Feychting M, Ahlbom A
Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden.
Am J Epidemiol. 1993 Oct 1;138(7):467-81. doi: 10.1093/oxfordjournals.aje.a116881.
A case-control study was conducted to test the hypothesis that exposure to magnetic fields of the type generated by high-voltage power lines increases cancer incidence in children. The study base consisted of everyone under age 16 years who had lived on a property located within 300 meters of any of the 220 and 400 kV power lines in Sweden during the period 1960-1985. Subjects were followed from their entry into the study base through 1985. A total of 142 cancer cases were identified through a record linkage to the Swedish Cancer Registry. There were 39 leukemia and 33 central nervous system tumor cases. A total of 558 controls were selected at random from the study base. Exposure was assessed by spot measurements and by calculations of the magnetic fields generated by the power lines, taking distance, line configuration, and load into account. Information about historical loads on the power lines was used to calculate the magnetic fields for the year closest in time to diagnosis. When historical calculations were used as exposure assessment for childhood leukemia with cutoff points at 0.1 and 0.2 microtesla (microT), the estimated relative risk increased over the two exposure levels and was estimated at 2.7 (95% confidence interval (CI) 1.0-6.3) for 0.2 microT and over; p for trend = 0.02. When the upper cutoff point was shifted to 0.3 microT, the relative risk was 3.8 (95% CI 1.4-9.3); p for trend = 0.005. These results persisted when adjustment for potential confounding factors was made. For central nervous system tumor, lymphoma, and all childhood cancers combined, there was no support for an association.
开展了一项病例对照研究,以检验暴露于高压电线产生的那种磁场会增加儿童癌症发病率这一假设。研究对象包括1960年至1985年期间居住在瑞典境内220千伏和400千伏任何一条输电线路300米范围内房产中的所有16岁以下人员。研究对象从进入研究队列开始一直随访至1985年。通过与瑞典癌症登记处的记录链接,共识别出142例癌症病例。其中有39例白血病病例和33例中枢神经系统肿瘤病例。从研究队列中随机选取了558名对照。通过现场测量以及考虑距离、线路配置和负荷情况计算输电线产生的磁场来评估暴露情况。利用有关输电线路历史负荷的信息来计算最接近诊断时间年份的磁场。当采用历史计算方法作为儿童白血病暴露评估方法且截断点分别为0.1微特斯拉(μT)和0.2微特斯拉时,估计相对风险在两个暴露水平上均有所增加,0.2微特斯拉及以上水平时估计相对风险为2.7(95%置信区间(CI)1.0 - 6.3);趋势检验p值 = 0.02。当将上限截断点改为0.3微特斯拉时,相对风险为3.8(95% CI 1.4 - 9.3);趋势检验p值 = 0.005。在对潜在混杂因素进行调整后,这些结果依然成立。对于中枢神经系统肿瘤、淋巴瘤以及所有儿童癌症合并情况,未发现存在关联。