夜间户外人工照明、空气污染与加利福尼亚早发性癌症病例对照研究中儿童急性淋巴细胞白血病风险
Outdoor artificial light at night, air pollution, and risk of childhood acute lymphoblastic leukemia in the California Linkage Study of Early-Onset Cancers.
机构信息
Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Department of Chronic Disease Epidemiology, Yale School of Public Health, 60 College St, New Haven, CT, 06520, USA.
出版信息
Sci Rep. 2023 Jan 11;13(1):583. doi: 10.1038/s41598-022-23682-z.
Acute lymphoblastic leukemia (ALL) is the most common type of cancer in children (age 0-14 years); however, the etiology remains incompletely understood. Several environmental exposures have been linked to risk of childhood ALL, including air pollution. Closely related to air pollution and human development is artificial light at night (ALAN), which is believed to disrupt circadian rhythm and impact health. We sought to evaluate outdoor ALAN and air pollution on risk of childhood ALL. The California Linkage Study of Early-Onset Cancers is a large population-based case-control in California that identifies and links cancer diagnoses from the California Cancer Registry to birth records. For each case, 50 controls with the same year of birth were obtained from birth records. A total of 2,782 ALL cases and 139,100 controls were identified during 2000-2015. ALAN was assessed with the New World Atlas of Artificial Night Sky Brightness and air pollution with an ensemble-based air pollution model of particulate matter smaller than 2.5 microns (PM). After adjusting for known and suspected risk factors, the highest tertile of ALAN was associated with an increased risk of ALL in Hispanic children (odds ratio [OR] = 1.15, 95% confidence interval [CI] 1.01-1.32). There also appeared to be a borderline association between PM level and risk of ALL among non-Hispanic White children (OR per 10 µg/m = 1.24, 95% CI 0.98-1.56). We observed elevated risk of ALL in Hispanic children residing in areas of greater ALAN. Further work is needed to understand the role of ALAN and air pollution in the etiology of childhood ALL in different racial/ethnic groups.
急性淋巴细胞白血病(ALL)是儿童(0-14 岁)中最常见的癌症类型;然而,其病因仍不完全清楚。已有几项环境暴露与儿童 ALL 风险相关,包括空气污染。与空气污染和人类发展密切相关的是夜间人工照明(ALAN),它被认为会扰乱昼夜节律并影响健康。我们试图评估户外 ALAN 和空气污染对儿童 ALL 风险的影响。加利福尼亚早发性癌症关联研究是一项在加利福尼亚州进行的大型基于人群的病例对照研究,该研究从加利福尼亚癌症登记处确定并将癌症诊断与出生记录相关联。对于每个病例,从出生记录中获得了相同年份出生的 50 名对照。在 2000-2015 年期间共确定了 2782 例 ALL 病例和 139100 例对照。使用新世界人工夜空亮度图集评估 ALAN,使用基于集合的小于 2.5 微米(PM)的颗粒物空气污染模型评估空气污染。在调整了已知和疑似危险因素后,最高 tertile 的 ALAN 与西班牙裔儿童 ALL 的风险增加相关(比值比 [OR] = 1.15,95%置信区间 [CI] 1.01-1.32)。在非西班牙裔白人儿童中,PM 水平与 ALL 风险之间似乎也存在边缘关联(每增加 10μg/m 的 OR 值为 1.24,95% CI 0.98-1.56)。我们观察到居住在 ALAN 较高地区的西班牙裔儿童 ALL 的风险升高。需要进一步的工作来了解 ALAN 和空气污染在不同种族/族裔群体中儿童 ALL 病因中的作用。