The increasing incidence of breast cancer in the United States and the
international variation in risk have led to speculation that environm
ental risk factors are an important cause of breast cancer. We review
the epidemiologic evidence on the breast cancer risk associated with a
mbient environmental exposures experienced passively by the US populat
ion, and discuss the difficulties associated with measurement of speci
fic exposures in environmental studies. We review geographic variation
of breast cancer rates in the United States, and exposure to organoch
lorines, ionizing and electromagnetic radiation, and passive smoking.
Results are inconclusive but do not support a major role of environmen
tal risk factors in the etiology of breast cancer.