Langford I
School of Environmental Sciences, University of East Anglia, Norwich, England.
Soc Sci Med. 1991;33(4):435-40. doi: 10.1016/0277-9536(91)90325-7.
Recent evidence from new towns in Great Britain suggests that childhood leukaemia mortality is associated with rapid population growth. It has been proposed that this may reflect patterns of population mixing and exposure to infectious diseases which may predispose to the development of leukaemia in children. This study examines childhood leukaemia mortality for 1365 local authority areas of England and Wales for the period 1969 to 1973 with reference to population change between 1961 and 1971. A significantly increased risk of childhood leukaemia mortality was found for 0-14 year olds in areas which experienced more than a 50% increase in population over the decade (R. R. 1.408, 95% C. I. 1.126-1.761). A cumulative sum analysis shows a threshold at approximately 50% population growth rather than a continuous relationship. A map of the data suggests that areas of significantly raised mortality compared to the national average are concentrated in and around the major conurbations of the area studied.
英国新城镇的最新证据表明,儿童白血病死亡率与人口快速增长有关。有人提出,这可能反映了人口混居模式以及接触传染病的情况,而这可能会使儿童易患白血病。本研究考察了1969年至1973年期间英格兰和威尔士1365个地方当局辖区的儿童白血病死亡率,并参考了1961年至1971年期间的人口变化情况。研究发现,在十年间人口增长超过50%的地区,0至14岁儿童白血病死亡风险显著增加(相对危险度为1.408,95%置信区间为1.126至1.761)。累积总和分析显示,人口增长约50%时存在一个阈值,而非连续关系。数据地图表明,与全国平均水平相比,死亡率显著升高的地区集中在所研究区域的主要大城市及其周边。