| Titre : | Childhood leukaemia in Belarus, Russia, and Ukraine following the Chernobyl power station accident : results from an international collaborative population-based case-control study. (2006) |
| Auteurs : | S. DAVIS ; T. CHEGEROVA ; R.W. DAY ; K. FALKNER ; K.J. KOPECKY ; S. KULIKOV ; M.C. MAHONEY ; E. MASLOVA ; P.L. MCCARTHY ; A.M. MICHALEK ; K.B. MOYSICH ; L.E. ONSTAD ; V. OSTAPENKO ; N. RIVKIND ; V. SHEVCHUK ; V.F. STEPANENKO ; A.F. TSYB ; P.G. VOILLEQUD ; Medical Radiological Research Center. Obninsk. RUS ; National Hematology Research Center. Moscow. RUS |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 35, n° 2, 2006) |
| Pagination : | 386-396 |
| Langues: | Anglais |
| Mots-clés : | Leucémie ; Cancérologie ; Biélorussie ; Europe de l'Est ; Europe ; Ukraine ; Rayonnement ionisant ; Facteur risque ; Epidémiologie ; Enquête cas témoin ; Enfant ; Homme ; Accident nucléaire |
| Résumé : | [BDSP. Notice produite par INIST-CNRS S7R0xSs1. Diffusion soumise à autorisation]. Background : There is little evidence regarding the risk of leukaemia in children following exposure to radionuclides from the Chernobyl Nuclear Power Plant explosion on April 26,1986. Methods : This population-based case-control study investigated whether acute leukaemia is increased among children who were in utero or<6 years of age at the time of the Chernobyl accident. Confirmed cases of leukaemia diagnosed from April 26,1986 through December 31,2000 in contaminated regions of Belarus, Russia, and Ukraine were included. Two controls were matched to each case on sex, birth year, and residence. Accumulated absorbed radiation dose to the bone marrow was estimated for each subject. Results : Median estimated radiation doses of participants were<10 mGy. A significant increase in leukaemia risk with increasing radiation dose to the bone marrow was found. This association was most evident in Ukraine, apparent (but not statistically significant) in Belarus, and not found in Russia. Conclusion : Taken at face value, these findings suggest that prolonged exposure to very low radiation doses may increase leukaemia risk as much as or even more than acute exposure. However the large and statistically significant dose-response might be accounted for, at least in part, by an overestimate of risk in Ukraine. Therefore, we conclude this study provides no convincing evidence of an increased risk of childhood leukaemia as a result of exposure to Chernobyl radiation, since it is unclear whether the results are due to a true radiation-related excess, a sampling-derived bias in Ukraine, or some combination thereof. However, the lack of significant dose-responses in Belarus and Russia also cannot convincingly rule out the possibility of an increase in leukaemia risk at low dose levels. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact