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硫柳汞暴露与儿童及青少年特有的情绪障碍:疫苗安全数据链(VSD)数据库中的一项病例对照研究。

Thimerosal exposure and disturbance of emotions specific to childhood and adolescence: A case-control study in the Vaccine Safety Datalink (VSD) database.

作者信息

Geier David A, Kern Janet K, Homme Kristin G, Geier Mark R

机构信息

a The Institute of Chronic Illnesses, Inc, Silver Spring , MD , USA.

b CoMeD, Inc, Silver Spring , MD , USA.

出版信息

Brain Inj. 2017;31(2):272-278. doi: 10.1080/02699052.2016.1250950. Epub 2017 Jan 19.

Abstract

BACKGROUND

This study evaluated Thimerosal-containing childhood vaccines and the risk of a diagnosis called disturbance of emotions specific to childhood and adolescence (ED). Thimerosal is an organic-mercury (Hg)-containing compound used in some vaccines.

METHODS

A hypothesis-testing prospective, longitudinal case-control study evaluated Hg exposure from Thimerosal in hepatitis B vaccines administered at specific times within the first 6 months of life and its association with medically diagnosed ED (313.xx) (n = 517) in children born between 1991-2000 in comparison to controls (n = 27 491) in the Vaccine Safety Datalink (VSD) database.

RESULTS

Cases diagnosed with ED were significantly more likely than controls to have received increased Hg exposure within the first month of life (odds ratio (OR) = 1.3384), the first 2 months of life (OR = 1.3367) and the first 6 months of life (OR = 2.37). When the data were separated by gender, similar significant adverse effects were observed for males, but not females. On a per microgram Hg basis, cases diagnosed with ED were significantly more likely than controls to have received increased exposure within the first 6 months of life (OR = 1.025 per microgram Hg).

CONCLUSIONS

The results show a significant relationship between Hg exposure from Thimerosal-containing childhood vaccines and the subsequent risk of an ED diagnosis.

摘要

背景

本研究评估了含硫柳汞的儿童疫苗以及一种名为儿童及青少年特定情绪障碍(ED)的诊断风险。硫柳汞是一种含有机汞(Hg)的化合物,用于某些疫苗中。

方法

一项假设检验的前瞻性纵向病例对照研究,评估了1991年至2000年出生的儿童在出生后前6个月内特定时间接种的乙肝疫苗中硫柳汞的汞暴露情况,及其与医学诊断的ED(313.xx)(n = 517)的关联,并与疫苗安全数据链(VSD)数据库中的对照组(n = 27491)进行比较。

结果

被诊断为ED的病例比对照组在出生后第一个月(优势比(OR)= 1.3384)、出生后前两个月(OR = 1.3367)和出生后前6个月(OR = 2.37)接受更高汞暴露的可能性显著更高。当按性别对数据进行分类时,男性观察到了类似的显著不良影响,但女性没有。以每微克汞计算,被诊断为ED的病例比对照组在出生后前6个月接受更高暴露的可能性显著更高(每微克汞的OR = 1.025)。

结论

结果表明,含硫柳汞的儿童疫苗中的汞暴露与随后的ED诊断风险之间存在显著关系。

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