The Swedish Mammography Cohort (SMC)
The Swedish Mammography Cohort (SMC) is a large population-based cohort of over 60,000 women in the counties of Uppsala and Västmanland. All women born 1914-1948 who were residing in Västmanland and Uppsala County and in the years 1987-1990 received an invitation to participate in a mammography screening programme. The invitation included a six-page questionnaire that sought information on diet and alcohol intake (67-item food frequency questionnaire), parity, age at first childbirth, family history of breast cancer, weight, height, education level, and marital status. Approximately 66,000 women answered the questionnaire.
In the autumn 1997, a second survey was sent to these women to update the information about their eating habits. Additional follow-ups were done 2008/2009 and 2019. The study examine associations of environmental/modifiable risk factors with several cancer sites (e.g., breast, colorectal, endometrium, ovary, and renal cell cancer), myocardial infarction, stroke, osteoporosis, cataracts, as well as death causes. The study has a longitudinal design, and to complement the update on exposure data record linkages to the nationwide Cancer Register, the In-Patient Register, and the Cause of Death Register and Population Register are also done. The general aim of the Swedish Mammography Cohort (SMC) is to assess relationships between a number of modifiable factors (diet, vitamin supplement use, physical activity, smoking, alcohol, body weight, other anthropometric measures etc.) and the occurrence of several major chronic diseases.
The questionnaires used in the Swedish Mammography Cohort are the same as the ones that have been used in the Cohort of Swedish Men (COSM).
For more detailed information please visit the SIMPLER website, https://www.simpler4health.se/w/sh/en/researchers/cohorts.
For restrictions in data use see https://www.simpler4health.se/w/sh/en/researchers/rules-and-guidelines and https://www.simpler4health.se/w/sh/en/researchers/publication-policy.
Go to data source
https://www.simpler4health.se/w/sh/en/researchers/questionnaires
Documentation files
Documentation files
- SMC Frågeformulär baseline 1987-1990.pdf136.06 KiB
Citation and access
Citation and access
Data access level:
Creator/Principal investigator(s):
Research principal:
Data contains personal data:
Yes
Type of personal data:
health data
Code key exists:
Yes
Sensitive personal data:
Yes
Citation:
Method and outcome
Method and outcome
Population:
Women born 1914-1948 living in Västmanland or Uppsala County during 1987-1990.
Study design:
- Observational study
- Cohort study
Description of study design:
Longitudinal cohort study
Sampling procedure:
Description of sampling:
From 1987 to 1990, all women who lived in the Uppsala County of central Sweden and were born between 1914-1948 and all women who lived in the adjacent Västmanland County and were born between 1917-1948 received an invitation by mail to participate in a mammography screening program. Included in the mail was also an invitation to participate in this research study and a questionnaire to be answered and returned. Follow-ups have been performed approximately every tenth year starting in 1997. At next follow-up, 2008/2009, the questionnaire was extended and separated into two questionnaires. An additional follow-up was done during 2019.
Time period(s) investigated:
Description of the response rate/participation rate:
1987: 74%
1997: 70%
2008: 63%
2009: 84%
2019 health: 55%
2019 lifestyle: 83%
Sub-cohort 1: 65%
Samples/material - Collected from scientific collection/biobank
Samples/material - Collected from scientific collection/biobank
Name:
Uppsala biobank/SIMPLER
Type(s) of sample:
DNA
Data collections - 9 collections
Data collections - 9 collections
Data collection - Self-administered questionnaire
Data collection - Self-administered questionnaire
Mode of collection:
Self-administered questionnaire
Time period(s) for data collection:
1987 - 1990
Sample size:
90303
Number of responses:
61433
Source of the data:
- Population group
Data collection - Self-administered questionnaire
Data collection - Self-administered questionnaire
Mode of collection:
Self-administered questionnaire
Time period(s) for data collection:
1997 - 1997-09-15
Sample size:
56030
Number of responses:
38984
Source of the data:
- Population group
Data collection
Data collection
Description of the mode of collection:
Clinical Subcohort visit 1 Uppsala
Time period(s) for data collection:
2003 - 2009
Sample size:
8311
Number of responses:
5022
Source of the data:
- Population group
Sample
Sample
Name:
Description of sample:
blood, urine, faeces, adipose, DNA
Data collection - Self-administered questionnaire
Data collection - Self-administered questionnaire
Mode of collection:
Self-administered questionnaire
Time period(s) for data collection:
2008 - 2008-12-31
Sample size:
48253
Number of responses:
30621
Source of the data:
- Population group
Data collection - Self-administered questionnaire
Data collection - Self-administered questionnaire
Mode of collection:
Self-administered questionnaire
Time period(s) for data collection:
2009 - 2009-06-30
Sample size:
30134
Number of responses:
25332
Source of the data:
- Population group
Data collection
Data collection
Description of the mode of collection:
Clinical Subcohort visit 1 – Västerås
Time period(s) for data collection:
2010 - 2019
Number of responses:
2630
Sample
Sample
Name:
Description of sample:
blood, urine, faeces, adipose, DNA
Data collection
Data collection
Description of the mode of collection:
Clinical Subcohort visit 2 – Uppsala
Time period(s) for data collection:
2015 - 2015
Number of responses:
1500
Source of the data:
- Population group
Sample
Sample
Name:
Description of sample:
blood, urine, faeces, adipose, DNA
Data collection - Self-administered questionnaire
Data collection - Self-administered questionnaire
Mode of collection:
Self-administered questionnaire
Time period(s) for data collection:
2019-01-21 - 2019-06-30
Sample size:
34473
Number of responses:
19081
Source of the data:
- Population group
Data collection - Self-administered questionnaire
Data collection - Self-administered questionnaire
Mode of collection:
Self-administered questionnaire
Time period(s) for data collection:
2019-09-16 - 2019-12-31
Sample size:
18930
Number of responses:
14922
Source of the data:
- Population group
Geographic coverage
Geographic coverage
Geographic location:
Geographic description:
Uppsala and Västmanland counties, Sweden.
Lowest geographic unit:
Municipality
Highest geographic unit:
Country
Administrative information
Administrative information
Responsible department/unit:
Department of Surgical Science
Ethical Review
Ethical Review
Reviewer:
- Uppsala Ethical Review Board
Registration number:
2018/262
Reviewer:
- Uppsala Ethical Review Board
Registration number:
2018/263
Funding
Funding
Topic and keywords
Topic and keywords
Swedish Standard Classification of Research Subjects 2025:
Keywords:
Relations
Relations
Website:
Related research data:
Publications
Publications
Link to publication list:
Citation:
Harris H, Håkansson N, Olofsson C, Julin B, Åkesson A, Wolk A. The Swedish Mammography Cohort and the Cohort of Swedish Men: Study design and characteristics of 2 population-based longitudinal cohorts. OA Epidemiology;1(2):16, 2013.
