Rodvall Y, Dich J, Wiklund K
Stockholm County Council and Department of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden.
Occup Environ Med. 2003 Oct;60(10):798-801. doi: 10.1136/oem.60.10.798.
To explore cancer risk from date of birth until 1994 in children, born 1958 or later, of Swedish male pesticide applicators.
Records of male pesticide applicators licensed 1965-76 were linked to the Multigeneration Register. The records of their offspring were then linked to the Swedish Cancer Registry and the Cause of Death Register.
In total 51 cases of cancer were observed, which is significantly lower than the expected 73.0 (standardised incidence ratio (SIR) 0.70, 95% CI 0.52 to 0.92). Tumours of the nervous system was most common, amounting to 20 cases, 39% of all cancer cases (SIR 1.01, 95% CI 0.62 to 1.56). A statistically significant reduced risk for leukaemia was found (SIR 0.43, 95% CI 0.19 to 0.86). For non-Hodgkin's lymphoma, three cases were observed and 4.8 expected (SIR 0.63, 95% CI 0.13 to 1.83). For Hodgkin's disease, five cases were observed versus 3.7 expected (SIR 1.36, 95% CI 0.44 to 3.17). Two cases of testicular cancer were observed and 1.7 expected (SIR 1.19, 95% CI 0.13 to 4.28).
None of the a priori hypotheses of increased risk of tumours of the nervous system, kidney cancer, leukaemia, lymphoma, soft tissue sarcoma, and testicular cancer in children of male pesticide applicators could be confirmed.
探讨1958年及以后出生的瑞典男性农药施用者的子女从出生到1994年的癌症风险。
1965 - 1976年获得许可的男性农药施用者记录与多代登记册相链接。然后将他们子女的记录与瑞典癌症登记处和死亡原因登记处相链接。
总共观察到51例癌症病例,显著低于预期的73.0例(标准化发病率(SIR)0.70,95%置信区间0.52至0.92)。神经系统肿瘤最为常见,达20例,占所有癌症病例的39%(SIR 1.01,95%置信区间0.62至1.56)。发现白血病风险有统计学意义的降低(SIR 0.43,95%置信区间0.19至0.86)。对于非霍奇金淋巴瘤,观察到3例,预期4.8例(SIR 0.63,95%置信区间0.13至1.83)。对于霍奇金病,观察到5例,预期3.7例(SIR 1.36,95%置信区间0.44至3.17)。观察到2例睾丸癌,预期1.7例(SIR 1.19,95%置信区间0.13至4.28)。
男性农药施用者的子女患神经系统肿瘤、肾癌、白血病、淋巴瘤、软组织肉瘤和睾丸癌风险增加的所有先验假设均未得到证实。