Department of Epidemiology, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, 90095-1772, USA.
Department of Biostatistics, University of California Los Angeles Fielding School of Public Health, Los Angeles, CA, 90095-1772, USA.
Br J Cancer. 2018 Aug;119(3):364-373. doi: 10.1038/s41416-018-0097-7. Epub 2018 May 29.
Although studies have consistently found an association between childhood leukaemia risk and magnetic fields, the associations between childhood leukaemia and distance to overhead power lines have been inconsistent. We pooled data from multiple studies to assess the association with distance and evaluate whether it is due to magnetic fields or other factors associated with distance from lines.
We present a pooled analysis combining individual-level data (29,049 cases and 68,231 controls) from 11 record-based studies.
There was no material association between childhood leukaemia and distance to nearest overhead power line of any voltage. Among children living < 50 m from 200 + kV power lines, the adjusted odds ratio for childhood leukaemia was 1.33 (95% CI: 0.92-1.93). The odds ratio was higher among children diagnosed before age 5 years. There was no association with calculated magnetic fields. Odds ratios remained unchanged with adjustment for potential confounders.
In this first comprehensive pooled analysis of childhood leukaemia and distance to power lines, we found a small and imprecise risk for residences < 50 m of 200 + kV lines that was not explained by high magnetic fields. Reasons for the increased risk, found in this and many other studies, remains to be elucidated.
尽管研究一致发现儿童白血病风险与磁场之间存在关联,但儿童白血病与架空电力线距离之间的关联并不一致。我们汇集了多项研究的数据,以评估与距离的关联,并评估其是否归因于磁场或与线路距离相关的其他因素。
我们呈现了一项汇总分析,结合了 11 项基于记录的研究中的个体水平数据(29049 例病例和 68231 例对照)。
儿童白血病与任何电压的最近架空电源线之间没有明显的关联。对于居住在 200kV+电力线下<50m 的儿童,儿童白血病的调整比值比为 1.33(95%CI:0.92-1.93)。在 5 岁以下被诊断出的儿童中,比值比更高。与计算出的磁场没有关联。在调整潜在混杂因素后,比值比保持不变。
在这项针对儿童白血病与架空电力线距离的首次综合汇总分析中,我们发现距离 200kV+线路<50m 的住所存在较小且不精确的风险,但这不能用高磁场来解释。在本研究和许多其他研究中发现的风险增加的原因仍有待阐明。