Tynes T, Haldorsen T
Norwegian Radiation Protection Authority, Osterds, Norway.
Cancer Causes Control. 2003 Oct;14(8):715-20. doi: 10.1023/a:1026331807952.
The aim of this nested case-control study was to test the hypothesis that exposure to electromagnetic fields from high-voltage power lines increases the incidence of hematological cancers in adults. Data from an occupational exposure matrix was also used.
The study population comprised subjects aged 16 and above who had lived in a residence situated in a broad corridor around a high-voltage power line in 1980, or one of the years from 1986 to 1996. The cases were incident cases diagnosed 1980-1996. Two controls were matched to each case by year of birth, sex, municipality and first year entering the cohort. Time-weighted average exposure to residential magnetic fields generated by the power lines was calculated for the exposure follow-up from January 1, 1967 until diagnosis using cut-off points at 0.05 and 0.20 microT. In addition, job titles and industrial branch was classified as categories of hours per week in a magnetic field above background (0.1 microT). Subjects exposures were cumulated over occupationally active years for the exposure follow-up January 1, 1955 until diagnosis.
When residential magnetic fields are evaluated, the two upper residential time weighted average magnetic field categories showed non-significant elevated odds ratios (ORs) for all leukemia combined (OR: 1.3, 95% confidence interval (CI) 0.7-2.5 and OR: 1.5, 95% CI: 0.8-3.0). The increased risk was confined to chronic lymphocytic leukemia, acute lymphocytic and acute myeloid leukemia. Lymphoma showed a non-significant lower OR in the upper exposure category. Multiple myeloma showed non-significant elevated ORs. Occupational exposure showed no significant association to exposure for any site.
Some elevated ORs were observed in the present study, but the results are based on small numbers and no firm conclusions can be drawn.
本巢式病例对照研究的目的是检验以下假设,即暴露于高压电线产生的电磁场会增加成年人血液系统癌症的发病率。研究还使用了职业暴露矩阵的数据。
研究人群包括1980年或1986年至1996年期间居住在高压电线宽阔走廊附近住所的16岁及以上受试者。病例为1980 - 1996年确诊的新发病例。通过出生年份、性别、直辖市和进入队列的第一年为每个病例匹配两名对照。计算1967年1月1日至诊断期间因接触电线产生的住宅磁场的时间加权平均暴露量,使用0.05和0.20微特斯拉的截断点。此外,将工作头衔和工业分支分类为每周在高于背景(0.1微特斯拉)的磁场中的小时数类别。在1955年1月1日至诊断期间的职业活跃年份累积受试者的暴露量以进行暴露随访。
在评估住宅磁场时,对于所有白血病合并症,两个较高的住宅时间加权平均磁场类别显示出非显著升高的比值比(OR)(OR:1.3,95%置信区间(CI)0.7 - 2.5;OR:1.5,95% CI:0.8 - 3.0)。增加的风险仅限于慢性淋巴细胞白血病、急性淋巴细胞白血病和急性髓细胞白血病。淋巴瘤在上暴露类别中显示出非显著降低的OR。多发性骨髓瘤显示出非显著升高的OR。职业暴露与任何部位的暴露均无显著关联。
本研究观察到一些升高的OR,但结果基于小样本数量,无法得出确凿结论。