归因于射频电磁场暴露的健康投诉的时间进程以及 10 年内荷兰成年人前瞻性队列中电磁超敏反应的预测因素。

Time course of health complaints attributed to RF-EMF exposure and predictors of electromagnetic hypersensitivity over 10 years in a prospective cohort of Dutch adults.

机构信息

Utrecht University, Institute for Risk Assessment Sciences, Utrecht, the Netherlands.

PBL Netherlands Environmental Assessment Agency, Bezuidenhoutseweg 30, 2594 AV The Hague, the Netherlands.

出版信息

Sci Total Environ. 2023 Jan 15;856(Pt 2):159240. doi: 10.1016/j.scitotenv.2022.159240. Epub 2022 Oct 6.

DOI:10.1016/j.scitotenv.2022.159240

PMID:36209879

Abstract

BACKGROUND

Some individuals attribute health complaints to radiofrequency electromagnetic field (RF-EMF) exposure. This condition, known as idiopathic environmental intolerance attributed to RF-EMFs (IEI-RF) or electromagnetic hypersensitivity (EHS), can be disabling for those who are affected. In this study we assessed factors related to developing, maintaining, or discarding IEI-RF over the course of 10 years, and predictors of developing EHS at follow-up using a targeted question without the condition of reporting health complaints attributed to RF-EMF exposure.

METHODS

Participants (n = 892, mean age 50 at baseline, 52 % women) from the Dutch Occupational and Environmental Health Cohort Study AMIGO filled in questionnaires in 2011/2012 (T), 2013 (T), and 2021 (T) where information pertaining to perceived RF-EMF exposure and risk, non-specific symptoms, sleep problems, IEI-RF, and EHS was collected. We fitted multi-state Markov models to represent how individuals transitioned between states ("yes", "no") of IEI-RF.

RESULTS

At each time point, about 1 % of study participants reported health complaints that they attributed to RF-EMF exposure. While this percentage remained stable, the individuals who reported such complaints changed over time: of nine persons reporting health complaints at T, only one reported IEI-RF at both T and T, and two newly reported health complaints at T. Overall, participants had a 95 % chance of transitioning from "yes" to "no" over a time course of 10 years, and a chance of 1 % of transitioning from "no" to "yes". Participants with high perceived RF-EMF exposure and risk had a general tendency to move more frequently between states.

CONCLUSIONS

We observed a low prevalence of IEI-RF in our population. Prevalence did not vary strongly over time but there was a strong aspect of change: over 10 years, there was a high probability of not attributing symptoms to RF-EMF exposure anymore. IEI-RF appears to be a more transient condition than previously assumed.

摘要

背景

一些人将健康问题归因于射频电磁场（RF-EMF）暴露。这种情况被称为特发性环境因素不耐受归因于 RF-EMF（IEI-RF）或电磁超敏反应（EHS），对于受影响的人来说可能会导致残疾。在这项研究中，我们评估了与 10 年内出现、维持或放弃 IEI-RF 相关的因素，以及使用无报告 RF-EMF 暴露相关健康问题条件的定向问题预测在随访中出现 EHS 的预测因素。

方法

来自荷兰职业和环境健康队列研究 AMIGO 的参与者（n = 892，基线时平均年龄为 50 岁，52%为女性）于 2011/2012 年（T）、2013 年（T）和 2021 年（T）填写了问卷，其中收集了有关感知 RF-EMF 暴露和风险、非特异性症状、睡眠问题、IEI-RF 和 EHS 的信息。我们拟合了多状态马尔可夫模型来表示个体在 IEI-RF 状态（“是”、“否”）之间的转移情况。

结果

在每个时间点，约有 1%的研究参与者报告了他们归因于 RF-EMF 暴露的健康问题。虽然这一百分比保持稳定，但报告此类问题的个体随着时间的推移而变化：在 T 时报告健康问题的九人中，只有一人在 T 和 T 时报告了 IEI-RF，两人在 T 时报告了新的健康问题。总体而言，参与者在 10 年的时间内从“是”到“否”的转移概率为 95%，从“否”到“是”的转移概率为 1%。感知 RF-EMF 暴露和风险较高的参与者更倾向于在状态之间频繁转移。