首页 > 最新文献

European Journal of Epidemiology最新文献

英文 中文
A note of thanks 一封感谢信
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-26 DOI: 10.1007/s10654-025-01351-5
Albert Hofman
{"title":"A note of thanks","authors":"Albert Hofman","doi":"10.1007/s10654-025-01351-5","DOIUrl":"https://doi.org/10.1007/s10654-025-01351-5","url":null,"abstract":"","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"32 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145830269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reply to Ko, Null within-twin estimates on education and dementia: cautions for within-family contrasts. 对教育和痴呆的双胞胎内估计为零:对家庭内部对比的警告。
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-13 DOI: 10.1007/s10654-025-01312-y
Ellen E Walters,Susan E Luczak,Christopher R Beam,Malin Ericsson,William S Kremen,Robert F Krueger,Kristian E Markon,Matt McGue,Marianne Nygaard,Matthew S Panizzon,Brenda L Plassman,Chandra A Reynolds,Perminder S Sachdev,Anbu Thalamuthu,Keith E Whitfield,Nancy L Pedersen,Margaret Gatz,
We reply to the letter to the editor by Soohyeon Ko (Eur J Epidemiol, https://doi.org/10.1007/s10654-025-01305-x ) concerning our article by Walters et al. (Eur J Epidemiol, https://doi.org/10.1007/s10654-025-01286-x ). We reiterate that genetic explanations contribute to understanding why education is protective against dementia, alongside influences reflecting the whole of one's family and societal context. We also caution that genetic explanations should not be misinterpreted as deterministic.
我们回复了Soohyeon Ko (Eur J epidemiology, https://doi.org/10.1007/s10654-025-01305-x)就Walters et al. (Eur J epidemiology, https://doi.org/10.1007/s10654-025-01286-x)的文章给编辑的信。我们重申,基因解释有助于理解为什么教育可以预防痴呆症,以及反映整个家庭和社会背景的影响。我们还警告说,基因解释不应被误解为决定性的。
{"title":"Reply to Ko, Null within-twin estimates on education and dementia: cautions for within-family contrasts.","authors":"Ellen E Walters,Susan E Luczak,Christopher R Beam,Malin Ericsson,William S Kremen,Robert F Krueger,Kristian E Markon,Matt McGue,Marianne Nygaard,Matthew S Panizzon,Brenda L Plassman,Chandra A Reynolds,Perminder S Sachdev,Anbu Thalamuthu,Keith E Whitfield,Nancy L Pedersen,Margaret Gatz, ","doi":"10.1007/s10654-025-01312-y","DOIUrl":"https://doi.org/10.1007/s10654-025-01312-y","url":null,"abstract":"We reply to the letter to the editor by Soohyeon Ko (Eur J Epidemiol, https://doi.org/10.1007/s10654-025-01305-x ) concerning our article by Walters et al. (Eur J Epidemiol, https://doi.org/10.1007/s10654-025-01286-x ). We reiterate that genetic explanations contribute to understanding why education is protective against dementia, alongside influences reflecting the whole of one's family and societal context. We also caution that genetic explanations should not be misinterpreted as deterministic.","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"1 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145732661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Choosing a sensible contrast makes “prevalence bias” irrelevant in screening colonoscopy trials 选择一个合理的对比使得“患病率偏差”在筛选结肠镜试验中无关紧要
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-03 DOI: 10.1007/s10654-025-01301-1
Marco Piccininni, Vanessa Didelez, Mats J. Stensrud
Screening colonoscopy has been shown to reduce colorectal cancer incidence. However, the magnitude of this effect is debated. There is concern that some trial participants already had colorectal cancer at baseline. The screening procedure could not prevent disease occurrence in these participants, leading to “prevalence bias”. Some authors have argued that the effect of interest is confined to participants without disease at baseline, and failing to exclude prevalent cases supposedly leads to effect underestimation. Yet, the issue is debated, with other authors arguing that conventional randomized trials provide the effects that are most relevant to public health. Here we present new, formal arguments that clarify misconceptions in this debate. We show that, under mild assumptions, the so-called “prevalence bias” is not a concern when researchers are interested in estimating risk differences, rather than risk ratios. This is because of a statistical property of the causal risk difference when outcomes are rare, called “doomed-selection stability”.
结肠镜筛查已被证明可以降低结直肠癌的发病率。然而,这种影响的程度存在争议。有人担心,一些试验参与者在基线时已经患有结直肠癌。筛查程序不能预防这些参与者的疾病发生,导致“患病率偏差”。一些作者认为,兴趣的影响仅限于基线时没有疾病的参与者,未能排除流行病例可能会导致效果低估。然而,这个问题存在争议,其他作者认为,传统的随机试验提供了与公共卫生最相关的效果。在这里,我们提出了新的、正式的论点,澄清了这场辩论中的误解。我们表明,在温和的假设下,当研究人员对估计风险差异而不是风险比感兴趣时,所谓的“流行偏差”不是一个问题。这是因为当结果罕见时,因果风险差异的统计特性被称为“注定选择稳定性”。
{"title":"Choosing a sensible contrast makes “prevalence bias” irrelevant in screening colonoscopy trials","authors":"Marco Piccininni, Vanessa Didelez, Mats J. Stensrud","doi":"10.1007/s10654-025-01301-1","DOIUrl":"https://doi.org/10.1007/s10654-025-01301-1","url":null,"abstract":"Screening colonoscopy has been shown to reduce colorectal cancer incidence. However, the magnitude of this effect is debated. There is concern that some trial participants already had colorectal cancer at baseline. The screening procedure could not prevent disease occurrence in these participants, leading to “prevalence bias”. Some authors have argued that the effect of interest is confined to participants without disease at baseline, and failing to exclude prevalent cases supposedly leads to effect underestimation. Yet, the issue is debated, with other authors arguing that conventional randomized trials provide the effects that are most relevant to public health. Here we present new, formal arguments that clarify misconceptions in this debate. We show that, under mild assumptions, the so-called “prevalence bias” is not a concern when researchers are interested in estimating risk differences, rather than risk ratios. This is because of a statistical property of the causal risk difference when outcomes are rare, called “doomed-selection stability”.","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"58 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145657358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of serum iron and its status change with mortality risk: prospective findings from the MJ cohort. 血清铁及其状态变化与死亡风险的关系:来自MJ队列的前瞻性发现。
IF 5.9 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-01 Epub Date: 2025-09-01 DOI: 10.1007/s10654-025-01295-w
Yunyun Liu, Chi Pang Wen, Junlong Pan, Jiameng Cui, Wanzhu Lu, Tong Sun, Xian Ning, June Han Lee, Wenyuan Li, Huakang Tu, Xifeng Wu

Previous studies on serum iron levels and mortality risk have yielded inconsistent findings based on single-point measurements. How serum iron levels and their longitudinal changes influence all-cause and cause-specific mortality remains unknown. This study investigated associations between baseline serum iron levels, their longitudinal changes, and all-cause and cause-specific mortality in a prospective cohort. Participants were recruited from the Taiwan MJ cohort (1997-2007) and followed until December 31, 2022. Baseline serum iron was categorized as low, normal, or high. Based on changes at a second visit, participants were further classified as persistent normal, progression to abnormal, reversion to normal, or persistent abnormal. Cox proportional hazard models were used for analysis. Over a median follow-up of 19.0 years, 33,005 deaths occurred. Fully adjusted models demonstrated J-shaped associations between serum iron and all-cause and cause-specific mortality (all P < 0.001), with higher all-cause mortality risks in low (HR 1.27, 95% CI [1.23, 1.31]) and high iron groups (HR 1.37, 95% CI [1.30, 1.44]). Compared to persistent normal levels, those with progression to abnormal, reversion to normal, or persistent abnormal serum iron exhibited elevated mortality risks (HRs: 1.22 [1.15, 1.30], 1.16 [1.09, 1.24], 1.49 [1.36, 1.63], respectively). Moreover, maintaining normal serum iron status alongside a healthy lifestyle exhibited the lowest mortality risks. Long term abnormal serum iron status was linked to increased mortality, which could be mitigated through lifestyle modifications, suggesting significance of serum iron monitoring and potential intervention.

先前关于血清铁水平和死亡风险的研究基于单点测量得出了不一致的结果。血清铁水平及其纵向变化如何影响全因死亡率和病因特异性死亡率仍然未知。本研究在前瞻性队列中调查了基线血清铁水平及其纵向变化与全因和病因特异性死亡率之间的关系。参与者从台湾MJ队列(1997-2007)中招募,随访至2022年12月31日。基线血清铁分为低、正常和高。根据第二次访问时的变化,参与者被进一步分类为持续正常、进展到异常、恢复正常或持续异常。采用Cox比例风险模型进行分析。在中位19.0年的随访期间,发生了33,005例死亡。完全调整后的模型显示血清铁与全因死亡率和病因特异性死亡率之间呈j型相关
{"title":"Associations of serum iron and its status change with mortality risk: prospective findings from the MJ cohort.","authors":"Yunyun Liu, Chi Pang Wen, Junlong Pan, Jiameng Cui, Wanzhu Lu, Tong Sun, Xian Ning, June Han Lee, Wenyuan Li, Huakang Tu, Xifeng Wu","doi":"10.1007/s10654-025-01295-w","DOIUrl":"10.1007/s10654-025-01295-w","url":null,"abstract":"<p><p>Previous studies on serum iron levels and mortality risk have yielded inconsistent findings based on single-point measurements. How serum iron levels and their longitudinal changes influence all-cause and cause-specific mortality remains unknown. This study investigated associations between baseline serum iron levels, their longitudinal changes, and all-cause and cause-specific mortality in a prospective cohort. Participants were recruited from the Taiwan MJ cohort (1997-2007) and followed until December 31, 2022. Baseline serum iron was categorized as low, normal, or high. Based on changes at a second visit, participants were further classified as persistent normal, progression to abnormal, reversion to normal, or persistent abnormal. Cox proportional hazard models were used for analysis. Over a median follow-up of 19.0 years, 33,005 deaths occurred. Fully adjusted models demonstrated J-shaped associations between serum iron and all-cause and cause-specific mortality (all P < 0.001), with higher all-cause mortality risks in low (HR 1.27, 95% CI [1.23, 1.31]) and high iron groups (HR 1.37, 95% CI [1.30, 1.44]). Compared to persistent normal levels, those with progression to abnormal, reversion to normal, or persistent abnormal serum iron exhibited elevated mortality risks (HRs: 1.22 [1.15, 1.30], 1.16 [1.09, 1.24], 1.49 [1.36, 1.63], respectively). Moreover, maintaining normal serum iron status alongside a healthy lifestyle exhibited the lowest mortality risks. Long term abnormal serum iron status was linked to increased mortality, which could be mitigated through lifestyle modifications, suggesting significance of serum iron monitoring and potential intervention.</p>","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":" ","pages":"1419-1429"},"PeriodicalIF":5.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Causality and exposome 因果关系和暴露性
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-28 DOI: 10.1007/s10654-025-01328-4
Paolo Vineis
{"title":"Causality and exposome","authors":"Paolo Vineis","doi":"10.1007/s10654-025-01328-4","DOIUrl":"https://doi.org/10.1007/s10654-025-01328-4","url":null,"abstract":"","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"32 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145611107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Solar ultraviolet radiation exposure, and incidence of childhood (0–19 years) malignant and non-malignant brain tumour in a US population-based dataset, 2000–2021 2000-2021年美国人口数据集中,太阳紫外线照射与儿童(0-19岁)恶性和非恶性脑肿瘤的发病率
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-24 DOI: 10.1007/s10654-025-01314-w
Mark P. Little, Jim Z. Mai, Jill S. Barnholtz-Sloan, Martha S. Linet, Michelle Fang, Pavel Chernyavskiy, Victoria Kennerley, Elizabeth K. Cahoon, Myles G. Cockburn, Gerald M. Kendall, Michael G. Kimlin
Brain tumour is the second most common type of childhood cancer and the most common solid tumour in children, but its aetiology is largely unknown. Some previous studies have suggested that elevated ultraviolet radiation (UVR) exposures decrease brain tumour risk, but the evidence is inconsistent. We conducted a cross-sectional study (with census-derived population counts) to assess age < 20 malignant/non-malignant brain tumour incidence overall and for major categories in Surveillance, Epidemiology and End Results 2000–2021 data, using ground-based UVR-irradiance measures, via quasi-likelihood models accounting for over/under-dispersion, adjusted for age, sex, race/ethnicity and other socioeconomic variables. There were 29,088/18,585 cases of malignant/non-malignant brain tumour, with generally significant decreasing trends of both types of tumour with UVR irradiance [relative risk (RR) = 0.754/mW/cm 2 (95% CI 0.659, 0.862, p < 0.0001) for malignant brain tumour, RR = 0.466/mW/cm 2 (95% CI 0.382, 0.567, p < 0.0001] for non-malignant brain tumour), although there was significant heterogeneity by histopathologic subtype, race/ethnicity, and sex. Equally, there is a highly significant decreasing trend of both types of tumour with UVR-cumulative radiant exposure ( p < 0.0001). These trends are also significant in many malignant/non-malignant brain tumour histopathological subtypes and racial/ethnic groups. However, there are certain non-malignant brain tumour subtypes, for example tumours of the pineal region and meningeal tumours, where RR significantly exceed 1 in relation to UVR irradiance ( p = 0.0330, p = 0.0024 respectively). Our finding, of a generally protective effect of UVR on brain tumour risk is not clear-cut, and warrants large studies of specific histopathological pediatric/adolescent brain tumours using individual-level data on solar exposures and key effect modifiers and potential confounders.
脑瘤是儿童癌症中第二常见的类型,也是儿童中最常见的实体瘤,但其病因在很大程度上是未知的。先前的一些研究表明,增加的紫外线辐射(UVR)暴露会降低脑肿瘤的风险,但证据并不一致。我们进行了一项横断面研究(使用人口普查得出的人口计数),使用地面uvr辐照度测量,通过准似然模型,通过年龄、性别、种族/民族和其他社会经济变量进行调整,评估年龄和20岁恶性/非恶性脑肿瘤的总体发病率,以及2000-2021年监测、流行病学和最终结果数据中的主要类别。恶性/非恶性脑肿瘤共有29,088/18,585例,两种肿瘤在UVR照射下的相对危险度(RR) = 0.754/mW/ cm2 (95% CI 0.659, 0.862, p < 0.0001)和非恶性脑肿瘤的相对危险度(RR = 0.466/mW/ cm2 (95% CI 0.382, 0.567, p < 0.0001)总体上呈显著下降趋势,但组织病理亚型、种族/民族和性别存在显著异质性。同样,在uvr累积辐射照射下,两种类型的肿瘤的发病率都有非常显著的下降趋势(p < 0.0001)。这些趋势在许多恶性/非恶性脑肿瘤组织病理学亚型和种族/民族群体中也很重要。然而,某些非恶性脑肿瘤亚型,例如松果体区肿瘤和脑膜肿瘤,其相对于UVR辐照度的RR显著超过1 (p = 0.0330, p = 0.0024)。我们的研究发现,紫外线辐射对脑肿瘤风险的一般保护作用尚不明确,需要对儿童/青少年特定组织病理学脑肿瘤进行大量研究,使用个人水平的太阳照射数据、关键效应调节剂和潜在混杂因素。
{"title":"Solar ultraviolet radiation exposure, and incidence of childhood (0–19 years) malignant and non-malignant brain tumour in a US population-based dataset, 2000–2021","authors":"Mark P. Little, Jim Z. Mai, Jill S. Barnholtz-Sloan, Martha S. Linet, Michelle Fang, Pavel Chernyavskiy, Victoria Kennerley, Elizabeth K. Cahoon, Myles G. Cockburn, Gerald M. Kendall, Michael G. Kimlin","doi":"10.1007/s10654-025-01314-w","DOIUrl":"https://doi.org/10.1007/s10654-025-01314-w","url":null,"abstract":"Brain tumour is the second most common type of childhood cancer and the most common solid tumour in children, but its aetiology is largely unknown. Some previous studies have suggested that elevated ultraviolet radiation (UVR) exposures decrease brain tumour risk, but the evidence is inconsistent. We conducted a cross-sectional study (with census-derived population counts) to assess age &lt; 20 malignant/non-malignant brain tumour incidence overall and for major categories in Surveillance, Epidemiology and End Results 2000–2021 data, using ground-based UVR-irradiance measures, via quasi-likelihood models accounting for over/under-dispersion, adjusted for age, sex, race/ethnicity and other socioeconomic variables. There were 29,088/18,585 cases of malignant/non-malignant brain tumour, with generally significant decreasing trends of both types of tumour with UVR irradiance [relative risk (RR) = 0.754/mW/cm <jats:sup>2</jats:sup> (95% CI 0.659, 0.862, <jats:italic>p</jats:italic> &lt; 0.0001) for malignant brain tumour, RR = 0.466/mW/cm <jats:sup>2</jats:sup> (95% CI 0.382, 0.567, <jats:italic>p</jats:italic> &lt; 0.0001] for non-malignant brain tumour), although there was significant heterogeneity by histopathologic subtype, race/ethnicity, and sex. Equally, there is a highly significant decreasing trend of both types of tumour with UVR-cumulative radiant exposure ( <jats:italic>p</jats:italic> &lt; 0.0001). These trends are also significant in many malignant/non-malignant brain tumour histopathological subtypes and racial/ethnic groups. However, there are certain non-malignant brain tumour subtypes, for example tumours of the pineal region and meningeal tumours, where RR significantly exceed 1 in relation to UVR irradiance ( <jats:italic>p</jats:italic> = 0.0330, <jats:italic>p</jats:italic> = 0.0024 respectively). Our finding, of a generally protective effect of UVR on brain tumour risk is not clear-cut, and warrants large studies of specific histopathological pediatric/adolescent brain tumours using individual-level data on solar exposures and key effect modifiers and potential confounders.","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"153 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145583354","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does tattoo exposure increase the risk of cutaneous melanoma? A population-based case-control study 纹身会增加皮肤黑色素瘤的风险吗?一项基于人群的病例对照研究
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-24 DOI: 10.1007/s10654-025-01326-6
Emelie Rietz Liljedahl, Kari Nielsen, Malin Engfeldt, Anna Saxne Jöud, Christel Nielsen
The incidence of cutaneous melanoma (CM) has risen sharply over the past 30 years, coinciding with the rapidly growing tattoo trend. In Sweden, 20% of the population is tattooed. Repeated reports of the presence of carcinogenic chemicals, such as polyaromatic hydrocarbons, aromatic amines and heavy metals in tattoo ink justifies the investigation of CM risk in relation to tattooing. We aimed to investigate the potential association between tattoo exposure and CM. We identified 2880 individuals who were diagnosed with CM at age 20–60 years, in the Swedish National Cancer Register. For each case, we sampled three random age- and sex-matched controls from the Swedish Total Population Register. Exposure data and data on potential confounders were collected through a questionnaire in 2021. We estimated the relative risk of CM in tattooed compared with nontattooed individuals using multivariable logistic regression, rendering incidence rate ratios (IRR). Of the participants, 22% of the cases (354/1598) had a tattoo before the index date, vs. 20% of the controls (815/4097). We observed an adjusted relative risk of CM in tattooed compared to nontattooed individuals of 1.29 (95% confidence interval [CI]: 1.07–1.56). The results suggested that tattoos may be a risk factor for CM, but further studies are needed to establish causality.
在过去的30年里,皮肤黑色素瘤(CM)的发病率急剧上升,与快速增长的纹身趋势相吻合。在瑞典,20%的人有纹身。关于纹身墨水中存在致癌化学物质,如多芳烃、芳香胺和重金属的反复报道,证明了对纹身相关的CM风险进行调查是合理的。我们的目的是调查纹身暴露与CM之间的潜在联系。我们在瑞典国家癌症登记处发现了2880名年龄在20-60岁之间被诊断为CM的患者。对于每个病例,我们从瑞典总人口登记中随机抽取了三个年龄和性别匹配的对照。2021年通过问卷调查收集了暴露数据和潜在混杂因素数据。我们使用多变量logistic回归来估计文身者与未文身者发生CM的相对风险,得出发病率比(IRR)。在参与者中,22%的病例(354/1598)在索引日期之前有纹身,而对照组(815/4097)为20%。我们观察到,与未纹身者相比,纹身者的CM校正相对风险为1.29(95%置信区间[CI]: 1.07-1.56)。结果表明,纹身可能是CM的一个危险因素,但需要进一步的研究来确定因果关系。
{"title":"Does tattoo exposure increase the risk of cutaneous melanoma? A population-based case-control study","authors":"Emelie Rietz Liljedahl, Kari Nielsen, Malin Engfeldt, Anna Saxne Jöud, Christel Nielsen","doi":"10.1007/s10654-025-01326-6","DOIUrl":"https://doi.org/10.1007/s10654-025-01326-6","url":null,"abstract":"The incidence of cutaneous melanoma (CM) has risen sharply over the past 30 years, coinciding with the rapidly growing tattoo trend. In Sweden, 20% of the population is tattooed. Repeated reports of the presence of carcinogenic chemicals, such as polyaromatic hydrocarbons, aromatic amines and heavy metals in tattoo ink justifies the investigation of CM risk in relation to tattooing. We aimed to investigate the potential association between tattoo exposure and CM. We identified 2880 individuals who were diagnosed with CM at age 20–60 years, in the Swedish National Cancer Register. For each case, we sampled three random age- and sex-matched controls from the Swedish Total Population Register. Exposure data and data on potential confounders were collected through a questionnaire in 2021. We estimated the relative risk of CM in tattooed compared with nontattooed individuals using multivariable logistic regression, rendering incidence rate ratios (IRR). Of the participants, 22% of the cases (354/1598) had a tattoo before the index date, vs. 20% of the controls (815/4097). We observed an adjusted relative risk of CM in tattooed compared to nontattooed individuals of 1.29 (95% confidence interval [CI]: 1.07–1.56). The results suggested that tattoos may be a risk factor for CM, but further studies are needed to establish causality.","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"164 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145583184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Individualizing social determinants of health: is educational attainment a community resource? 个性化健康的社会决定因素:受教育程度是一种社区资源吗?
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-21 DOI: 10.1007/s10654-025-01332-8
Whitney Wells,M Maria Glymour
{"title":"Individualizing social determinants of health: is educational attainment a community resource?","authors":"Whitney Wells,M Maria Glymour","doi":"10.1007/s10654-025-01332-8","DOIUrl":"https://doi.org/10.1007/s10654-025-01332-8","url":null,"abstract":"","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"79 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145559114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
No "prevalence bias" in randomized controlled trials on colorectal cancer screening: the importance of clarifying the research question. 结直肠癌筛查随机对照试验无“患病率偏倚”:澄清研究问题的重要性
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-12 DOI: 10.1007/s10654-025-01303-z
Ulrike Haug,Mingyang Song,Vanessa Didelez
{"title":"No \"prevalence bias\" in randomized controlled trials on colorectal cancer screening: the importance of clarifying the research question.","authors":"Ulrike Haug,Mingyang Song,Vanessa Didelez","doi":"10.1007/s10654-025-01303-z","DOIUrl":"https://doi.org/10.1007/s10654-025-01303-z","url":null,"abstract":"","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"54 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145491464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overcoming prevalence bias in colorectal cancer screening studies by sensible analyses rather than ignoring it or giving up relevant effect measures 通过合理的分析克服结直肠癌筛查研究中的患病率偏倚,而不是忽视或放弃相关的效果措施
IF 13.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-11-08 DOI: 10.1007/s10654-025-01319-5
Hermann Brenner, Thomas Heisser, Michael Hoffmeister
{"title":"Overcoming prevalence bias in colorectal cancer screening studies by sensible analyses rather than ignoring it or giving up relevant effect measures","authors":"Hermann Brenner, Thomas Heisser, Michael Hoffmeister","doi":"10.1007/s10654-025-01319-5","DOIUrl":"https://doi.org/10.1007/s10654-025-01319-5","url":null,"abstract":"","PeriodicalId":11907,"journal":{"name":"European Journal of Epidemiology","volume":"92 1","pages":""},"PeriodicalIF":13.6,"publicationDate":"2025-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145461335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
European Journal of Epidemiology
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1