Rosso Andrea L, Hovinga Mary E, Rorke-Adams Lucy B, Spector Logan G, Bunin Greta R
Department of Epidemiology and Biostatistics, Drexel University School of Public Health, Philadelphia, PA, USA.
Cancer Causes Control. 2008 Dec;19(10):1201-7. doi: 10.1007/s10552-008-9189-7. Epub 2008 Jun 17.
A comprehensive case-control study was conducted to evaluate parental risk factors for medulloblastoma (MB) and primitive neuroectodermal tumor (PNET). This analysis was conducted to evaluate associations between fathers' hobbies and risk of their children developing MB/PNET. The hobbies chosen for study were those with similar exposures as occupations associated with childhood cancers.
Cases were 318 subjects under six years of age at diagnosis between 1991 and 1997 and registered with the Children's Cancer Group. An equal number of controls were selected through random digit dialing and individually matched to cases.
In multivariate analyses, a significant association was seen for lawn care with pesticides [during pregnancy: odds ratio (OR) = 1.6, 95% confidence interval (CI): 1.0, 2.5; after birth: OR = 1.8, 95% CI: 1.2, 2.8] and a weak association was seen for stripping paint [during pregnancy: OR = 1.4, 95% CI: 0.8, 2.6; after birth: OR = 1.4, 95% CI: 0.7, 2.6].
This study suggests that household exposures from hobbies, particularly pesticides, may increase risk of MB/PNET in children; previous research has been mostly limited to occupational exposures.
开展一项全面的病例对照研究,以评估髓母细胞瘤(MB)和原始神经外胚层肿瘤(PNET)的父母风险因素。进行该分析是为了评估父亲的爱好与子女患MB/PNET风险之间的关联。所选择用于研究的爱好是那些与儿童癌症相关职业有相似暴露情况的爱好。
病例为1991年至1997年间确诊时年龄在6岁以下且在儿童癌症研究组登记的318名受试者。通过随机数字拨号选择数量相等的对照,并与病例进行个体匹配。
在多变量分析中,使用杀虫剂进行草坪护理显示出显著关联[孕期:优势比(OR)=1.6,95%置信区间(CI):1.0,2.5;产后:OR =1.8,95% CI:1.2,2.8],而去除油漆显示出较弱关联[孕期:OR =1.4,95% CI:0.8,2.6;产后:OR =1.4,95% CI:0.7,2.6]。
本研究表明,来自爱好的家庭暴露,尤其是杀虫剂,可能会增加儿童患MB/PNET的风险;先前的研究大多局限于职业暴露。