Shih Ya-Wen, O'Brien Anthony Paul, Hung Chin-Sheng, Chen Kee-Hsin, Hou Wen-Hsuan, Tsai Hsiu-Ting
School of Nursing, College of Nursing, Taipei Medical University, Taipei 11031, Taiwan R.O.C.
Faculty of Health and Medicine, School of Nursing and Midwifery, The University of Newcastle, Callaghan, New South Wales 2308, Australia.
Exp Ther Med. 2021 Jan;21(1):23. doi: 10.3892/etm.2020.9455. Epub 2020 Nov 9.
The present systematic review and meta-analysis investigated the association between exposure to radiofrequency radiation and the risk of breast cancer. The published studies that were available in PubMed, Embase, Cochrane Library, Ovid MEDLINE, CINAHL Plus, Web of Science, Airiti Library, Networked Digital Library of Theses and Dissertations and ProQuest until May 2020 were investigated. A total of eight studies (four case-control and four cohort studies) were eligible for quantitative analysis. A significant association between radiofrequency radiation exposure and breast cancer risk was detected [pooled relative risk (RR)=1.189; 95% confidence interval (CI), 1.056-1.339]. Subgroup analyses indicated that radiofrequency radiation exposure significantly increased the risk of breast cancer susceptibility among subjects aged ≥50 years (RR=2.179; 95% CI, 1.260-3.770). Pooled estimates revealed that the use of electrical appliances, which emit radiofrequency radiation, such as mobile phones and computers, significantly increased breast cancer development (RR=2.057; 95% CI, 1.272-3.327), while occupational radiofrequency exposure and transmitters did not increase breast cancer development (RR=1.274; 95% CI, 0.956-1.697; RR=1.133; 95% CI, 0.987-1.300, respectively). It was concluded that radiofrequency radiation exposure significantly increased the risk of breast cancer, especially in women aged ≥50 years and in individuals who used electric appliances, such as mobile phones and computers. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-analysis, an evaluation protocol was prepared and registered with the PROSPERO database (registration no. CRD42018087283).
本系统评价和荟萃分析研究了射频辐射暴露与乳腺癌风险之间的关联。我们检索了截至2020年5月在PubMed、Embase、Cochrane图书馆、Ovid MEDLINE、CINAHL Plus、Web of Science、华艺数位图书馆、台湾博硕士论文知识加值系统和ProQuest上可获取的已发表研究。共有八项研究(四项病例对照研究和四项队列研究)符合定量分析的条件。检测到射频辐射暴露与乳腺癌风险之间存在显著关联[合并相对风险(RR)=1.189;95%置信区间(CI),1.056 - 1.339]。亚组分析表明,射频辐射暴露显著增加了年龄≥50岁的受试者患乳腺癌易感性的风险(RR=2.179;95% CI,1.260 - 3.770)。汇总估计显示,使用发射射频辐射的电器,如手机和电脑,显著增加了乳腺癌的发生风险(RR=2.057;95% CI,1.272 - 3.327),而职业性射频暴露和发射机并未增加乳腺癌的发生风险(分别为RR=1.274;95% CI,0.956 - 1.697;RR=1.133;95% CI,0.987 - 1.300)。得出的结论是,射频辐射暴露显著增加了患乳腺癌的风险,尤其是在年龄≥50岁的女性以及使用手机和电脑等电器的个体中。根据系统评价和荟萃分析的首选报告项目,制定了一份评估方案并在PROSPERO数据库中注册(注册号CRD42018087283)。