Breast cancer risk may be influenced by intrauterine exposure to steroid ho
rmones. We evaluated left-handedness, a marker of intrauterine hormone expo
sure, in relation to breast cancer risk in our population-based, case-contr
ol study. Case women 50-79 years of age with a first diagnosis of invasive
breast cancer were ascertained through statewide cancer registries in Wisco
nsin, Massachusetts, and New Hampshire. Control women were identified in ea
ch state through lists of licensed drivers (for ages 50-64) and Medicare be
neficiaries (for ages 65-79), and selected at random to correspond with the
age distribution of case women. Exposure information, including handedness
, was obtained through a telephone interview. Our results indicated a modes
t association between left handedness and breast cancer risk (OR = 1.42; 95
% CI = 1.10-1.83). The effect of left-handedness was modified by age; we ob
served the greatest risk ratio in the oldest age group. Left-handedness was
not associated with breast tumor laterality. Our results are consistent wi
th the hypothesis that intrauterine hormone exposures play a role in the de
velopment of breast cancer.