Chang J S, Metayer C, Fear N T, Reinier K, Yin X, Urayama K, Russo C, Jolly K W, Buffler P A
Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA.
Br J Cancer. 2007 Nov 5;97(9):1315-21. doi: 10.1038/sj.bjc.6604024. Epub 2007 Oct 9.
To study the possible relation between parental social contact through occupation, a marker for a child's risk of infection, and childhood acute lymphoblastic leukaemia (ALL), the parents of 294 children with ALL aged 0-14.9 years and 376 matched controls were interviewed about their jobs after their child's birth up to the age of 3 years. Job titles were assigned to a level of social contact, and an index of occupational social contact months was created using the level and the job duration. Positive interactions between this index and rural residence associated with an increased risk of childhood ALL and common ALL (c-ALL) were observed (interaction P-value=0.02 for both, using tertiles of contact months; interaction P-value=0.05 and 0.02 for ALL and c-ALL, respectively, using continuous contact months); such findings were not observed when job durations were ignored. Our data suggest that duration of parental occupation may be important when examining the association between parental social contact in the workplace and childhood leukaemia.
为研究通过职业体现的父母社会接触(一种儿童感染风险的标志物)与儿童急性淋巴细胞白血病(ALL)之间的可能关系,我们对294名年龄在0至14.9岁的ALL患儿以及376名匹配对照的父母进行了访谈,询问他们孩子出生至3岁期间的工作情况。将工作职位划分到社会接触水平,并使用该水平和工作时长创建了职业社会接触月指数。观察到该指数与农村居住环境之间存在正向交互作用,这与儿童ALL和普通ALL(c-ALL)风险增加相关(使用接触月三分位数时,两者的交互P值均为0.02;使用连续接触月数时,ALL和c-ALL的交互P值分别为0.05和0.02);当忽略工作时长时,未观察到此类结果。我们的数据表明,在研究职场中父母社会接触与儿童白血病之间的关联时,父母职业的持续时间可能很重要。