Navas-Acién Ana, Pollán Marina, Gustavsson Per, Floderus Birgitta, Plato Nils, Dosemeci Mustafa
Environmental and Cancer Epidemiology Area, National Center for Epidemiology, Carlos III Institute of Health, 28029 Madrid, Spain.
Cancer Epidemiol Biomarkers Prev. 2002 Dec;11(12):1678-83.
The objective of our study was to investigate the possible interactive effect of occupational exposure to extremely low-frequency magnetic field (ELFMF) and to known or suspected carcinogenic chemicals on the incidence of the two main histological types of brain cancer, gliomas and meningiomas, in a cohort of male Swedish workers. The historical cohort of all Swedish men gainfully employed in 1970 were followed 19 years (1971-1989). Exposure to ELFMF and to nine chemicals were assessed using two Swedish job exposure matrices based on occupational codes and industrial activity. Relative risks adjusted for age, period, geographical area, and town size were computed using log-linear Poisson models. The main finding was the absence of ELFMF effect on glioma risk in the absence of a simultaneous exposure to chemical products. The effect of petroleum products was independent of the intensity of ELFMF exposure whereas solvents, lead, and pesticides/herbicides were only associated with glioma in workers also exposed to moderate or high levels of ELFMF. On the other hand, whereas ELFMF seemed to enhance the effect of specific chemicals in the causation of gliomas, we did not find a relationship between ELFMF exposure and meningiomas. The potential for ELFMF to act as an effect modifier of the association of chemical agents and glioma is an interesting new finding. It would be worthwhile to evaluate this hypothesis for other tumors. Also, it is necessary to confirm these results in epidemiological studies with individual exposure assessments, and in experimental studies that may elucidate whether there is a true causal mechanism for the results we observed.
我们研究的目的是调查职业性接触极低频磁场(ELFMF)以及已知或疑似致癌化学物质对一群瑞典男性工人中两种主要组织学类型的脑癌(胶质瘤和脑膜瘤)发病率可能产生的交互作用。对1970年所有有收益工作的瑞典男性历史队列进行了19年(1971 - 1989年)的随访。基于职业代码和工业活动,使用两个瑞典工作暴露矩阵评估了ELFMF和九种化学物质的暴露情况。使用对数线性泊松模型计算了调整年龄、时期、地理区域和城镇规模后的相对风险。主要发现是,在不同时接触化学产品的情况下,ELFMF对胶质瘤风险没有影响。石油产品的影响与ELFMF暴露强度无关,而溶剂、铅和农药/除草剂仅在同时暴露于中度或高水平ELFMF的工人中与胶质瘤相关。另一方面,虽然ELFMF似乎在胶质瘤病因中增强了特定化学物质的作用,但我们未发现ELFMF暴露与脑膜瘤之间存在关联。ELFMF作为化学物质与胶质瘤关联的效应修饰因子的可能性是一个有趣的新发现。对其他肿瘤评估这一假设将是值得的。此外,有必要在进行个体暴露评估的流行病学研究以及可能阐明我们观察到的结果是否存在真正因果机制的实验研究中证实这些结果。