Stang A, Anastassiou G, Ahrens W, Bromen K, Bornfeld N, Jöckel K H
Institute for Medical Informatics, Biometry and Epidemiology, Medical Faculty, University of Essen, Germany.
Epidemiology. 2001 Jan;12(1):7-12. doi: 10.1097/00001648-200101000-00003.
There are few epidemiologic studies dealing with electromagnetic radiation and uveal melanoma. The majority of these studies are exploratory and are based on job and industry titles only. We conducted a hospital-based and population-based case-control study of uveal melanoma and occupational exposures to different sources of electromagnetic radiation, including radiofrequency radiation. We then pooled these results. We interviewed a total of 118 female and male cases with uveal melanoma and 475 controls matching on sex, age, and study regions. Exposure to radiofrequency-transmitting devices was rated as (a) no radiofrequency radiation exposure, (b) possible exposure to mobile phones, or (c) probable/certain exposure to mobile phones. Exposures were rated independently by two of the authors who did not know case or control status. We used conditional logistic regression to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs). We found an elevated risk for exposure to radiofrequency-transmitting devices (exposure to radio sets, OR = 3.0, 95% CI = 1.4-6.3; probable/certain exposure to mobile phones, OR = 4.2, 95% CI = 1.2-14.5). Other sources of electromagnetic radiation such as high-voltage lines, electrical machines, complex electrical environments, visual display terminals, or radar units were not associated with uveal melanoma. This is the first study describing an association between radiofrequency radiation exposure and uveal melanoma. Several methodologic limitations prevent our results from providing clear evidence on the hypothesized association.
关于电磁辐射与葡萄膜黑色素瘤的流行病学研究较少。这些研究大多是探索性的,仅基于职业和行业名称。我们开展了一项基于医院和人群的病例对照研究,以探讨葡萄膜黑色素瘤与不同电磁辐射源(包括射频辐射)的职业暴露之间的关系。然后我们汇总了这些结果。我们共采访了118例葡萄膜黑色素瘤患者(男女均有)以及475名在性别、年龄和研究区域方面相匹配的对照者。射频发射设备的暴露情况被分为以下几类:(a)无射频辐射暴露;(b)可能暴露于移动电话;或(c)很可能/肯定暴露于移动电话。由两位不了解病例或对照状态的作者独立对暴露情况进行评级。我们使用条件逻辑回归来计算比值比(OR)和95%置信区间(95%CI)。我们发现,暴露于射频发射设备会增加患病风险(暴露于收音机,OR = 3.0,95%CI = 1.4 - 6.3;很可能/肯定暴露于移动电话,OR = 4.2,95%CI = 1.2 - 14.5)。其他电磁辐射源,如高压线、电机、复杂电气环境、视屏终端或雷达装置,与葡萄膜黑色素瘤并无关联。这是第一项描述射频辐射暴露与葡萄膜黑色素瘤之间关联的研究。一些方法学上的局限性使我们的结果无法为所假设的关联提供明确证据。