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接触农作物、家畜、农场劳作与患神经胶质瘤风险:上中西部健康研究

Exposure to farm crops, livestock, and farm tasks and risk of glioma: the Upper Midwest Health Study.

作者信息

Ruder Avima M, Carreón Tania, Butler Mary Ann, Calvert Geoffrey M, Davis-King Karen E, Waters Martha A, Schulte Paul A, Mandel Jack S, Morton Roscoe F, Reding Douglas J, Rosenman Kenneth D

机构信息

Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio 45226, USA.

出版信息

Am J Epidemiol. 2009 Jun 15;169(12):1479-91. doi: 10.1093/aje/kwp075. Epub 2009 Apr 29.

Abstract

Some studies of brain cancer have found an excess risk for farmers. The National Institute for Occupational Safety and Health previously found no increased glioma risk for ever (vs. never) being exposed to pesticides on a farm among 798 cases and 1,175 population-based controls (adult (ages 18-80 years) nonmetropolitan residents of Iowa, Michigan, Minnesota, and Wisconsin). For this analysis (1995-1998), 288 cases and 474 controls (or their proxies) who had lived on farms at age 18 years or after were asked about exposure to crops, livestock, and farm tasks. Logistic regression was used to calculate odds ratios adjusted for age, age group, sex, state, and education. Never immediately washing up (adjusted odds ratio (OR) = 3.08, 95% confidence interval (CI): 1.78, 5.34) or changing clothes (OR = 2.84, 95% CI: 1.04, 7.78) after applying pesticides was associated with increased glioma risk. Living on a farm on which corn, oats, soybeans, or hogs were raised was associated with decreased risk (corn-OR = 0.37, 95% CI: 0.20, 0.69; oats-OR = 0.63, 95% CI: 0.40, 1.00; soybeans-OR = 0.69, 95% CI: 0.48, 0.98; hogs-OR = 0.63, 95% CI: 0.43, 0.93). Negative associations may be due to chance or a "healthy farmer" effect. Farmers' increased risk of glioma may be due to work practices, other activities, or an inverse association with allergies (reported by other investigators).

摘要

一些针对脑癌的研究发现,农民患脑癌的风险更高。美国国家职业安全与健康研究所此前在798例病例和1175名基于人群的对照者(爱荷华州、密歇根州、明尼苏达州和威斯康星州18至80岁的非大都市成年居民)中未发现曾在农场接触过农药(与从未接触过相比)会增加患神经胶质瘤的风险。在本次分析(1995 - 1998年)中,对288例病例和474名对照者(或其代理人)进行了询问,这些人在18岁及以后曾在农场生活,询问内容涉及接触农作物、牲畜和农场工作的情况。采用逻辑回归分析计算调整年龄、年龄组、性别、州和教育程度后的比值比。使用农药后从不立即洗手(调整后的比值比(OR)= 3.08,95%置信区间(CI):1.78,5.34)或更换衣服(OR = 2.84,95% CI:1.04,7.78)与患神经胶质瘤风险增加有关。生活在种植玉米、燕麦、大豆或饲养猪的农场与风险降低有关(玉米 - OR = 0.37,95% CI:0.20,0.69;燕麦 - OR = 0.63,95% CI:0.40,1.00;大豆 - OR = 0.69,95% CI:0.48,0.98;猪 - OR = 0.63,95% CI:0.43,0.93)。负面关联可能是由于偶然因素或“健康农民”效应。农民患神经胶质瘤风险增加可能归因于工作习惯、其他活动或与过敏的负相关关系(其他研究人员报告)。

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