We've all heard of breast cancer and seen the pink ribbons, but what do we really know about it? Surely you've heard about things like inherited genetic risk or lifestyle factors like smoking, alcohol use, and lack of exercise. But there are also a lot of environmental factors that increase the risk of breast cancer too (1,5). Some of these environmental factors come from things like toxic chemicals in our personal care products and cleaning solutions, endocrine disrupting chemicals that find their way into our food, processed foods, poor air quality, and much more. This means aspects of our home life and the outside world could make us more susceptible to breast cancer. It's not just the cocktails and our seemingly inability to get off the couch and go for a run! And yes, "us" really means all of us! Whether you're a man, woman, non binary, transgender, or you're over the age of 50 or are young enough to know how Tik Tok works, breast cancer affects us all. The way breast cancer develops and knowing the risks for it can be tricky and sometimes uncontrollable, but it doesn't mean there aren't ways to limit your exposure to these lesser-known environmental risks, so keep reading to find out how!

Environmental factors and breast cancer

In our daily life we come into contact with a lot of products that may contain chemicals that increase our risk for developing breast cancer. These chemicals may be in the cleaning products we use, cosmetics, our food, our air, and even our water. You may have even heard of some of them like heavy metals, PCBs, radiation, pesticides, and a whole host more. But to spare you about 8 hours, we will just mention a few!

Personal care and cleaning products

The usual suspects of harmful chemicals in our cosmetic and cleaning products are also the ones that are putting us at risk for breast cancer. Chemicals like BPA, phthalates, parabens, and PFAS have all been studied for their correlation with breast cancer (2). BPA and phthalates, which are often added to plastics, have been tested in a myriad of breast cancer studies for their endocrine disrupting abilities. Being exposed to these chemicals in utero or even in puberty can alter the development of mammary glands and increase an individual's risk for breast cancer later in life. While there is still ongoing research, laboratory studies show BPA alters mammary growth and development in rodents and other mammals and can increase the risk of tumor formation (3). And phthalates, which are also found in many fragrances, showed a high association with breast cancer and people who used cleaners and air fresheners frequently throughout their life (2).

Parabens, another group of endocrine disruptors, are often used in cosmetics as preservatives. Parabens have been found in biopsies of breast cancer tumors and have been shown to rapidly increase the numbers of human breast cancer cells (1). Then finally there is PFAS, a group of waterproofing chemicals found in many cosmetics that remains in our bodies and the environment for a very long time. PFAS has been found in amniotic fluid and placental cord blood samples and is linked with issues with mammary gland development during the prenatal and puberty stage. It has also been linked to delayed breast development in some studies (3). All of these chemicals have pretty serious effects over a long period of time and many of them are avoidable if we choose the right products!

Contaminated Food

Another risk factor we come into contact with everyday is our food. Some of the concerns include the use of pesticides and even the materials our food is packaged in. Many pesticides and herbicides used in agriculture are classified as endocrine disruptors and in animals studies have been shown to affect the development of mammary glands in both males and female rodents (1,6). Pesticides can often be found as residue on the food itself or in cases like fish, the pesticides can be found within the meat of the animal. Because pesticides are often found in water runoff, they leach into bodies of water and can be found in the fatty parts of fish (6).

Materials that come into contact with our food after it is grown can also potentially increase our risk. Contamination can be through packaging, processing, cooking, and food storage. For example, BPA is found in the lining of canned food and in many plastics. One study found that reducing intake of packaged foods decreased BPA levels in urine by 65% (1). Breast development is controlled by the endocrine system so being exposed to different endocrine disruptors in many forms can lead to altered breast development and an increased risk in breast cancer (7).

Poor air quality

Last up is all about what we breathe! There are many harmful air pollutants that come from a variety of sources like cars and industrial processes, but the one that has been correlated with breast cancer the most is nitrogen oxide. Nitrogen oxide (NOx) is considered to be a marker of traffic related air pollution because it comes from the burning of fuel in automobiles, trucks, and other equipment that run on combustion (5,8). This air pollutant has been linked to pre and postmenopusal breast cancer, as well as many other types of cancers. Air pollution is a tricky risk factor because we all have to breathe air, making it really hard to avoid, but it's often most concentrated in cities with high traffic and in communities of color (5,10,11).

Medical inequalities related to Breast Cancer

While explaining how all of these environmental risks affect us everyday, it's important to note that some groups of people are more at risk than others. In particular, Black women have a higher incidence of breast cancer before the age of 45 and are more likely to die from breast cancer at every age compared to White women. Many factors contribute to this including lack of insurance, fear of testing, delay in seeking care, barriers to early detection and care, and racial bias (9). A lot of the barriers minorities face comes directly from racism within the health care system as well as socioeconomic factors. One survey done at York State hospitals found that physicians have more negative perceptions towards African Americans and people of low or middle socioeconomic status. Another study found that 41% of Black women compared to 28% of White women had stated their doctor had never suggested mammography (9). So in many instances doctors are not recommending preventative care that could save a Black woman's life.

And not only are minority populations directly affected by the health care system, they are also disproportionately exposed to chemicals of concern for breast cancer, like the ones we discussed above. African Americans often have high body levels of many chemicals including PCB's, mercury, PAH's, and phthalates. And both African American and Hispanic populations have varying levels of BPA, PFAS, and triclosan compared to White populations (1). Beauty products marketed to Black and Brown women (such as skin lighteners, hair straighteners, and feminine hygiene products) contain harmful chemicals (12). In a time of ongoing social change these issues need to be addressed and brought to light. These barriers are not a choice, they are placed on these communities and put them at a disadvantage that is causing them to get sick.

Ways to avoid these environmental risks

It's almost impossible to know when, how, or if breast cancer might develop because of the many factors including environmental risks that are at play. But even though there isn't a definitive way to determine what might cause breast cancer, there are ways you can potentially reduce your exposure levels. Here are a few tangible ways to reduce your risk!

  1. First things first, do self breast exams and go in for regular mammograms with a licensed physician. You can do it yourself or have a partner help you! Here is a link on how to do a self breast exam!
  2. Reduce toxic cleaning products in your daily routine. Here are some natural cleaning alternatives we recommend for all purpose cleaners, floor cleaners, and laundry detergents. Check out our website for more alternatives!
  3. Also reduce the amount of toxic cosmetic products in your routine. Check out stores like Credo, Follian, Sephora clean, and Target clean to try some cleaner cosmetic products!
  4. Buy less fast food or even reduce the amount of times you go every week. Start by going one less day a week!
  5. Reduce the amount of packaged foods you consume to reduce your exposure to chemical additives in the plastic as well as the food!
  6. Buy organic fruits and vegetables if possible. Our secret for prioritizing organic produce is leafy greens, berries of all kinds, and things with skin you eat. If you prefer conventional produce make sure and wash the produce as much as possible to remove any possible residual pesticides!
  7. Buy an air purifier to keep the air you breathe in your home as clean as possible. Here are a few we recommend, but if you can't buy one here is how you can make your own!
  8. Drive less! It's easier said than done, but reducing vehicle emissions is a sure way to reduce the amount of air pollution we collectively breathe in!
  9. Donate to organizations that are fighting against medical racism and trying to reduce the health disparities for people of color. Some organizations are The Center for the study of Racism, Social Justice, and Health and the National Association for the Advancement of Colored People. Also check out are article on environmental justice and how to get involved!

When it comes to breast cancer there are risks all around us, but we are not completely powerless. While some things are hard to avoid, there are plenty of chemicals and products we can limit in order to minimize our exposure as much as possible. And as a young person you may not feel like any of this applies to you, but it's never too early to protect yourself against the risks of breast cancer.


Sources

  1. Gray, J. M., Rasanayagam, S., Engel, C., & Rizzo, J. (2017). State of the evidence 2017: An update on the connection between breast cancer and the environment. Environmental Health, 16(1), 94. https://doi.org/10.1186/s12940-017-0287-4
  2. Rodgers, K. M., Udesky, J. O., Rudel, R. A., & Brody, J. G. (2018). Environmental chemicals and breast cancer: An updated review of epidemiological literature informed by biological mechanisms. Environmental Research, 160, 152–182. https://doi.org/10.1016/j.envres.2017.08.045
  3. Buermeyer, N., Engel, C., Nudelman, J., Rasanayagam, S., & Sarantis, H. (2020). Paths to Prevention: California Breast Cancer Primary Prevention Plan. UC Office of the President: California Breast Cancer Research Program. Retrieved from https://escholarship.org/uc/item/1v2745z0
  4. Fiolet, T., Srour, B., Sellem, L., Kesse-Guyot, E., Allès, B., Méjean, C., Deschasaux, M., Fassier, P., Latino-Martel, P., Beslay, M., Hercberg, S., Lavalette, C., Monteiro, C. A., Julia, C., & Touvier, M. (2018). Consumption of ultra-processed foods and cancer risk: Results from NutriNet-Santé prospective cohort. BMJ, 360, k322. https://doi.org/10.1136/bmj.k322
  5. White, A. J., Bradshaw, P. T., & Hamra, G. B. (2018). Air pollution and Breast Cancer: A Review. Current Epidemiology Reports, 5(2), 92–100. https://doi.org/10.1007/s40471-018-0143-2
  6. Kass, L., Gomez, A. L., & Altamirano, G. A. (2020). Relationship between agrochemical compounds and mammary gland development and breast cancer. Molecular and Cellular Endocrinology, 508, 110789. https://doi.org/10.1016/j.mce.2020.110789
  7. Yang, K. J., Lee, J., & Park, H. L. (2020). Organophosphate Pesticide Exposure and Breast Cancer Risk: A Rapid Review of Human, Animal, and Cell-Based Studies. International Journal of Environmental Research and Public Health, 17(14), 5030. https://doi.org/10.3390/ijerph17145030
  8. https://www3.epa.gov/region1/airquality/nox.html
  9. Yedjou, C. G., Sims, J. N., Miele, L., Noubissi, F., Lowe, L., Fonseca, D. D., Alo, R. A., Payton, M., & Tchounwou, P. B. (2019). Health and Racial Disparity in Breast Cancer. Advances in Experimental Medicine and Biology, 1152, 31–49. https://doi.org/10.1007/978-3-030-20301-6_3
  10. Clark, L. P., Millet, D. B., & Marshall, J. D. (n.d.). Changes in Transportation-Related Air Pollution Exposures by Race-Ethnicity and Socioeconomic Status: Outdoor Nitrogen Dioxide in the United States in 2000 and 2010. Environmental Health Perspectives, 125(9), 097012. https://doi.org/10.1289/EHP959
  11. Tessum, C. W., Paolella, D. A., Chambliss, S. E., Apte, J. S., Hill, J. D., & Marshall, J. D. (n.d.). PM2.5 polluters disproportionately and systemically affect people of color in the United States. Science Advances, 7(18), eabf4491. https://doi.org/10.1126/sciadv.abf4491
  12. Zota, Ami R., and Bhavna Shamasunder. "The environmental injustice of beauty: framing chemical exposures from beauty products as a health disparities concern." American journal of obstetrics and gynecology 217.4 (2017): 418-e1.

https://doi.org/10.1016/j.ajog.2017.07.020

Life

The Hair-Raising Research About Beauty Products Marketed to Black Women

What chemicals to avoid in your hair products and safer alternatives

If you've ever walked down the hair care aisle at a beauty store, you know just how many different products are out there. Cosmetic manufacturers use marketing techniques that are based on certain ideals of beauty to target different demographics. A lot of products on the market are marketed exclusively for black women, like hair relaxers and dyes. But there is growing evidence that these products marketed to black women contain known harmful chemicals. Research has also shown that there are fewer non-toxic options in black hair products than there are in those marketed to the general public (1). Black women may be disproportionally impacted by harmful exposures to toxic ingredients in their hair products.

If you've been wondering what's in your hair relaxer, styling cream, shampoo, or hair dye, we've done the research and put together some information and simple tips to help minimize your exposure to harmful chemicals commonly found in many of these products.

Harmful Health Effects

Although significantly understudied, certain chemicals commonly used in products for black hair have been linked to cancer, childhood neurodevelopmental impairment, reproductive problems, hormone disruption, and asthma (2) (3). Parabens, formaldehyde, phthalates, and estrogenic chemicals from placenta are used in many hair straighteners and texturizers and have been associated with baldness, uterine fibroids, premature reproductive development, and increased risk of premenopausal breast cancer. In pregnant women, studies have also found that these chemicals are correlated with premature birth, low birth weight, and other adverse birth outcomes. Shampoos, conditioners and styling products marketed as less toxic or for "natural hair" may also contain other toxic substitutes, including parabens and phthalates that promote estrogenic or anti-estrogenic activity. Yikes!

In a recent study, which tested 18 hair products used by black women it detected 45 harmful chemicals including five that are regulated by California's Proposition 65 or are prohibited under the EU's cosmetics law. Many of these chemicals were not even disclosed in the ingredients listed on the product label (3). So much for the Fair Packaging and Labeling Act of 1967.

Federal Laws and FDA Regulations (or Lack Thereof)

Why are these toxic chemicals in beauty products to begin with? Well, under the Federal Food, Drug, and Cosmetic Act of 1938 (FD&C Act), with the exception of color additives, ingredients in cosmetics do not need FDA premarket approval and cosmetic manufacturers are not obligated to disclose safety information to the FDA (4). To make matter worse, the FDA only has the authority to investigate a product after concerns of non-compliance or violations are reported. Which means consumers will already have been exposed to these toxic chemicals and may even have experienced health problems. (4). Basically, people using these products are the test subjects of the cosmetic chemical industry.

Chemicals to Avoid

There's still a lot research needed to better understand how chemicals in black hair care products affect the public's health. And since the current cosmetics industry is essentially the Wild West of regulations, it's up to you to protect yourself. Below is a list of harmful chemicals like endocrine disruptors, allergens, and sensitizers that are commonly used in black beauty hair care products that you might want to steer clear of. This list is not exhaustive, but it's a good place to start (5) (6) (3).

  • Parabens
    • methylparaben
    • ethylparaben
    • propylparaben
    • butylparaben
    • isopropylparaben
    • isobutylparaben
  • Formaldehyde or methylene glycol
    • DMDM hydantoin,
    • diazolidinyl urea and
    • imidazolidinyl urea
  • Cyclosiloxanes
    • Octamethylcyclotetrasiloxane (D4)
    • Decamethylcyclopentasiloxane (D5)
    • Dodecamethylcyclohexylsiloxane (D6)
  • Diethyl phthalate (DEP)
  • Methylisothiazolinone—This is used as a preservative in conditioners, shampoos, styling gels and lotions.
  • "Fragrance" or "parfum"—This is a generic term used for a multitude of different chemicals. Often times this is what you will see in the list of product ingredients when a manufacturer is not disclosing specific chemicals used.
    • Phthalates
    • Linalool
    • Limonene
    • HHCB (Galaxolide)
    • Linalool
    • Terpineol
  • Resorcinol—This is often found in black beauty brand hair dyes.
  • Sodium hydroxide (Lye)
  • Calcium hydroxide—This is another caustic irritant just used to replace lye (sodium hydroxide) in hair relaxers, but is advertised as safer.
  • Lead acetate—This is often used in hair dyes.
  • Petroleum
  • Retyinal palmitate
  • Specific alcohols
    • Alcohol denat
    • Ethanol
    • Propanol
    • Isopropyl
    • Propyl
    • SD alcohol #4 (wood alcohol)
    • Phenethyl alcohol
  • Sulfates

What You Can Do

Whew, that's a lot to look out for in ingredient labels! We know that list is a lot of information that you'll probably never remember unless you have an upcoming chemistry quiz, so we also have some easy-to-remember safer product alternatives and some DIY tips.

1. Follow the 5-ingredient rule: The first five ingredients make up the majority of what's in the product so, these are the ones that matter the most (6). If the first five ingredients are made from natural ingredients, it's probably a product worth considering.

2. There are many natural ingredients that help promote healthy hair, like aloe vera, avocado, shea butter, castor oil coconut oil, extra virgin olive oil, grape seed, honey, and jojoba. Since these oils all have different properties and do different things like hydrating or strengthening your hair, you can solve a ton of different hair problems! (6).

3. Double check products using databases like EWG's Skin Deep database and BLK +GRN, which screens products using EWG's Toxic Twenty list. If a product has a low rating, it's best to avoid to all together.

4. One of the best ways to stand up for safer products is to contact your elected official or the FDA to urge them to strengthen the FD&C Act. You can scroll to the "STAND UP FOR #BEAUTYMADEBETTER!" for ideas on ways to make your voice heard.


References

1. https://www.ewg.org/research/big-market-black-cosmetics-less-hazardous-choices-limited
2. https://www.ajog.org/article/S0002-9378(17)30862-1/pdf
3. https://www.sciencedirect.com/science/article/pii/S0013935118301518?dgcid=raven_sd_aip_email#!
4. https://www.fda.gov/cosmetics/cosmetics-laws-regulations/fda-authority-over-cosmetics-how-cosmetics-are-not-fda-approved-are-fda-regulated
5. https://www.ewg.org/research/big-market-black-cosmetics-less-hazardous-choices-limited#ref10
6. https://www.sierraclub.org/sierra/hazardous-chemicals-lurking-black-hair-care-products

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