Pearce Mark S, Hammal Donna M, Dorak M Tevfik, McNally Richard J Q, Parker Louise
Paediatric and Lifecourse Epidemiology Research Group, School of Clinical Medical Sciences (Child Health), University of Newcastle upon Tyne, UK.
Pediatr Blood Cancer. 2007 Sep;49(3):280-6. doi: 10.1002/pbc.21021.
Numerous studies have implied that paternal occupational exposures, in particular electromagnetic fields (EMF) and ionizing radiation, may be involved in the etiology of childhood cancers. We investigated whether an association exists between paternal occupations at birth involving such exposures and cancer risk in offspring, using data from the Northern Region Young Persons' Malignant Disease Registry (NRYPMDR).
Cases (n=4,723) were matched, on sex and year of birth, to controls from two independent sources: (i) all other patients from the NRYPMDR with a different cancer, (ii) 100 cancer-free individuals per case from the Cumbrian Births Database. An occupational exposure matrix was used to assign individuals to exposure groups.
There was an increased risk of leukemia among the offspring of men employed in occupations likely to be associated with EMF or radiation exposures (OR 1.31, 95% CI 1.02-1.69), particularly in males aged less than 6 years (OR 1.81, 95% 1.19-2.75). No significant association was seen in females. Increased risks were also seen for chondrosarcoma (OR 8.7, 95% CI 1.55-49.4) and renal carcinoma (OR 6.75, 95% CI 1.73-26.0). These associations were consistent between control groups and remained after adjustment for socio-economic status.
This large case-control study identified a significantly increased risk of leukemia among the offspring of men likely to have been occupationally exposed to EMF, with differing associations between males and females. Increased risks of chondrosarcoma and renal carcinoma were also seen, although based on smaller numbers. Further detailed investigations in this area are required to understand this association.
大量研究表明,父亲的职业暴露,尤其是电磁场(EMF)和电离辐射,可能与儿童癌症的病因有关。我们利用北部地区青年恶性疾病登记处(NRYPMDR)的数据,调查了出生时父亲从事此类暴露相关职业与后代患癌风险之间是否存在关联。
病例(n = 4723)按性别和出生年份与来自两个独立来源的对照组进行匹配:(i)NRYPMDR中所有患有其他癌症的患者,(ii)坎布里亚郡出生数据库中每个病例的100名无癌个体。使用职业暴露矩阵将个体分配到暴露组。
从事可能与EMF或辐射暴露相关职业的男性后代患白血病的风险增加(OR 1.31,95%CI 1.02 - 1.69),特别是6岁以下男性(OR 1.81,95% 1.19 - 2.75)。女性中未发现显著关联。软骨肉瘤(OR 8.7,95%CI 1.55 - 49.4)和肾癌(OR 6.75,95%CI 1.73 - 26.0)的风险也有所增加。这些关联在对照组之间是一致的,并且在调整社会经济地位后仍然存在。
这项大型病例对照研究发现,职业性接触EMF的男性后代患白血病的风险显著增加,男性和女性之间存在不同的关联。软骨肉瘤和肾癌的风险也有所增加,尽管基于较小的样本数量。需要在该领域进行进一步详细调查以了解这种关联。