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意大利北部成人软组织肉瘤的非职业性风险因素。

Non-occupational risk factors for adult soft-tissue sarcoma in northern Italy.

作者信息

Serraino D, Franceschi S, Talamini R, Frustaci S, La Vecchia C

机构信息

Epidemiology Unit, Aviano Cancer Center, Italy.

出版信息

Cancer Causes Control. 1991 May;2(3):157-64. doi: 10.1007/BF00056208.

Abstract

The role of socioeconomic and anthropometric indicators, tobacco, alcohol consumption, dietary habits, and medical history in the etiology of soft-tissue sarcoma (STS) was examined in a hospital-based case-control study, conducted in the Friuli-Venezia Giulia region of northeast Italy, between 1985 and 1990. A total of 88 STS cases (53 males and 35 females; median age: 52 years) and of 610 controls (306 males and 304 females; median age: 54 years) were interviewed. There were significant excess risks associated with a history of herpes zoster infection (odds ratio [OR] = 2.4, 95 percent confidence interval [CI] = 1.1-5.3), chicken pox (OR = 2.2, CI = 1.2-4.3) and mumps in childhood (OR = 2.0, CI = 1.1-3.9). History of diabetes was also linked to a nonsignificant increase in STS risk (OR = 1.8, CI = 0.6-5.4), whereas exposure to radiation for diagnostic or therapeutic purposes was not related to the probability of developing STS. None of the investigated socioeconomic and anthropometric indicators seemed to affect STS risk; neither did tobacco smoking, nor consumption of alcohol, coffee, and tea beverages. Conversely, among the dietary habits investigated, a significant positive association emerged with an increasing frequency of consumption of dairy products (chi 2 for trend = 6.8, P less than 0.01) and oil (chi 2 for trend = 4.3, P less than 0.05), while a negative association was seen for intake of whole grain bread and pasta (OR for highest cf lowest tertile = 0.4, CI = 0.2-0.9).

摘要

1985年至1990年期间,在意大利东北部弗留利-威尼斯朱利亚地区开展了一项基于医院的病例对照研究,调查了社会经济和人体测量指标、烟草、酒精消费、饮食习惯及病史在软组织肉瘤(STS)病因学中的作用。共访谈了88例STS患者(53例男性和35例女性;中位年龄:52岁)和610名对照者(306例男性和304例女性;中位年龄:54岁)。带状疱疹感染史(比值比[OR]=2.4,95%置信区间[CI]=1.1 - 5.3)、水痘(OR = 2.2,CI = 1.2 - 4.3)及儿童期腮腺炎(OR = 2.0,CI = 1.1 - 3.9)与显著的额外风险相关。糖尿病史也与STS风险的非显著增加有关(OR = 1.8,CI = 0.6 - 5.4),而诊断或治疗目的的辐射暴露与发生STS的可能性无关。所调查的社会经济和人体测量指标似乎均不影响STS风险;吸烟、酒精、咖啡和茶饮料的消费也不影响。相反,在所调查的饮食习惯中,乳制品消费频率增加(趋势检验卡方值=6.8,P<0.01)和食用油消费频率增加(趋势检验卡方值=4.3,P<0.05)呈现出显著的正相关,而全麦面包和面食的摄入量则呈现出负相关(最高三分位数与最低三分位数的OR = 0.4,CI = 0.2 - 0.9)。

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