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电场和磁场暴露与脑癌:综述

Electric and magnetic field exposure and brain cancer: a review.

作者信息

Kheifets L I

机构信息

Electric Power Research Institute, Palo Alto, California 94304-1395, USA.

出版信息

Bioelectromagnetics. 2001;Suppl 5:S120-31. doi: 10.1002/1521-186x(2001)22:5+<::aid-bem1028>3.3.co;2-p.

Abstract

A number of epidemiologic studies have investigated exposure to electric and magnetic fields as a possible risk factor for brain cancer. Studies of residential exposure and childhood brain tumors have produced inconsistent results, regardless of the exposure metrics used; this outcome holds for both current and past estimates of magnetic fields, whether based on wire codes, distance, or measured or calculated fields. Most recent studies provide little evidence of an association. Studies examining use of appliances by children or by their mothers during pregnancy have also found an inconsistent pattern of risk, and recent studies of parental occupational exposure and childhood brain tumors suggest a lack of an association. Methodological issues may weaken these conclusions. In adults, residential studies have found little or no association between electric and magnetic field exposure and brain cancer. However, meta-analysis of occupational studies indicates a slightly higher risk for electrical workers. A comparative analysis of major studies of electric utility workers also suggests a small increase in brain cancer risk. Of note in these analyses are large exposure misclassifications and the lack of a clear dose-response relationship in most individual studies.

摘要

多项流行病学研究调查了暴露于电场和磁场是否可能是患脑癌的风险因素。关于居住环境暴露与儿童脑肿瘤的研究结果并不一致,无论使用何种暴露指标;对于当前和过去磁场的估计,无论基于电线编码、距离,还是测量或计算出的磁场,都是如此。最近的研究几乎没有提供关联证据。研究儿童或其母亲在孕期使用电器情况的研究也发现风险模式不一致,而最近关于父母职业暴露与儿童脑肿瘤的研究表明两者缺乏关联。方法学问题可能会削弱这些结论。在成年人中,居住环境研究发现电场和磁场暴露与脑癌之间几乎没有关联或不存在关联。然而,职业研究的荟萃分析表明电气工人的风险略高。对电力公司工人主要研究的比较分析也表明脑癌风险略有增加。这些分析中值得注意的是,大多数个体研究存在大量暴露误分类情况,且缺乏明确的剂量反应关系。

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