Hashemizadeh H, Boroumand H, Noori R, Darabian M
Department of Nursing, Quchan Branch, Islamic Azad University, Quchan, Iran.
Dr. Sheikh Hospital, Mashhad University of Medical Sciences, Mashhad,Iran.
Iran J Ped Hematol Oncol. 2013;3(1):182-6. Epub 2013 Jan 22.
Leukemia is the most prevalent childhood cancer, and Acute Lymphoblastic Leukemia (ALL) constitutes 75% of all cases. Some epidemiological studies have shown a relationship between socioeconomic status (SES) and some childhood cancers. In the present study, an attempt was made to assess socioeconomical status in a case-control study.
In 2010, a case-control study was conducted on 100 cases of acute lymphoblastic leukemia aged 1 to14 years in Department of Pediatric Oncology of Dr.Sheikh Hospital in Mashhad - Iran and matched age and sex with 400 healthy controls. Data was collected by interview using a questionnaire. Ninety five percent confidence intervals were used to measure the relationship between childhood Acute Lymphoblastic Leukemia and parental education, income status, father's job (Socioeconomic status), number of children, birth score and paternal smoking.
There was a significant difference in parental education level, income status, and number of children, birth score, father's job and paternal smoking between two groups. Regression analysis showed that the risk of childhood ALL associated with paternal smoking, and father's high risk job. Fifty percent cases and thirty five percent of control groups located in upper lower and lower middle class of socioeconomic status, respectively. There is a meaningful different between socioeconomic status in two groups. But the risk of childhood ALL did not associate with socioeconomic status.
The results suggest that paternal smoking and father's high risk job are related to risk of childhood leukemia. It should be considered for planning support.
白血病是最常见的儿童癌症,其中急性淋巴细胞白血病(ALL)占所有病例的75%。一些流行病学研究表明社会经济地位(SES)与某些儿童癌症之间存在关联。在本研究中,试图在一项病例对照研究中评估社会经济地位。
2010年,在伊朗马什哈德谢赫医院儿科肿瘤学部门对年龄在1至14岁的100例急性淋巴细胞白血病病例进行了病例对照研究,并与400名年龄和性别匹配的健康对照进行比较。通过问卷调查进行访谈收集数据。采用95%置信区间来衡量儿童急性淋巴细胞白血病与父母教育程度、收入状况、父亲职业(社会经济地位)、子女数量、出生评分和父亲吸烟之间的关系。
两组在父母教育水平、收入状况、子女数量、出生评分、父亲职业和父亲吸烟方面存在显著差异。回归分析表明,儿童ALL的风险与父亲吸烟和父亲的高风险职业有关。50%的病例组和35%的对照组分别位于社会经济地位的中上层和中下层。两组的社会经济地位存在显著差异。但儿童ALL的风险与社会经济地位无关。
结果表明,父亲吸烟和父亲的高风险职业与儿童白血病风险有关。在规划支持措施时应予以考虑。