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美国儿童癌症发病率上升。

A rise in the incidence of childhood cancer in the United States.

作者信息

Mangano J J

机构信息

Radiation and Public Health Project, Brooklyn, NY 11215, USA.

出版信息

Int J Health Serv. 1999;29(2):393-408. doi: 10.2190/TGRR-L4MV-JMXC-HJKP.

Abstract

From the early 1980s to the early 1990s, the incidence of cancer in American children under 10 years of age rose 37 percent, or 3 percent annually. There is an inverse correlation between increases in cancer rates and age at diagnosis; the largest rise (54 percent) occurred in children diagnosed before their first birthday. Rates rose for all 11 states and cities included in the analysis. A jump in cancer rates for children born in 1982-83 was followed by a drop; but another abrupt rise for the 1986-87 birth cohort has been sustained thereafter. Results indicate that the rising childhood cancer rate represents a far more serious problem in the United States than previous reports have suggested. The methodology used here adds three additional states and cities, analyzes children under 10 rather than under 15, begins the analysis in 1980 rather than in 1973, and extends the study to 1993, which may partially account for the new findings. There are no apparent explanations for these trends, suggesting that researchers should analyze the data more fully and propose hypotheses on potential causes. One possible factor, fetal and infant exposure to low-dose radioactivity, is explored here.

摘要

从20世纪80年代初到90年代初,美国10岁以下儿童的癌症发病率上升了37%,即每年上升3%。癌症发病率的上升与诊断时的年龄呈负相关;增幅最大的(54%)发生在一岁前被诊断出癌症的儿童中。分析所涵盖的所有11个州和城市的发病率都有所上升。1982 - 1983年出生的儿童癌症发病率跃升之后出现了下降;但1986 - 1987年出生队列的发病率再次突然上升,此后一直持续。结果表明,美国儿童癌症发病率上升所代表的问题比以往报告所显示的要严重得多。这里使用的方法增加了三个州和城市,分析的是10岁以下而非15岁以下的儿童,分析始于1980年而非1973年,并将研究扩展到1993年,这可能部分解释了这些新发现。对于这些趋势没有明显的解释,这表明研究人员应该更全面地分析数据,并就潜在原因提出假设。这里探讨了一个可能的因素,即胎儿和婴儿接触低剂量放射性物质。

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