The authors conducted a population-based case-control study in Iowa of 375 brain cancer patients and 2,434 controls.
A postal questionnaire was used to gather information on lifetime residential history, sources of drinking water, beverage intake, and other potential risk factors.
Exposure to chlorination byproducts in drinking water was estimated by combining questionnaire data with historical information from water utilities and trihalomethane levels in recent samples.
The analysis included 291 cases (77.6%) and 1,983 controls (81.5%), for whom water quality information was available for at least 70% of lifetime years.
Proxies represented 74.4% of cases.
The mean number and mean duration of places of residence were comparable between direct and proxy respondents, suggesting little contribution to bias.
After multivariate adjustment, odds ratios for brain cancer were 1.0,1.1,1.6, and 1.3 for exposure to chlorinated surface water of 0,1-19,20-39, and >=40 years (p trend=0.1).
Among men, odds ratios were 1.0,1.3,1.7, and 2.5 (p trend=0.04), and among women, 1.0,1.0,1.6, and 0.7 (p trend=0.7)). Similar findings were found with estimates of average lifetime level of trihalomethanes.
The association was stronger among men with above-median tap water consumption.
These observations deserve further attention, especially in view of increasing glioma rates.
Mots-clés Pascal : Tumeur maligne, Intracrânien, Eau alimentation, Chloration, Toxicité, Exposition, Epidémiologie, Facteur risque, Homme, Iowa, Etats Unis, Amérique du Nord, Amérique, Santé et environnement, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie
Mots-clés Pascal anglais : Malignant tumor, Intracranial, Feed water, Chlorination, Toxicity, Exposure, Epidemiology, Risk factor, Human, Iowa, United States, North America, America, Health and environment, Nervous system diseases, Central nervous system disease, Cerebral disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0481940
Code Inist : 002B30A02A. Création : 22/03/2000.