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Use of mobile phones and risk of brain tumours: update of Danish cohort study

机译:使用手机和脑部肿瘤的风险:丹麦队列研究的最新进展

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摘要

>Objective To investigate the risk of tumours in the central nervous system among Danish mobile phone subscribers.>Design Nationwide cohort study.>Setting Denmark.>Participants All Danes aged ≥30 and born in Denmark after 1925, subdivided into subscribers and non-subscribers of mobile phones before 1995.>Main outcome measures Risk of tumours of the central nervous system, identified from the complete Danish Cancer Register. Sex specific incidence rate ratios estimated with log linear Poisson regression models adjusted for age, calendar period, education, and disposable income.>Results 358 403 subscription holders accrued 3.8 million person years. In the follow-up period 1990-2007, there were 10 729 cases of tumours of the central nervous system. The risk of such tumours was close to unity for both men and women. When restricted to individuals with the longest mobile phone use—that is, ≥13 years of subscription—the incidence rate ratio was 1.03 (95% confidence interval 0.83 to 1.27) in men and 0.91 (0.41 to 2.04) in women. Among those with subscriptions of ≥10 years, ratios were 1.04 (0.85 to 1.26) in men and 1.04 (0.56 to 1.95) in women for glioma and 0.90 (0.57 to 1.42) in men and 0.93 (0.46 to 1.87) in women for meningioma. There was no indication of dose-response relation either by years since first subscription for a mobile phone or by anatomical location of the tumour—that is, in regions of the brain closest to where the handset is usually held to the head.>Conclusions In this update of a large nationwide cohort study of mobile phone use, there were no increased risks of tumours of the central nervous system, providing little evidence for a causal association.
机译:>目的:调查丹麦手机用户中枢神经系统中肿瘤的风险。>设计全国范围的队列研究。>设置丹麦。>参与者所有年龄≥30岁,1925年后出生于丹麦的丹麦人,分为1995年之前的移动电话订户和非订户。>主要结果指标,确定了中枢神经系统肿瘤的风险来自完整的丹麦癌症登记簿。通过对数线性Poisson回归模型对年龄,日历期,受教育程度和可支配收入进行调整后,估算出的性别比发生率比率。>结果 358 403的订阅者拥有380万人年。在1990年至2007年的随访期间,中枢神经系统肿瘤发生了10 729例。男性和女性患这种肿瘤的风险接近统一。如果仅限于使用手机使用时间最长的用户(即订购≥13年),则男性的发病率比率为1.03(95%置信区间0.83至1.27),女性为0.91(0.41至2.04)。在年龄≥10岁的人群中,男性脑胶质瘤的比例为1.04(0.85至1.26),女性脑膜瘤的比例为1.04(0.56至1.95),男性脑膜瘤的比例为0.90(0.57至1.42),女性为0.93(0.46至1.87)。 。从首次订购移动电话以来的数年或肿瘤的解剖位置(即在最靠近手持机通常握在头上的大脑区域),都没有剂量反应关系的迹象。>结论在这项有关手机使用的全国性大型队列研究的最新动态中,中枢神经系统肿瘤的患病风险没有增加,几乎没有因果关系的证据。

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