Kumar Ashok, Vashist Minakshi, Rathee Radha
Genetics, Biosciences, M.D.University,rohtak, Sonepat, India E-mail :
Asian Pac J Cancer Prev. 2014;15(2):781-4. doi: 10.7314/apjcp.2014.15.2.781.
Although the cause in most cases of childhood leukemia is not known, the contribution of environmental risk factors in the context of genetic predisposition has been reported with inconsistent results. The aim of this study was to examine association of childhood leukemia with maternal factors especially during pregnancy, to help in avoiding risk factors.
This case-control study included children younger than 18 years diagnosed with leukemia from 2008 to 2012. Controls were randomly selected and individually matched to cases with respect to age, sex, and residency. All variables were compared between cases and control to determine any significant association with leukemia.
Statistically significant associations between risk of childhood leukemia with mother's education (p=0.001), occupation (p=0.0005) and pesticides exposure (p=0.005) during pregnancy were found. However, there were no significant links with maternal age (p=0.090), history of fetal loss (0.85), history of radiography during pregnancy (p=0.400), history of drug intake (p=0.689) and infection (p=0.696) during pregnancy.
The results showed increased risk of leukemia in children whose mothers were working in agriculture and were exposed to pesticides during pregnancy. The further study needs to be investigated to know association of various maternal risk factors with leukemia which remained unknown in this study.
尽管大多数儿童白血病病例的病因尚不清楚,但已有报道称,在遗传易感性背景下环境危险因素的作用结果并不一致。本研究的目的是探讨儿童白血病与母亲因素尤其是孕期母亲因素之间的关联,以帮助避免危险因素。
本病例对照研究纳入了2008年至2012年诊断为白血病的18岁以下儿童。对照组为随机选取,并在年龄、性别和居住地方面与病例进行个体匹配。对病例组和对照组的所有变量进行比较,以确定与白血病的任何显著关联。
发现儿童白血病风险与母亲孕期受教育程度(p=0.001)、职业(p=0.0005)和接触农药(p=0.005)之间存在统计学显著关联。然而,与母亲年龄(p=0.090)、流产史(0.85)、孕期X线检查史(p=0.400)、孕期药物摄入史(p=0.689)和感染史(p=0.696)之间无显著关联。
结果显示,母亲从事农业工作且孕期接触农药的儿童患白血病的风险增加。本研究中仍不清楚各种母亲危险因素与白血病之间的关联,需要进一步研究。