Jukka Juutilainen, Muhammad Waseem Khan, Jonne Naarala, Päivi Roivainen
{"title":"Magnetic fields from indoor transformer stations and risk of cancer in adults: a cohort study.","authors":"Jukka Juutilainen, Muhammad Waseem Khan, Jonne Naarala, Päivi Roivainen","doi":"10.1136/oemed-2024-109466","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Studies assessing the association of adult cancers with extremely low frequency (ELF) magnetic fields (MF) have provided inconclusive results, probably affected by limitations such as low exposure levels, confounding and various forms of bias. This study investigated the association between residential ELF MF exposure and adult cancer using a design that avoids the main limitations of previous studies.</p><p><strong>Methods: </strong>Persons who have lived in buildings with indoor transformer stations during the period 1971-2016 formed the study cohort. Their MF exposure was assessed based on the location of their apartment in relation to the transformer room. Information on their cancer diagnoses was obtained from the Finnish Cancer Registry. SIR with 95% CI was calculated to investigate the association of MF exposure with overall cancer and specific cancers.</p><p><strong>Results: </strong>The SIR for all primary sites was 1.01 (95% CI 0.93 to 1.09). An increased risk of digestive organ cancers was observed among the exposed persons, with a SIR of 1.23 (95% CI 1.03 to 1.46). The highest SIR was observed for gallbladder cancer (3.92, 95% CI 1.44 to 8.69). Increased risk of testicular cancer was observed among men exposed to MF during childhood, but this is likely to be due to confounding associated with living on the lowest floors. No other significant associations were observed for other primary cancer sites studied.</p><p><strong>Conclusions: </strong>Overall cancer risk was not affected by residential MF exposure. The increased risk of digestive organ cancers among MF-exposed persons is a novel finding requiring confirmation in further studies.</p>","PeriodicalId":19459,"journal":{"name":"Occupational and Environmental Medicine","volume":" ","pages":""},"PeriodicalIF":3.9000,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Occupational and Environmental Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/oemed-2024-109466","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: Studies assessing the association of adult cancers with extremely low frequency (ELF) magnetic fields (MF) have provided inconclusive results, probably affected by limitations such as low exposure levels, confounding and various forms of bias. This study investigated the association between residential ELF MF exposure and adult cancer using a design that avoids the main limitations of previous studies.
Methods: Persons who have lived in buildings with indoor transformer stations during the period 1971-2016 formed the study cohort. Their MF exposure was assessed based on the location of their apartment in relation to the transformer room. Information on their cancer diagnoses was obtained from the Finnish Cancer Registry. SIR with 95% CI was calculated to investigate the association of MF exposure with overall cancer and specific cancers.
Results: The SIR for all primary sites was 1.01 (95% CI 0.93 to 1.09). An increased risk of digestive organ cancers was observed among the exposed persons, with a SIR of 1.23 (95% CI 1.03 to 1.46). The highest SIR was observed for gallbladder cancer (3.92, 95% CI 1.44 to 8.69). Increased risk of testicular cancer was observed among men exposed to MF during childhood, but this is likely to be due to confounding associated with living on the lowest floors. No other significant associations were observed for other primary cancer sites studied.
Conclusions: Overall cancer risk was not affected by residential MF exposure. The increased risk of digestive organ cancers among MF-exposed persons is a novel finding requiring confirmation in further studies.
目的:评估成人癌症与极低频(ELF)磁场(MF)相关性的研究没有得出结论,这可能受到暴露水平低、混杂因素和各种形式的偏差等限制因素的影响。本研究采用的设计避免了以往研究的主要局限性,调查了住宅极低频磁场暴露与成人癌症之间的关系:研究队列由 1971-2016 年期间居住在有室内变压器站的建筑物中的人员组成。根据其公寓与变压器室的相对位置,对他们的中频暴露进行评估。他们的癌症诊断信息来自芬兰癌症登记处。通过计算 SIR 和 95% CI,研究了中频暴露与总体癌症和特定癌症的关系:所有原发部位的 SIR 为 1.01(95% CI 为 0.93 至 1.09)。据观察,暴露者罹患消化器官癌症的风险增加,其 SIR 为 1.23(95% CI 1.03 至 1.46)。胆囊癌的 SIR 值最高(3.92,95% CI 1.44 至 8.69)。在童年时期暴露于甲状腺肿大的男性中观察到睾丸癌风险增加,但这可能是由于与居住在最低楼层有关的混杂因素造成的。在研究的其他原发癌症部位中,没有观察到其他明显的关联:结论:总体癌症风险不受住宅暴露于甲烷的影响。接触过甲烷的人患消化器官癌症的风险增加是一个新发现,需要进一步研究证实。
期刊介绍:
Occupational and Environmental Medicine is an international peer reviewed journal covering current developments in occupational and environmental health worldwide. Occupational and Environmental Medicine publishes high-quality research relating to the full range of chemical, physical, ergonomic, biological and psychosocial hazards in the workplace and to environmental contaminants and their health effects. The journal welcomes research aimed at improving the evidence-based practice of occupational and environmental research; including the development and application of novel biological and statistical techniques in addition to evaluation of interventions in controlling occupational and environmental risks.