Abstract
Purpose
To assess the risk of childhood central nervous system (CNS) tumors associated with parental occupational exposure to polycyclic aromatic hydrocarbons (PAH), diesel motor exhaust (DME), asbestos, crystalline silica, and metals, which are established carcinogens in adults.
Methods
We pooled data from three population-based case–control studies from Germany, France, and the UK. Cases were children aged up to 15 years and diagnosed with CNS tumor, and controls were frequency-matched by age and sex. Socio-demographic data and parental occupation around conception/pregnancy and at diagnosis were collected using standardized interviews, face-to-face or by telephone. A general population job-exposure matrix was used to assign a level of exposure to each job. Logistic regression models were fitted to compute odds ratios and 95 % confidence intervals.
Results
Our study included 1,361 cases of CNS tumors and 5,500 controls. Paternal exposure to PAH, asbestos, and metals around conception was associated with an increased moderate risk of CNS tumors, although statistically non-significant. The association with exposure to asbestos around conception and diagnosis was stronger when fathers were exposed to high levels. Paternal exposure to DME and silica, and maternal exposure to PAH, DME, asbestos, silica, and metals, were not associated with an increased risk of CNS tumors.
Conclusion
Our large pooled study showed weak evidence of a modest association between paternal occupational exposure to PAH and CNS tumor risk. Our findings need further exploration in the future studies.
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Acknowledgments
We wish to thank Mrs Véronique Luzon from IARC for her work in the data management. No special financial support was available for the pooling project. Catherine Huoi was supported by the Hospices Civils de Lyon, and the remaining co-authors contributed from their regular positions. The original case–control studies were supported as follows; Germany: Federal Ministry for the Environment, Nature Preservation and Nuclear Safety; France: INSERM, the Fondation de France, the Association pour la Recherche sur le Cancer (ARC), the Agence Française de Sécurité Sanitaire des Produits de Santé (AFSSAPS), the Agence Française de Sécurité Sanitaire de l’Environnement et du Travail (AFSSET), the association Cent pour sang la vie, the Institut National du Cancer (INCa), the Agence Nationale de la Recherche (ANR), and Cancéropôle Ile de France); UK: Leukaemia & Lymphoma Research. The development of the DOM–JEM was supported by internal funding provided by the Institute for Risk Assessment Sciences. The work in this paper by Helen Bailey was undertaken during the tenure of a postdoctoral fellowship from the International Agency for Research on Cancer, partially supported by the European Commission FP7 Marie Curie Actions—People co-funding of regional, national, and international programmes (COFUND).
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Huoi, C., Olsson, A., Lightfoot, T. et al. Parental occupational exposure and risk of childhood central nervous system tumors: a pooled analysis of case–control studies from Germany, France, and the UK. Cancer Causes Control 25, 1603–1613 (2014). https://doi.org/10.1007/s10552-014-0465-4
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DOI: https://doi.org/10.1007/s10552-014-0465-4