Davis J R, Brownson R C, Garcia R, Bentz B J, Turner A
Division of Chronic Disease Prevention and Health Promotion, Missouri Department of Health, Columbia 65203.
Arch Environ Contam Toxicol. 1993 Jan;24(1):87-92. doi: 10.1007/BF01061094.
The relationship between family pesticide use and childhood brain cancer was examined in a case-control study. Telephone interviews were conducted from June 1989 through March 1990 with the natural mothers of 45 childhood brain cancer cases, 85 friend controls, and 108 cancer controls. In comparisons to friend controls, significant positive associations were observed for use of pesticides to control nuisance pests in the home, no-pest-strips in the home, pesticides to control termites, Kwell shampoo, flea collars on pets, diazinon in the garden or orchard, and herbicides to control weeds in the yard. In comparisons to cancer controls, significant positive associations were observed for use of pesticide bombs in the home, pesticides to control termites, flea collars on pets, insecticides in the garden or orchard, carbaryl in the garden or orchard, and herbicides to control weeds in the yard. In general, positive associations in comparisons to one control group were supported by elevated odds ratios in comparisons to the other control group. Several potentially important associations were identified in this study. However, small sample sizes, potential recall bias, multiple comparisons, and lack of detailed exposure verification require further research to confirm these findings.
在一项病例对照研究中,对家庭农药使用与儿童脑癌之间的关系进行了调查。1989年6月至1990年3月,对45例儿童脑癌病例的亲生母亲、85名朋友对照和108名癌症对照进行了电话访谈。与朋友对照相比,在家中使用农药控制害虫、在家中使用无虫带、使用农药控制白蚁、使用克威尔洗发水、给宠物佩戴跳蚤项圈、在花园或果园使用二嗪农以及在院子里使用除草剂控制杂草,均观察到显著的正相关。与癌症对照相比,在家中使用农药炸弹、使用农药控制白蚁、给宠物佩戴跳蚤项圈、在花园或果园使用杀虫剂、在花园或果园使用西维因以及在院子里使用除草剂控制杂草,均观察到显著的正相关。总体而言,与一个对照组相比的正相关在与另一个对照组相比时,通过升高的比值比得到了支持。本研究确定了几个潜在的重要关联。然而,样本量小、潜在的回忆偏倚、多重比较以及缺乏详细的暴露验证,需要进一步研究以证实这些发现。