Ethnicity and incidence of Hodgkin lymphoma in Canadian population
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- 作者：Punam Pahwa (1) (3)
Chandima P Karunanayake (1)
John J Spinelli (2)
James A Dosman (1)
Helen H McDuffie (1) - 刊名：BMC Cancer
- 出版年：2009
- 出版时间：December 2009
- 年：2009
- 卷：9
- 期：1
- 全文大小：542KB
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47. The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2407/9/141/prepub - 作者单位：Punam Pahwa (1) (3)
Chandima P Karunanayake (1)
John J Spinelli (2)
James A Dosman (1)
Helen H McDuffie (1)
1. Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Royal University Hospital, 103 Hospital Drive, S7N 0W8, Saskatoon, SK, Canada
3. Department of Community Health & Epidemiology, University of Saskatchewan, University of Saskatchewan, Health Science Building, 107, Wiggins Road, S7N 5E5, Saskatoon, Saskatchewan, Canada
2. Cancer Control Research, British Columbia Cancer Agency, 2-111, 675 West 10th Avenue Vancouver, V5Z 1L3, British Columbia, Canada - ISSN：1471-2407
文摘
Background Research has shown that ethnicity is a significant predictor of Hodgkin lymphoma (HL). Variations in cancer incidence among ethnic groups in the same country can lead to important information in the search for etiological factors. Other risk factors important in the etiology of HL are medical history and exposure to pesticides. In this report we investigated the association between ethnicity and HL in the presence of medical history, and exposure to pesticides. Methods The data resulting from a matched population-based case-control study conducted in six provinces of Canada (Ontario, Quebec, Manitoba, Saskatchewan, Alberta, and British Columbia) was analyzed to determine whether or not there was any association between ethnicity and incidence of HL when adjusted for personal medical history and pesticide exposure. Information on ethnicity, personal medical history, and pesticide exposure was collected by questionnaires via mail on 316 men diagnosed with HL; and on 1506 controls. A conditional logistic regression was utilized and results were presented as odds ratios and 95% confidence intervals. Results In our study population, the distribution of ethnic groups was: 38.5% North American, 15% British, 8.4% Western European, 8.2% Eastern European, 1.7% Asian, 1.4% Scandinavian and 27% of other ethnic origin. Compared to North Americans (i) the risk of HL was greater among the Eastern European descendents (Odds Ratio (ORadj): 1.82; 95% confidence interval (CI): 1.02, 3.25) and Western European (ORadj: 1.62; 95% CI: 0.95-.76) descent population (borderline significance at 5% level); and (ii) the risk of HL was lower in Asian descents. Diagnosis with measles (ORadj: 0.72, 95% C.I.: 0.53-.98) and/or positive history of allergy desensitization shots (ORadj: 0.55, 95% C.I.: 0.30-.99) were negatively associated with the incidence of HL, while diagnosis with acne (ORadj: 2.12, 95% C.I.: 1.19-.78), shingles (ORadj: 2.41, 95% C.I.: 1.38-.22) and positive family history of cancer (ORadj: 1.93, 95% C.I.: 1.40-.65) increased the risk of HL. Exposure to individual herbicide dichlorprop showed an increased risk of HL (ORadj: 6.35, 95% C.I.: 1.56-5.92). Conclusion In Canada, compared to North Americans descendents, the risk of HL was significantly greater among the Eastern European and Western European descent population. Our results related to association between ethnicity and HL support the findings reported by other researchers. Our data showed that subjects who were diagnosed with measles or had allergy desensitization shots negatively associated with the incidence of HL; and other medical conditions, ever diagnosed with acne, and positive family history of cancer were positively associated with the incidence of HL.