Connie Engel

Paths to Prevention: The California Breast Cancer Primary Prevention Plan is the first ever comprehensive primary prevention plan for breast cancer.This action plan to reduce 23 breast cancer risk factors offers systemic interventions, rather than individual actions, to stem rising breast cancer rates.

The authors undertook a scoping review to assess the literature from 2002 to 2017 on the relationship between occupation and female breast cancer. Case–control, cohort, and meta-analytic studies suggest that women working as flight attendants, in medical professions, some production positions, sales and retail, and scientific technical staff are li...

A review of case–control, cohort, and meta-analytic studies on breast cancer, occupation, and work-related exposures from 2002 to 2017 revealed significant methodological limitations in the current literature. As part of our review, we tabulated the demographic and life history data, breast cancer risk factors, occupational history, and exposure es...

Background In this review, we examine the continually expanding and increasingly compelling data linking radiation and various chemicals in our environment to the current high incidence of breast cancer. Abstract Singly and in combination, these toxicants may have contributed significantly to the increasing rates of breast cancer observed over the...

Exposure to di(2-ethylhexyl) phthalate (DEHP) may be related to adverse health effects including developmental and reproductive disorders, prompting interest in strategies for reducing human exposure. We previously reported a reduction of DEHP metabolite levels in composite urine samples by more than 50% (geometric means) during a 3-day dietary int...

Context: Small area (eg, subcounty) cancer mapping is one of the analytic services most commonly requested of cancer registries and local public health agencies, and difficulties in providing it have been noted to undermine public confidence. Although a great many statistical protocols have been published to enable this practice, none of them are...

Globally, breast cancer affects more women than any other type of cancer and is the second leading cause of cancer-related deaths among women. Widely understood risk factors for breast cancer including primary genetic mutations; reproductive history; and lifestyle factors only account for a portion of the risk for the disease. A substantial and gro...

Bisphenol A (BPA) and bis(2-ethylhexyl) phthalate (DEHP) are high-production-volume chemicals used in plastics and resins for food packaging. They have been associated with endocrine disruption in animals and in some human studies. Human exposure sources have been estimated, but the relative contribution of dietary exposure to total intake has not...

A substantial body of evidence links environmental exposures to increases in breast cancer incidence over the past decades. State and federal legislative initiatives that could help prevent breast cancer include: federal standards to achieve consistency in radiation-emitting medical and dental equipment; improved state quality assurance standards f...

This study examines the impact of 2 classes of psychological variables--expectancies for the future and self-efficacy--on recovery of function and reduction in symptomatology among individuals seeking total knee replacement surgery (TKR). The authors collected outcome measures (SF-36, WOMAC, Clinician assessments) prior to surgery, 4-6 weeks after...

Damasio’s somatic-marker hypothesis claims that people rely on somatic markers—physiological responses to situations of gain or loss—to make value-relevant decisions, not simply on cool reason. To test this hypothesis, undergraduates were presented with false physiological feedback as they listened to audiotapes describing situations threatening tw...