Coble Joseph B, Dosemeci Mustafa, Stewart Patricia A, Blair Aaron, Bowman Joseph, Fine Howard A, Shapiro William R, Selker Robert G, Loeffler Jay S, Black Peter M, Linet Martha S, Inskip Peter D
National Cancer Institute, Rockville, MD 20892, USA.
Neuro Oncol. 2009 Jun;11(3):242-9. doi: 10.1215/15228517-2009-002. Epub 2009 Feb 20.
We investigated the association between occupational exposure to extremely low-frequency magnetic fields (MFs) and the risk of glioma and meningioma. Occupational exposure to MF was assessed for 489 glioma cases, 197 meningioma cases, and 799 controls enrolled in a hospital-based case-control study. Lifetime occupational history questionnaires were administered to all subjects; for 24% of jobs, these were supplemented with job-specific questionnaires, or "job modules," to obtain information on the use of electrically powered tools or equipment at work. Job-specific quantitative estimates for exposure to MF in milligauss were assigned using a previously published job exposure matrix (JEM) with modification based on the job modules. Jobs were categorized as < or =1.5 mG, >1.5 to <3.0 mG, and > or =3.0 mG. Four exposure metrics were evaluated: (1) maximum exposed job; (2) total years of exposure >1.5 mG; (3) cumulative lifetime exposure; and (4) average lifetime exposure. Odds ratios (ORs) were calculated using unconditional logistic regression with adjustment for the age, gender, and hospital site. The job modules increased the number of jobs with exposure > or =3.0 mG from 4% to 7% relative to the JEM. No statistically significant elevation in ORs or trends in ORs across exposure categories was observed using four different exposure metrics for the three tumor types analyzed. Occupational exposure to MFs assessed using job modules was not associated with an increase in the risk for glioma, glioblastoma, or meningioma among the subjects evaluated in this study.
我们调查了职业性接触极低频磁场(MFs)与患神经胶质瘤和脑膜瘤风险之间的关联。在一项基于医院的病例对照研究中,对489例神经胶质瘤病例、197例脑膜瘤病例和799名对照者进行了职业性接触MF的评估。对所有受试者发放了终生职业史问卷;对于24%的工作,还补充了特定工作问卷或“工作模块”,以获取有关工作中使用电动工具或设备的信息。使用先前发表的工作接触矩阵(JEM)并根据工作模块进行修改,对以毫高斯为单位的MF接触进行特定工作的定量估计。工作被分类为≤1.5 mG、>1.5至<3.0 mG和≥3.0 mG。评估了四种接触指标:(1)最高接触工作;(2)接触>1.5 mG的总年数;(3)终生累积接触量;(4)终生平均接触量。使用无条件逻辑回归计算比值比(ORs),并对年龄、性别和医院地点进行调整。相对于JEM,工作模块使接触≥3.0 mG的工作数量从4%增加到7%。对于所分析的三种肿瘤类型,使用四种不同的接触指标未观察到ORs有统计学显著升高或跨接触类别ORs的趋势。在本研究评估的受试者中,使用工作模块评估的职业性接触MF与神经胶质瘤、胶质母细胞瘤或脑膜瘤风险增加无关。