Abstract | BACKGROUND: Few epidemiologic studies have explored risk factors for rare tumors in children, and the role of environmental factors needs to be assessed. OBJECTIVES: To ascertain the effect of residential proximity to both industrial and urban areas on childhood cancer risk, taking industrial groups into account. METHODS: We conducted a population-based case-control study of five childhood cancers in Spain ( retinoblastoma, hepatic tumors, soft tissue sarcomas, germ cell tumors, and other epithelial neoplasms/ melanomas), including 557 incident cases from the Spanish Registry of Childhood Tumors (period 1996-2011), and 3342 controls individually matched by year of birth, sex, and region of residence. Distances were computed from the residences to the 1271 industries and the 30 urban areas with ≥75,000 inhabitants located in the study area. Using logistic regression, odds ratios ( ORs) and 95% confidence intervals (95%CIs) for categories of distance to industrial and urban pollution sources were calculated, with adjustment for matching variables and socioeconomic confounders. RESULTS: Children living near industrial and urban areas as a whole showed no excess risk for any of the tumors analyzed. However, isolated statistical associations (OR; 95%CI) were found between retinoblastoma and proximity to industries involved in glass and mineral fibers (2.49; 1.01-6.12 at 3km) and organic chemical industries (2.54; 1.10-5.90 at 2km). Moreover, soft tissue sarcomas registered the lower risks in the environs of industries as a whole (0.59; 0.38-0.93 at 4km). CONCLUSIONS:
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Authors | Javier García-Pérez, Antonio Morales-Piga, Diana Gómez-Barroso, Ibon Tamayo-Uria, Elena Pardo Romaguera, Gonzalo López-Abente, Rebeca Ramis |
Journal | Environmental research
(Environ Res)
Vol. 151
Pg. 265-274
(Nov 2016)
ISSN: 1096-0953 [Electronic] Netherlands |
PMID | 27509487
(Publication Type: Journal Article)
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Copyright | Copyright © 2016 Elsevier Inc. All rights reserved. |
Topics |
- Adolescent
- Case-Control Studies
- Child
- Child, Preschool
- Environmental Pollution
(adverse effects)
- Female
- Humans
- Infant
- Male
- Neoplasms
(etiology)
- Residence Characteristics
(statistics & numerical data)
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