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七个国家中与美容产品相关的接触与儿童脑肿瘤:SEARCH国际脑肿瘤研究结果

Beauty product-related exposures and childhood brain tumors in seven countries: results from the SEARCH International Brain Tumor Study.

作者信息

Efird J T, Holly E A, Cordier S, Mueller B A, Lubin F, Filippini G, Peris-Bonet R, McCredie M, Arslan A, Bracci P, Preston-Martin S

机构信息

John A. Burns School of Medicine, University of Hawaii at Manoa, 1960 East-West Road, Room D-103, Honolulu, Hawaii, 96822-2319, USA.

出版信息

J Neurooncol. 2005 Apr;72(2):133-47. doi: 10.1007/s11060-004-3121-0.

Abstract

Data from 1218 cases of childhood brain tumors (CBT) diagnosed between 1976 and 1994 and 2223 matched controls from the general population were included in an analysis of maternal beauty product exposure and beauty-related employment in 9 centers in 7 countries. A 50% increased odds ratio (OR) [95% confidence interval (CI) = 1.0-2.1] for CBT was observed among children of mothers who were exposed via personal use of and/or possible ambient contact with beauty products during the 5 years preceding the index child's birth compared with children of mothers never exposed to beauty products during this time period. Overall maternal personal use of hair-coloring agents in the month before or during the pregnancy of the index child's birth was not associated with CBT (OR = 1.0, CI = 0.83-1.3) or with astroglial (OR = 1.1, CI = 0.85-1.4), PNET (OR = 1.0, CI = 0.71-1.5) and other glial subtypes (OR = 1.0, CI = 0.62-1.0). Similarly, no statistically increased ORs or discernable pattern of risk estimates were observed for period of use or for number of applications per year for maternal personal use of hair-coloring agents overall or by histologic type. Among children born on or after 1980, increased ORs for CBT were associated with maternal non-work-related exposure to any beauty products (OR = 2.6, CI = 1.2-5.9), hair-dyes (OR = 11, CI = 1.2-90), and hair sprays (OR = 3.4, CI = 1.0-11). No overall increased OR for CBT was observed among children of mothers employed in beauty-related jobs during the 5 years preceding the index child's birth compared with those who reported no beauty-related employment. In general, other specific beauty product-related exposures were not associated with increased ORs for CBT. Data from our study provide little evidence of an increased risk for CBT with mothers' exposures to beauty products.

摘要

1976年至1994年间诊断出的1218例儿童脑肿瘤(CBT)病例数据以及来自普通人群的2223名匹配对照被纳入一项分析,该分析涉及7个国家9个中心的母亲接触美容产品情况及与美容相关的职业。与在该时间段内从未接触过美容产品的母亲所生子女相比,在索引儿童出生前5年内,通过个人使用和/或可能的环境接触而接触美容产品的母亲所生子女患CBT的比值比(OR)升高了50%[95%置信区间(CI)=1.0 - 2.1]。总体而言,在索引儿童出生前一个月或怀孕期间母亲个人使用染发剂与CBT(OR = 1.0,CI = 0.83 - 1.3)或星形胶质细胞瘤(OR = 1.1,CI = 0.85 - 1.4)、原始神经外胚层肿瘤(OR = 1.0,CI = 0.71 - 1.5)以及其他胶质细胞亚型(OR = 1.0,CI = 0.62 - 1.0)均无关联。同样,对于母亲个人使用染发剂的使用时长或每年使用次数,总体或按组织学类型分析,均未观察到统计学上升高的OR值或可辨别的风险估计模式。在1980年及以后出生的儿童中,CBT的OR升高与母亲非工作相关接触任何美容产品(OR = 2.6,CI = 1.2 - 5.9)、染发剂(OR = 11,CI = 1.2 - 90)和发胶(OR = 3.4,CI = 1.0 - 11)有关。与报告无美容相关职业的母亲所生子女相比,在索引儿童出生前5年内从事与美容相关工作的母亲所生子女中,未观察到CBT的总体OR升高。一般而言,其他与特定美容产品相关的接触与CBT的OR升高无关。我们研究的数据几乎没有提供证据表明母亲接触美容产品会增加儿童患CBT的风险。

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