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过敏相关疾病与癌症:一种负相关关系。

Allergy-related diseases and cancer: an inverse association.

作者信息

Vena J E, Bona J R, Byers T E, Middleton E, Swanson M K, Graham S

出版信息

Am J Epidemiol. 1985 Jul;122(1):66-74. doi: 10.1093/oxfordjournals.aje.a114087.

Abstract

This paper presents the results of a retrospective study that examines the association of cancer with a history of asthma, hay fever, hives, and other allergy-related diseases. This study is based on interview data collected from 13,665 cancer cases and 4,079 nonneoplastic controls who were admitted to Roswell Park Memorial Institute from 1957 to 1965. Although there is a general tendency for the age- and cigarette smoking-adjusted odds ratios associated with a history of asthma and hay fever to be less than 1, for both males and females, there is stronger evidence for a decreased risk of cancer associated with a history of hives and other allergy-related diseases. Decreased risks associated with a history of hives and other allergies are seen in males for oral cancer, cancers of the lung, larynx, digestive system, urinary system, and cancers of all sites combined and in females for cancers of the digestive system, reproductive system, in particular, cancer of the cervix, and cancers of all sites combined. None of the few odds ratios over 1 associated with a history of any allergy-related condition are statistically significant (alpha = 0.05). These findings suggest that individuals with allergy-related disorders may be at decreased risk of cancer, although reasons for cautious interpretation of the findings are emphasized. Prospective studies of carefully defined allergic disease cohorts are needed.

摘要

本文介绍了一项回顾性研究的结果,该研究考察了癌症与哮喘、花粉症、荨麻疹及其他过敏相关疾病病史之间的关联。这项研究基于1957年至1965年期间收治入罗斯威尔公园纪念研究所的13665例癌症病例和4079例非肿瘤对照的访谈数据。尽管经年龄和吸烟因素调整后,与哮喘和花粉症病史相关的比值比总体上小于1(无论男性还是女性),但有更强的证据表明,与荨麻疹及其他过敏相关疾病病史相关的癌症风险降低。在男性中,与荨麻疹和其他过敏病史相关的风险降低见于口腔癌、肺癌、喉癌、消化系统癌症、泌尿系统癌症以及所有部位癌症的综合情况;在女性中,与荨麻疹和其他过敏病史相关的风险降低见于消化系统癌症、生殖系统癌症,尤其是宫颈癌,以及所有部位癌症的综合情况。与任何过敏相关疾病病史相关的少数几个大于1的比值比均无统计学意义(α=0.05)。这些发现表明,患有过敏相关疾病的个体患癌风险可能降低,不过也强调了对这些发现需谨慎解读的原因。需要对精心定义的过敏性疾病队列进行前瞻性研究。

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