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绝经前乳腺癌风险与电热毯的使用

Risk of premenopausal breast cancer and use of electric blankets.

作者信息

Vena J E, Freudenheim J L, Marshall J R, Laughlin R, Swanson M, Graham S

机构信息

Department of Social and Preventive Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo 14214.

出版信息

Am J Epidemiol. 1994 Dec 1;140(11):974-9. doi: 10.1093/oxfordjournals.aje.a117204.

Abstract

Electric blanket use, estimated to significantly increase background exposure to 60-Hz electromagnetic fields, has been hypothesized to increase breast cancer risk. From 1986 to 1991 in western New York State, the authors investigated the use of electric blankets as a risk factor for breast cancer in a case-control study of premenopausal women. A total of 290 premenopausal breast cancer cases and 289 age-matched randomly selected community controls were queried in regard to their use of electric blankets in the previous 10 years, including frequency of use in season and mode of use. After adjusting for age, education, and other risk factors, the odds ratio for use of an electric blanket at any time in the previous 10 years (40% of cases and 37% of controls) was 1.18 (95% confidence interval (CI) 0.83-1.68). Estimates of risk did not differ in a dose-response fashion for number of years of electric blanket use. The risk associated with daily use in season relative to nonuse was 1.27 (95% CI 0.86-1.88). The risk of breast cancer among those who reported use of the blanket through the night was 1.43 (95% CI 0.94-2.17). However, the risk for those who reported daily use in season, continuously throughout the night for the previous 10 years was 1.10 (95% CI 0.59-2.05). These findings do not support the hypothesis that electric blanket use is associated with an increased risk for breast cancer. Studies with improved measures of more highly exposed individuals with quantification of total electromagnetic field exposure might clarify the uncertainties regarding risk of breast cancer associated with such exposure.

摘要

据估计,使用电热毯会显著增加对60赫兹电磁场的背景暴露,因此有人推测这会增加患乳腺癌的风险。1986年至1991年期间,作者在纽约州西部对绝经前女性进行了一项病例对照研究,调查了使用电热毯作为乳腺癌风险因素的情况。总共询问了290例绝经前乳腺癌病例和289名年龄匹配的随机选择的社区对照者在过去10年中使用电热毯的情况,包括季节性使用频率和使用方式。在对年龄、教育程度和其他风险因素进行调整后,过去10年中任何时候使用电热毯的比值比(40%的病例和37%的对照者)为1.18(95%置信区间(CI)0.83 - 1.68)。电热毯使用年限的风险估计没有呈现剂量反应关系。季节性每日使用相对于不使用的风险为1.27(95% CI 0.86 - 1.88)。报告整夜使用电热毯者患乳腺癌的风险为1.43(95% CI 0.94 - 2.17)。然而,报告在过去10年中季节性每日整夜持续使用电热毯者的风险为1.10(95% CI 0.59 - 2.05)。这些发现不支持使用电热毯与患乳腺癌风险增加相关的假设。采用改进措施对暴露程度更高的个体进行总电磁场暴露量化的研究,可能会澄清与此类暴露相关的乳腺癌风险的不确定性。

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