Edling C, Comba P, Axelson O, Flodin U
Scand J Work Environ Health. 1982;8 Suppl 1:59-64.
The effects of low-dose radiation have been a matter of controversy over the years, and the epidemiologic results have been conflicting. A couple of recent studies have indicated a possible impact on lung cancer mortality from exposure to indoor levels of radon and radon daughters. In this study, selected mortality rates, ie, lung cancer, pancreatic cancer, breast cancer (females only), leukemia, and multiple myeloma were correlated for the counties of Sweden with estimates of average background radiation exposure in these areas. Significant correlations were obtained for lung cancer (males, r = 0.46; females r = 0.55) and pancreatic cancer (males, r = 0.59; females, r = 0.40) , and there was a borderline correlation (r = 0.36; p = 0.04) for leukemia in males. In all, there were positive correlations for eight out of the nine computations made. Since background radiation correlates with urbanization and therefore with smoking, air pollution, etc, the correlations might be spurious due to confounding; on the other hand confounding is a reciprocal phenomenon which suggests that background radiation should to be taken into consideration when widespread risk factors like smoking, coffee drinking, general air pollution, etc, are studied.
多年来,低剂量辐射的影响一直存在争议,流行病学结果也相互矛盾。最近的几项研究表明,接触室内氡及其子体可能会对肺癌死亡率产生影响。在本研究中,将瑞典各县的特定死亡率,即肺癌、胰腺癌、乳腺癌(仅女性)、白血病和多发性骨髓瘤的死亡率,与这些地区的平均本底辐射暴露估计值进行了相关性分析。肺癌(男性,r = 0.46;女性,r = 0.55)和胰腺癌(男性,r = 0.59;女性,r = 0.40)呈现出显著相关性,男性白血病存在临界相关性(r = 0.36;p = 0.04)。总体而言,在进行的九次计算中,有八次呈现正相关。由于本底辐射与城市化相关,因此也与吸烟、空气污染等相关,这些相关性可能因混杂因素而虚假;另一方面,混杂是一种相互的现象,这表明在研究吸烟、喝咖啡、一般空气污染等广泛的风险因素时,应该考虑本底辐射。