceschi, Silvia
description An increased risk of renal cell cancer (RCC) has been reported in overweight persons. The authors aimed to clarify which anthropometric measures are associated with risk of RCC and whether risk may vary according to selected variables. Between 1992 and 2004, they carried out an Italian multicenter case-control study including 767 (494 men, 273 women) incident cases of RCC and 1,534 hospital controls, frequency-matched to cases. To estimate odds ratios and 95% confidence intervals, they used conditional logistic regression matched on study center, sex, and age and adjusted for period of interview, years of education, smoking habits, and family history of kidney cancer. Using body-size measurements taken 1 year prior to diagnosis/interview, the authors found an odds ratio of 1.3 (95% confidence interval (CI): 1.0, 1.7) among obese persons (body mass index (BMI; weight (kg)/height (m)2) ≥30) versus normal-weight persons (BMI
doi_str_mv 10.1093/aje/kwm108
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68145672</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/aje/kwm108</oup_id><sourcerecordid>68145672</sourcerecordid><originalsourceid>FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53</originalsourceid><addsrcrecordid>eNqF0c9rFDEUB_Agil2rF_8ACYIehLF5mUky6W0df7RQEWyVUoSQSd7IbGdn1iSDrn-9KbtY8aCX5JBPXl7el5DHwF4C0-WRXeHR9fc1sPoOWUClZCG5kHfJgjHGC80lPyAPYlwxBqAFu08OQAkNQvMF-fIRRzvQBoe82NFhoHb09NXkt_S8_4nUJvq67zoMOCa6_IrxmC5Heprs0NuRvp-H1Lt8lO81NmLRTGMK00DP0-y3D8m9zg4RH-33Q_Lp7ZuL5qQ4-_DutFmeFa5SKhVaauBe-ZqpqsUOoNLCMS6t8spB61td2xba3LSTrMKaCc6ElcJjBbbuRHlInu_qbsL0bcaYzLqPLn_JjjjN0cgaKiEV_y8ErUoJEjJ8-hdcTXPIk4qGl3lwZclu0IsdcmGKMWBnNqFf27A1wMxNMiYnY3bJZPxkX3Fu1-hv6T6KDJ7tgY3ODl3IafTx1ukcpmR_uGne_PvBYuf6mPDHb2nDtZGqVMKcXF4Zzi-rC66uzOfyF4j7r-k</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>235923301</pqid></control><display><type>article</type><title>Renal Cell Cancer and Body Size at Different Ages: An Italian Multicenter Case-Control Study</title><source>Oxford Journals Online</source><creator>Dal Maso, Luigino ; Zucchetto, Antonella ; Tavani, Alessandra ; Montella, Maurizio ; Ramazzotti, Valerio ; Talamini, Renato ; Canzonieri, Vincenzo ; Garbeglio, Antonio ; Negri, Eva ; Tonini, Annamaria ; La Vecchia, Carlo ; Franceschi, Silvia</creator><creatorcontrib>Dal Maso, Luigino ; Zucchetto, Antonella ; Tavani, Alessandra ; Montella, Maurizio ; Ramazzotti, Valerio ; Talamini, Renato ; Canzonieri, Vincenzo ; Garbeglio, Antonio ; Negri, Eva ; Tonini, Annamaria ; La Vecchia, Carlo ; Franceschi, Silvia</creatorcontrib><description>An increased risk of renal cell cancer (RCC) has been reported in overweight persons. The authors aimed to clarify which anthropometric measures are associated with risk of RCC and whether risk may vary according to selected variables. Between 1992 and 2004, they carried out an Italian multicenter case-control study including 767 (494 men, 273 women) incident cases of RCC and 1,534 hospital controls, frequency-matched to cases. To estimate odds ratios and 95% confidence intervals, they used conditional logistic regression matched on study center, sex, and age and adjusted for period of interview, years of education, smoking habits, and family history of kidney cancer. Using body-size measurements taken 1 year prior to diagnosis/interview, the authors found an odds ratio of 1.3 (95% confidence interval (CI): 1.0, 1.7) among obese persons (body mass index (BMI; weight (kg)/height (m)2) ≥30) versus normal-weight persons (BMI &lt;25) and an odds ratio of 1.5 (95% CI: 1.1, 2.0) among persons in the highest tertile of waist-to-hip ratio. Direct associations emerged for BMI ≥30 (vs. &lt;25) at ages 30 years (odds ratio = 1.5, 95% CI: 1.0, 2.3) and 50 years (odds ratio = 1.5, 95% CI: 1.1, 2.0). The direct association with waist-to-hip ratio was stronger among women than among men. RCC risks among overweight and obese persons were apparently higher in never smokers, persons with the clear-cell histologic type, and persons with a Fuhrman nuclear grade of G3–G4.</description><identifier>ISSN: 0002-9262</identifier><identifier>EISSN: 1476-6256</identifier><identifier>DOI: 10.1093/aje/kwm108</identifier><identifier>PMID: 17591592</identifier><identifier>CODEN: AJEPAS</identifier><language>eng</language><publisher>Cary, NC: Oxford University Press</publisher><subject>Adult ; Age Factors ; Aged ; Analysis. Health state ; Biological and medical sciences ; Body fat ; Body Mass Index ; Body Size ; Cancer ; carcinoma ; Carcinoma, Renal Cell - epidemiology ; Case-Control Studies ; Epidemiology ; Female ; General aspects ; Humans ; Incidence ; Italy - epidemiology ; Kidney diseases ; Kidney Neoplasms - epidemiology ; Kidneys ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Miscellaneous ; Nephrology. Urinary tract diseases ; Obesity ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; renal cell ; Risk Factors ; Surveys and Questionnaires ; Tumors of the urinary system ; waist-hip ratio</subject><ispartof>American journal of epidemiology, 2007-09, Vol.166 (5), p.582-591</ispartof><rights>American Journal of Epidemiology © The Author 2007. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org. 2007</rights><rights>2007 INIST-CNRS</rights><rights>American Journal of Epidemiology © The Author 2007. Published by the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53</citedby><cites>FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=19002602$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17591592$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dal Maso, Luigino</creatorcontrib><creatorcontrib>Zucchetto, Antonella</creatorcontrib><creatorcontrib>Tavani, Alessandra</creatorcontrib><creatorcontrib>Montella, Maurizio</creatorcontrib><creatorcontrib>Ramazzotti, Valerio</creatorcontrib><creatorcontrib>Talamini, Renato</creatorcontrib><creatorcontrib>Canzonieri, Vincenzo</creatorcontrib><creatorcontrib>Garbeglio, Antonio</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>Tonini, Annamaria</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><creatorcontrib>Franceschi, Silvia</creatorcontrib><title>Renal Cell Cancer and Body Size at Different Ages: An Italian Multicenter Case-Control Study</title><title>American journal of epidemiology</title><addtitle>Am J Epidemiol</addtitle><description>An increased risk of renal cell cancer (RCC) has been reported in overweight persons. The authors aimed to clarify which anthropometric measures are associated with risk of RCC and whether risk may vary according to selected variables. Between 1992 and 2004, they carried out an Italian multicenter case-control study including 767 (494 men, 273 women) incident cases of RCC and 1,534 hospital controls, frequency-matched to cases. To estimate odds ratios and 95% confidence intervals, they used conditional logistic regression matched on study center, sex, and age and adjusted for period of interview, years of education, smoking habits, and family history of kidney cancer. Using body-size measurements taken 1 year prior to diagnosis/interview, the authors found an odds ratio of 1.3 (95% confidence interval (CI): 1.0, 1.7) among obese persons (body mass index (BMI; weight (kg)/height (m)2) ≥30) versus normal-weight persons (BMI &lt;25) and an odds ratio of 1.5 (95% CI: 1.1, 2.0) among persons in the highest tertile of waist-to-hip ratio. Direct associations emerged for BMI ≥30 (vs. &lt;25) at ages 30 years (odds ratio = 1.5, 95% CI: 1.0, 2.3) and 50 years (odds ratio = 1.5, 95% CI: 1.1, 2.0). The direct association with waist-to-hip ratio was stronger among women than among men. RCC risks among overweight and obese persons were apparently higher in never smokers, persons with the clear-cell histologic type, and persons with a Fuhrman nuclear grade of G3–G4.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Analysis. Health state</subject><subject>Biological and medical sciences</subject><subject>Body fat</subject><subject>Body Mass Index</subject><subject>Body Size</subject><subject>Cancer</subject><subject>carcinoma</subject><subject>Carcinoma, Renal Cell - epidemiology</subject><subject>Case-Control Studies</subject><subject>Epidemiology</subject><subject>Female</subject><subject>General aspects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Italy - epidemiology</subject><subject>Kidney diseases</subject><subject>Kidney Neoplasms - epidemiology</subject><subject>Kidneys</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Obesity</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>renal cell</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>Tumors of the urinary system</subject><subject>waist-hip ratio</subject><issn>0002-9262</issn><issn>1476-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><recordid>eNqF0c9rFDEUB_Agil2rF_8ACYIehLF5mUky6W0df7RQEWyVUoSQSd7IbGdn1iSDrn-9KbtY8aCX5JBPXl7el5DHwF4C0-WRXeHR9fc1sPoOWUClZCG5kHfJgjHGC80lPyAPYlwxBqAFu08OQAkNQvMF-fIRRzvQBoe82NFhoHb09NXkt_S8_4nUJvq67zoMOCa6_IrxmC5Heprs0NuRvp-H1Lt8lO81NmLRTGMK00DP0-y3D8m9zg4RH-33Q_Lp7ZuL5qQ4-_DutFmeFa5SKhVaauBe-ZqpqsUOoNLCMS6t8spB61td2xba3LSTrMKaCc6ElcJjBbbuRHlInu_qbsL0bcaYzLqPLn_JjjjN0cgaKiEV_y8ErUoJEjJ8-hdcTXPIk4qGl3lwZclu0IsdcmGKMWBnNqFf27A1wMxNMiYnY3bJZPxkX3Fu1-hv6T6KDJ7tgY3ODl3IafTx1ukcpmR_uGne_PvBYuf6mPDHb2nDtZGqVMKcXF4Zzi-rC66uzOfyF4j7r-k</recordid><startdate>20070901</startdate><enddate>20070901</enddate><creator>Dal Maso, Luigino</creator><creator>Zucchetto, Antonella</creator><creator>Tavani, Alessandra</creator><creator>Montella, Maurizio</creator><creator>Ramazzotti, Valerio</creator><creator>Talamini, Renato</creator><creator>Canzonieri, Vincenzo</creator><creator>Garbeglio, Antonio</creator><creator>Negri, Eva</creator><creator>Tonini, Annamaria</creator><creator>La Vecchia, Carlo</creator><creator>Franceschi, Silvia</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T2</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7U1</scope><scope>7X8</scope></search><sort><creationdate>20070901</creationdate><title>Renal Cell Cancer and Body Size at Different Ages: An Italian Multicenter Case-Control Study</title><author>Dal Maso, Luigino ; Zucchetto, Antonella ; Tavani, Alessandra ; Montella, Maurizio ; Ramazzotti, Valerio ; Talamini, Renato ; Canzonieri, Vincenzo ; Garbeglio, Antonio ; Negri, Eva ; Tonini, Annamaria ; La Vecchia, Carlo ; Franceschi, Silvia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Analysis. Health state</topic><topic>Biological and medical sciences</topic><topic>Body fat</topic><topic>Body Mass Index</topic><topic>Body Size</topic><topic>Cancer</topic><topic>carcinoma</topic><topic>Carcinoma, Renal Cell - epidemiology</topic><topic>Case-Control Studies</topic><topic>Epidemiology</topic><topic>Female</topic><topic>General aspects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Italy - epidemiology</topic><topic>Kidney diseases</topic><topic>Kidney Neoplasms - epidemiology</topic><topic>Kidneys</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Obesity</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>renal cell</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>Tumors of the urinary system</topic><topic>waist-hip ratio</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dal Maso, Luigino</creatorcontrib><creatorcontrib>Zucchetto, Antonella</creatorcontrib><creatorcontrib>Tavani, Alessandra</creatorcontrib><creatorcontrib>Montella, Maurizio</creatorcontrib><creatorcontrib>Ramazzotti, Valerio</creatorcontrib><creatorcontrib>Talamini, Renato</creatorcontrib><creatorcontrib>Canzonieri, Vincenzo</creatorcontrib><creatorcontrib>Garbeglio, Antonio</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>Tonini, Annamaria</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><creatorcontrib>Franceschi, Silvia</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Risk Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dal Maso, Luigino</au><au>Zucchetto, Antonella</au><au>Tavani, Alessandra</au><au>Montella, Maurizio</au><au>Ramazzotti, Valerio</au><au>Talamini, Renato</au><au>Canzonieri, Vincenzo</au><au>Garbeglio, Antonio</au><au>Negri, Eva</au><au>Tonini, Annamaria</au><au>La Vecchia, Carlo</au><au>Franceschi, Silvia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Renal Cell Cancer and Body Size at Different Ages: An Italian Multicenter Case-Control Study</atitle><jtitle>American journal of epidemiology</jtitle><addtitle>Am J Epidemiol</addtitle><date>2007-09-01</date><risdate>2007</risdate><volume>166</volume><issue>5</issue><spage>582</spage><epage>591</epage><pages>582-591</pages><issn>0002-9262</issn><eissn>1476-6256</eissn><coden>AJEPAS</coden><abstract>An increased risk of renal cell cancer (RCC) has been reported in overweight persons. The authors aimed to clarify which anthropometric measures are associated with risk of RCC and whether risk may vary according to selected variables. Between 1992 and 2004, they carried out an Italian multicenter case-control study including 767 (494 men, 273 women) incident cases of RCC and 1,534 hospital controls, frequency-matched to cases. To estimate odds ratios and 95% confidence intervals, they used conditional logistic regression matched on study center, sex, and age and adjusted for period of interview, years of education, smoking habits, and family history of kidney cancer. Using body-size measurements taken 1 year prior to diagnosis/interview, the authors found an odds ratio of 1.3 (95% confidence interval (CI): 1.0, 1.7) among obese persons (body mass index (BMI; weight (kg)/height (m)2) ≥30) versus normal-weight persons (BMI &lt;25) and an odds ratio of 1.5 (95% CI: 1.1, 2.0) among persons in the highest tertile of waist-to-hip ratio. Direct associations emerged for BMI ≥30 (vs. &lt;25) at ages 30 years (odds ratio = 1.5, 95% CI: 1.0, 2.3) and 50 years (odds ratio = 1.5, 95% CI: 1.1, 2.0). The direct association with waist-to-hip ratio was stronger among women than among men. RCC risks among overweight and obese persons were apparently higher in never smokers, persons with the clear-cell histologic type, and persons with a Fuhrman nuclear grade of G3–G4.</abstract><cop>Cary, NC</cop><pub>Oxford University Press</pub><pmid>17591592</pmid><doi>10.1093/aje/kwm108</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0002-9262
ispartof American journal of epidemiology, 2007-09, Vol.166 (5), p.582-591
issn 0002-9262
1476-6256
language eng
recordid cdi_proquest_miscellaneous_68145672
source Oxford Journals Online
subjects Adult
Age Factors
Aged
Analysis. Health state
Biological and medical sciences
Body fat
Body Mass Index
Body Size
Cancer
carcinoma
Carcinoma, Renal Cell - epidemiology
Case-Control Studies
Epidemiology
Female
General aspects
Humans
Incidence
Italy - epidemiology
Kidney diseases
Kidney Neoplasms - epidemiology
Kidneys
Logistic Models
Male
Medical sciences
Middle Aged
Miscellaneous
Nephrology. Urinary tract diseases
Obesity
Public health. Hygiene
Public health. Hygiene-occupational medicine
renal cell
Risk Factors
Surveys and Questionnaires
Tumors of the urinary system
waist-hip ratio
title Renal Cell Cancer and Body Size at Different Ages: An Italian Multicenter Case-Control Study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T20%3A40%3A18IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Renal%20Cell%20Cancer%20and%20Body%20Size%20at%20Different%20Ages:%20An%20Italian%20Multicenter%20Case-Control%20Study&rft.jtitle=American%20journal%20of%20epidemiology&rft.au=Dal%20Maso,%20Luigino&rft.date=2007-09-01&rft.volume=166&rft.issue=5&rft.spage=582&rft.epage=591&rft.pages=582-591&rft.issn=0002-9262&rft.eissn=1476-6256&rft.coden=AJEPAS&rft_id=info:doi/10.1093/aje/kwm108&rft_dat=%3Cproquest_cross%3E68145672%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c477t-96912d7d8074bef11495c026a7d7c1bdb98ab1b175c604e805205a65de41a8f53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=235923301&rft_id=info:pmid/17591592&rft_oup_id=10.1093/aje/kwm108&rfr_iscdi=true