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工作年龄段的癌症与儿童期逆境无关。

Cancer in working-age is not associated with childhood adversities.

机构信息

Tampere Health Centre, Tampere, Finland.

出版信息

Acta Oncol. 2010 May;49(4):436-40. doi: 10.3109/02841860903521103.

Abstract

BACKGROUND

Early life events are studied as potential causes of cancer. The objective here was to study childhood adversities in the etiology of cancer.

METHODS

The material comprised a population based random sample of 25 898 individuals among the Finnish working-aged population. In 1998 they were requested through six questions in a postal questionnaire to recall their childhood adversities. The cases consisted of people with cancer diagnosed 2000-2006 and registered in the Finnish Cancer Registry (n = 384). The rest of the sample consisted of cancer-free controls.

RESULTS

The most common adversities were prolonged financial difficulties, serious conflicts in the family and someone in the family having been seriously or chronically ill. The cancer patients reported more prolonged financial difficulties and someone seriously or chronically ill in the family. They reported less parental divorce than the controls. The associations were not statistically significant after adjusting for age, sex, education, and health behaviour. Nor was there a significant difference in the total number of childhood adversities between the study group and the controls.

CONCLUSION

On the whole, these cancer patients had not experienced more childhood adversities than the controls. According to our findings, there is no cause to attribute development of cancer in working age to childhood adversities. This information may also give relief to other family members.

摘要

背景

早期生活事件被研究为癌症的潜在原因。本研究旨在探讨儿童期逆境在癌症发病机制中的作用。

方法

该研究的资料来源于芬兰劳动年龄人群的一项基于人群的随机抽样,共 25898 人。1998 年,通过邮寄问卷中的六个问题,要求他们回忆童年时期的逆境经历。病例组由 2000-2006 年诊断出癌症并在芬兰癌症登记处登记的人群(n=384)组成。其余样本为无癌症对照。

结果

最常见的逆境是长期经济困难、家庭严重冲突以及家庭中有人生病或长期患病。癌症患者报告的长期经济困难和家庭中有人生病或长期患病的情况更为常见。他们报告的父母离婚情况比对照组少。在调整年龄、性别、教育程度和健康行为等因素后,这些关联没有统计学意义。研究组和对照组之间的童年逆境总数也没有显著差异。

结论

总的来说,这些癌症患者并没有比对照组经历更多的童年逆境。根据我们的发现,没有理由将成年期癌症的发生归因于童年逆境。这些信息也可能会给其他家庭成员带来安慰。

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