Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study
We aimed to study the association between occupational exposure to pesticides and chronic lymphocytic leukemia (CLL) in Spain. Occupational exposure to pesticides (four insecticides, four herbicides and two fungicides) was evaluated using a job-exposure matrix for the Spanish population (MatEmESp) a...
| Autores: | , , , , , , , , , , , , , , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Universidad de Barcelona |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/171743 |
| Acceso en línea: | https://hdl.handle.net/2445/171743 |
| Access Level: | acceso abierto |
| Palabra clave: | Plaguicides Leucèmia limfocítica crònica Pesticides Chronic lymphocytic leukemia |
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Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain StudyBenavente, YolandaCostas, LauraRodríguez Suárez, Marta MaríaAlguacil, JuanSantibáñez, MiguelVila, JavierRobles, ClaudiaAlonso Sanz, EstherBanda, Esmeralda de laGonzález Barca, EvaDierssen Sotos, TrinidadGimeno Vázquez, EvaAymerich Gregorio, MartaCampo Güerri, EliasJiménez Moleón, José JuanMarcos Gragera, RafaelCastaño-Vinyals, GemmaAragonès Sanz, NúriaPollan, MarinaSanjosé Llongueras, Silvia deKogevinas, ManolisTardón, AdoninaCasabonne, DelphinePlaguicidesLeucèmia limfocítica crònicaPesticidesChronic lymphocytic leukemiaWe aimed to study the association between occupational exposure to pesticides and chronic lymphocytic leukemia (CLL) in Spain. Occupational exposure to pesticides (four insecticides, four herbicides and two fungicides) was evaluated using a job-exposure matrix for the Spanish population (MatEmESp) among 302 CLL cases and 1567 population controls in five regions of Spain, 2010-2013. Cumulative exposure scores (CES) were obtained by summing across the exposed jobs the product of prevalence, intensity and duration of exposure to each active substance. Principal components analysis (PCA) and logistic regression models adjusted for age, sex, region, education and occupational exposure to solvents were used. Around 20% of controls and 29% of cases were exposed to one or more pesticides. Compared to non-exposed, subjects in the highest tertile (3rd tertile) of CES of insecticides, herbicides, fungicides were more likely to have CLL [OR (95% CI), P-trend; 2.10 (1.38; 3.19), 0.002; 1.77 (1.12; 2.80), 0.12; and 1.67 (1.06; 2.64), 0.10, respectively). Following PCA, the first component (PC1, explaining 70% of the variation) equally led by seven active substances (the insecticide pyrethrin, all herbicides, all fungicides) was associated with a 26% higher odds of having CLL for 1-standard deviation increase in PC1 (95% CI: 1.14 to 1.40). These results confirm previous associations between CLL and exposure to pesticides and provide additional evidence by application groups and active substance. However, more research is needed to disentangle independent effects of individual active substances.MDPI2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/171743Articles publicats en revistes (Ciències Clíniques)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3390/ijerph17145174International Journal of Environmental Research and Public Health, 2020, vol. 17, num. 14https://doi.org/10.3390/ijerph17145174cc by (c) Benavente et al., 2020http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1717432026-05-27T06:46:51Z |
| dc.title.none.fl_str_mv |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| title |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| spellingShingle |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study Benavente, Yolanda Plaguicides Leucèmia limfocítica crònica Pesticides Chronic lymphocytic leukemia |
| title_short |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| title_full |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| title_fullStr |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| title_full_unstemmed |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| title_sort |
Occupational Exposure to Pesticides and Chronic Lymphocytic Leukaemia in the MCC-Spain Study |
| dc.creator.none.fl_str_mv |
Benavente, Yolanda Costas, Laura Rodríguez Suárez, Marta María Alguacil, Juan Santibáñez, Miguel Vila, Javier Robles, Claudia Alonso Sanz, Esther Banda, Esmeralda de la González Barca, Eva Dierssen Sotos, Trinidad Gimeno Vázquez, Eva Aymerich Gregorio, Marta Campo Güerri, Elias Jiménez Moleón, José Juan Marcos Gragera, Rafael Castaño-Vinyals, Gemma Aragonès Sanz, Núria Pollan, Marina Sanjosé Llongueras, Silvia de Kogevinas, Manolis Tardón, Adonina Casabonne, Delphine |
| author |
Benavente, Yolanda |
| author_facet |
Benavente, Yolanda Costas, Laura Rodríguez Suárez, Marta María Alguacil, Juan Santibáñez, Miguel Vila, Javier Robles, Claudia Alonso Sanz, Esther Banda, Esmeralda de la González Barca, Eva Dierssen Sotos, Trinidad Gimeno Vázquez, Eva Aymerich Gregorio, Marta Campo Güerri, Elias Jiménez Moleón, José Juan Marcos Gragera, Rafael Castaño-Vinyals, Gemma Aragonès Sanz, Núria Pollan, Marina Sanjosé Llongueras, Silvia de Kogevinas, Manolis Tardón, Adonina Casabonne, Delphine |
| author_role |
author |
| author2 |
Costas, Laura Rodríguez Suárez, Marta María Alguacil, Juan Santibáñez, Miguel Vila, Javier Robles, Claudia Alonso Sanz, Esther Banda, Esmeralda de la González Barca, Eva Dierssen Sotos, Trinidad Gimeno Vázquez, Eva Aymerich Gregorio, Marta Campo Güerri, Elias Jiménez Moleón, José Juan Marcos Gragera, Rafael Castaño-Vinyals, Gemma Aragonès Sanz, Núria Pollan, Marina Sanjosé Llongueras, Silvia de Kogevinas, Manolis Tardón, Adonina Casabonne, Delphine |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Plaguicides Leucèmia limfocítica crònica Pesticides Chronic lymphocytic leukemia |
| topic |
Plaguicides Leucèmia limfocítica crònica Pesticides Chronic lymphocytic leukemia |
| description |
We aimed to study the association between occupational exposure to pesticides and chronic lymphocytic leukemia (CLL) in Spain. Occupational exposure to pesticides (four insecticides, four herbicides and two fungicides) was evaluated using a job-exposure matrix for the Spanish population (MatEmESp) among 302 CLL cases and 1567 population controls in five regions of Spain, 2010-2013. Cumulative exposure scores (CES) were obtained by summing across the exposed jobs the product of prevalence, intensity and duration of exposure to each active substance. Principal components analysis (PCA) and logistic regression models adjusted for age, sex, region, education and occupational exposure to solvents were used. Around 20% of controls and 29% of cases were exposed to one or more pesticides. Compared to non-exposed, subjects in the highest tertile (3rd tertile) of CES of insecticides, herbicides, fungicides were more likely to have CLL [OR (95% CI), P-trend; 2.10 (1.38; 3.19), 0.002; 1.77 (1.12; 2.80), 0.12; and 1.67 (1.06; 2.64), 0.10, respectively). Following PCA, the first component (PC1, explaining 70% of the variation) equally led by seven active substances (the insecticide pyrethrin, all herbicides, all fungicides) was associated with a 26% higher odds of having CLL for 1-standard deviation increase in PC1 (95% CI: 1.14 to 1.40). These results confirm previous associations between CLL and exposure to pesticides and provide additional evidence by application groups and active substance. However, more research is needed to disentangle independent effects of individual active substances. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://hdl.handle.net/2445/171743 |
| url |
https://hdl.handle.net/2445/171743 |
| dc.language.none.fl_str_mv |
Inglés |
| language_invalid_str_mv |
Inglés |
| dc.relation.none.fl_str_mv |
Reproducció del document publicat a: https://doi.org/10.3390/ijerph17145174 International Journal of Environmental Research and Public Health, 2020, vol. 17, num. 14 https://doi.org/10.3390/ijerph17145174 |
| dc.rights.none.fl_str_mv |
cc by (c) Benavente et al., 2020 http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess |
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cc by (c) Benavente et al., 2020 http://creativecommons.org/licenses/by/3.0/es/ |
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openAccess |
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application/pdf |
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MDPI |
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MDPI |
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Articles publicats en revistes (Ciències Clíniques) reponame:Dipòsit Digital de la UB instname:Universidad de Barcelona |
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Universidad de Barcelona |
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Dipòsit Digital de la UB |
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