Environmental Risk Factors for non-Hodgkin's Lymphoma: A Population-based Case–Control Study in Languedoc-Roussillon, France

作者: Pascale Fabbro-Peray , Jean-Pierre Daures , Jean-François Rossi

DOI: 10.1023/A:1011274922701

关键词: Case-control studyMultivariate analysisNon-Hodgkin's lymphomaDemographyConfoundingPopulationMedicineOdds ratioEpidemiologyPublic healthImmunology

摘要: Objective: To investigate the occupational and environmental risk factors related to non-Hodgkin's lymphoma (NHL). Methods: A case–control study was performed during 1992–1996 period in Languedoc-Roussillon, southern France. Four hundred forty-five cases of histologically diagnosed NHL were declared. One thousand twenty-five randomly selected population controls interviewed about their medical histories; exposures, such as chemicals, pesticides, electromagnetic radiation; toxic habits. Results: The following independently significantly a result multivariate analysis: previous hematopoietic malignancy (ORa=11.5, 95% CI 2.4–55.4), history hives (ORa=1.7, 1.2–2.2), benzene exposure >810 days (ORa=4.6, 1.1–19.2), daily welding (ORa=2.5, 1.2–5.0), activity radio operator (ORa=3.1, 1.4–6.6). be an agricultural professional seemed slightly reference non-professionals (ORa=1.5, 1.0–2.1). All these results have also been adjusted for age, gender, education level, urban setting. Conclusions: As some reported associations based on very small proportion exposed subjects, further investigations are necessary confirm our results. However, findings suggest that altered immune functions malignancy, hives, benzene, or being might increase NHL. Currently, underlying mechanisms still unclear, focused interactions between immunity alterations different chemicals would great interest.

参考文章(51)
D Amadori, O Nanni, F Falcini, A Saragoni, V Tison, A Callea, E Scarpi, M Ricci, N Riva, E Buiatti, Chronic lymphocytic leukaemias and non-Hodgkin's lymphomas by histological type in farming-animal breeding workers: a population case-control study based on job titles. Occupational and Environmental Medicine. ,vol. 52, pp. 374- 379 ,(1995) , 10.1136/OEM.52.6.374
A.G. Stansfeld, J. Diebold, Y. Kapanci, G. Kelényi, K. Lennert, O. Mioduszewska, H. Noel, F. Rilke, C. Sundstrom, J.A.M. Van Unnik, D.H. Wright, Updated Kiel classification for lymphomas. The Lancet. ,vol. 331, pp. 292- 293 ,(1988) , 10.1016/S0140-6736(88)90367-4
G G Bond, E A McLaren, C L Baldwin, R R Cook, An update of mortality among chemical workers exposed to benzene. Occupational and Environmental Medicine. ,vol. 43, pp. 685- 691 ,(1986) , 10.1136/OEM.43.10.685
Shelia Hoar Zahm, Aaron Blair, Pesticides and Non-Hodgkin's Lymphoma Cancer Research. ,vol. 52, pp. 5485- 5488 ,(1992)
JACK SIEMIATYCKI, DANIEL KREWSKI, EDUARDO FRANCO, MURRAY KAISERMAN, Associations between Cigarette Smoking and Each of 21 Types of Cancer: A Multi-Site Case-Control Study International Journal of Epidemiology. ,vol. 24, pp. 504- 514 ,(1995) , 10.1093/IJE/24.3.504
R.A. Cartwright, P.A. McKinney, C. O'Brien, I.D.G. Richards, B. Roberts, I. Lauder, C.M. Darwin, S.M. Bernard, C.C. Bird, Non-hodgkin's lymphoma: Case control epidemiological study in Yorkshire Leukemia Research. ,vol. 12, pp. 81- 88 ,(1988) , 10.1016/S0145-2126(98)80012-X
G D Everett, L M Schuman, L M Brown, L F Burmeister, F Dick, R Gibson, K P Cantor, S F Van Lier, A Blair, Pesticide Exposures and Other Agricultural Risk Factors for Leukemia among Men in Iowa and Minnesota Cancer Research. ,vol. 50, pp. 6585- 6591 ,(1990)
Eduardo De Stefani, Luis Fierro, Enrique Barrios, Alvaro Ronco, Tobacco, alcohol, diet and risk of non-Hodgkin's lymphoma: a case-control study in Uruguay Leukemia Research. ,vol. 22, pp. 445- 452 ,(1998) , 10.1016/S0145-2126(97)00194-X
N Breslow, Design and analysis of case-control studies. Annual Review of Public Health. ,vol. 3, pp. 29- 54 ,(1982) , 10.1146/ANNUREV.PU.03.050182.000333