Croft R J, McKenzie R J, Inyang I, Benke G P, Anderson V, Abramson M J
Australian Centre for Radiofrequency Bioeffects Research, Melbourne, Australia.
Australas Phys Eng Sci Med. 2008 Dec;31(4):255-67. doi: 10.1007/BF03178595.
There has been a great deal of public concern regarding the possibility that the use of mobile phone-related technologies might result in adverse health effects. Corresponding to this, there has been substantial epidemiological research designed to determine whether the use of mobile phones (MP) has any effect on health, and in particular whether it increases the risk of developing head and neck tumours. Such literature is particularly heterogeneous, which makes it difficult to pool in a meta-analysis. This paper thus reviews the epidemiological literature pertaining to the use of mobile phones and mobile phone-related technologies, and head and neck tumours, in an attempt to consolidate the various reports. Although there have been individual reports of associations between MP-use and tumours, this research is not consistent and on balance does not provide evidence of an association. There are reports of small associations between MP-use ipsilateral to the tumour for greater than 10 years, for both acoustic neuroma and glioma, but the present paper argues that these are especially prone to confounding by recall bias. The reported associations are in need of replication with methods designed to minimise such bias before they can be treated as more than suggestive.
公众对使用与手机相关的技术可能会对健康产生不利影响这一可能性极为关注。与此相应,已有大量流行病学研究旨在确定使用手机是否会对健康产生影响,尤其是是否会增加患头颈部肿瘤的风险。这类文献特别繁杂,这使得难以汇总进行荟萃分析。因此,本文回顾了与使用手机及与手机相关的技术以及头颈部肿瘤有关的流行病学文献,试图整合各种报告。尽管有个别报告称使用手机与肿瘤之间存在关联,但这项研究并不一致,总体上并未提供关联证据。有报告称,对于听神经瘤和胶质瘤,使用手机超过10年且肿瘤位于同侧的情况存在小的关联,但本文认为这些关联特别容易受到回忆偏倚的混淆。在这些报告被视为不仅仅是有暗示性的结果之前,需要用旨在尽量减少此类偏倚的方法进行重复验证。