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DOI10.1371/journal.pone.0109332
Non-Hodgkin Lymphoma Risk and Insecticide, Fungicide and Fumigant se in the Agricultural Health Study
Alavanja, Michael C. R.1; Hofmann, Jonathan N.1; Lynch, Charles F.2; Hines, Cynthia J.3; Barry, Kathryn H.1; Barker, Joseph4; Buckman, Dennis W.4; Thomas, Kent5; Sandler, Dale P.6; Hoppin, Jane A.6; Koutros, Stella1; Andreotti, Gabriella1; Lubin, Jay H.1; Blair, Aaron1; Freeman, Laura E. Beane1
发表日期2014-10-22
ISSN1932-6203
卷号9期号:10
英文摘要

Farming and pesticide use have previously been linked to non-Hodgkin lymphoma (NHL), chronic lymphocytic leukemia (CLL) and multiple myeloma (MM). We evaluated agricultural use of specific insecticides, fungicides, and fumigants and risk of NHL and NHL-subtypes (including CLL and MM) in a U.S.-based prospective cohort of farmers and commercial pesticide applicators. A total of 523 cases occurred among 54,306 pesticide applicators from enrollment (1993-97) through December 31, 2011 in Iowa, and December 31, 2010 in North Carolina. Information on pesticide use, other agricultural exposures and other factors was obtained from questionnaires at enrollment and at follow-up approximately five years later (1999-2005). Information from questionnaires, monitoring, and the literature were used to create lifetime-days and intensity-weighted lifetime days of pesticide use, taking into account exposure-modifying factors. Poisson and polytomous models were used to calculate relative risks (RR) and 95% confidence intervals (CI) to evaluate associations between 26 pesticides and NHL and five NHL-subtypes, while adjusting for potential confounding factors. For total NHL, statistically significant positive exposure-response trends were seen with lindane and DDT. Terbufos was associated with total NHL in ever/never comparisons only. In subtype analyses, terbufos and DDT were associated with small cell lymphoma/chronic lymphocytic leukemia/marginal cell lymphoma, lindane and diazinon with follicular lymphoma, and permethrin with MM. However, tests of homogeneity did not show significant differences in exposure-response among NHL-subtypes for any pesticide. Because 26 pesticides were evaluated for their association with NHL and its subtypes, some chance finding could have occurred. Our results showed pesticides from different chemical and functional classes were associated with an excess risk of NHL and NHL subtypes, but not all members of any single class of pesticides were associated with an elevated risk of NHL or NHL subtypes. These findings are among the first to suggest links between DDT, lindane, permethrin, diazinon and terbufos with NHL subtypes.


语种英语
WOS记录号WOS:000343674800010
来源期刊PLOS ONE
来源机构美国环保署
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/61306
作者单位1.NCI, Div Canc Epidemiol & Genet, Rockville, MD 20850 USA;
2.Univ Iowa, Coll Publ Hlth, Iowa City, IA USA;
3.NIOSH, Cincinnati, OH 45226 USA;
4.IMS Inc, Calverton, MD USA;
5.US EPA, Natl Exposure Res Lab, Res Triangle Pk, NC 27711 USA;
6.NIEHS, Epidemiol Branch, Res Triangle Pk, NC 27709 USA
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Alavanja, Michael C. R.,Hofmann, Jonathan N.,Lynch, Charles F.,et al. Non-Hodgkin Lymphoma Risk and Insecticide, Fungicide and Fumigant se in the Agricultural Health Study[J]. 美国环保署,2014,9(10).
APA Alavanja, Michael C. R..,Hofmann, Jonathan N..,Lynch, Charles F..,Hines, Cynthia J..,Barry, Kathryn H..,...&Freeman, Laura E. Beane.(2014).Non-Hodgkin Lymphoma Risk and Insecticide, Fungicide and Fumigant se in the Agricultural Health Study.PLOS ONE,9(10).
MLA Alavanja, Michael C. R.,et al."Non-Hodgkin Lymphoma Risk and Insecticide, Fungicide and Fumigant se in the Agricultural Health Study".PLOS ONE 9.10(2014).
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