Research report
Childhood leukaemia in areas with different radon levels: a
spatial and temporal analysis using GIS
S Kohlia b, H Noorlind Bragec, O Löfmanc
a Department of
Medical Informatics, Faculty of Health Sciences, Public Health Centre,
University Hospital, S-581 85, Linköping, Sweden, b Department of General Practice, Faculty of
Health Sciences, Public Health Centre, University Hospital, c Department of Community and Environmental
Medicine, Public Health Centre, University Hospital
Correspondence to: Dr Löfman (owe.lofman{at}lio.se)
Accepted for publication 25 May 2000
OBJECTIVES
To evaluate
the relation between exposure to ground radon levels and leukaemia
among children using existing population and disease registers.
DESIGN
Ecological
correlation study.
SETTING
The county of
Östergötland in Sweden.
METHODS
Every child
born in the county between 1979 and 1992 was mapped to the property
centroid coordinates by linking addresses in the population and
property registers. Population maps were overlaid with radon maps and
exposure at birth and each subsequent year was quantified as high,
normal, low or unknown. This was analysed with data from the tumour
registry. Standardised mortality ratios (SMRs) were calculated using
the age and sex specific rates for Sweden for the year 1995.
RESULTS
90
malignancies occurred among 53 146 children (498 887 person years)
who formed the study population. SMRs for acute lymphatic leukaemia
(ALL) among children born in high, normal and low risk areas were 1.43, 1.17 and 0.25 respectively. The relative risk for the normal risk group
and high risk group as compared with the low risk group was 4.64 (95%
CI 1.29, 28.26) and 5.67 (95% CI 1.06, 42.27). The association between
ALL and continued residence at normal or high risk areas showed a
similar trend. No association between radon risk levels and any other
malignancy was seen.
CONCLUSION
Children
born in and staying at areas where the risk from ground radon has been
classified as low are less likely to develop ALL than those born in
areas classified as normal and high risk.
Keywords: leukaemia; cancer; radon; ionising radiation; Geographic Information Systems
© 2000 by Journal of Epidemiology and Community Health
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