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Residential mobility and the risk of childhood leukemia
Laura Järvelä1, Jani Raitanen1,2, Sini Erme3
1School of Health Sciences, University of Tampere, 33014, Tampere, Finland.
Purpose:
An infective origin of childhood leukemia has been postulated, with leukemia developing as a rare response to an infection. Population mixing can result in increased contacts between infected and susceptible individuals and may increase the risk of leukemia. The objective of this study was to investigate the association between residential mobility as an indicator of population mixing at individual level and the risk of leukemia in children (<15 years).
Methods:
We conducted a population-based case-control study using Finnish register data. Cases (n = 1,093) were all children diagnosed with leukemia (M9800-M9948 in ICD-O-3) at <15 years of age in Finland in 1990-2011. We chose randomly three controls per case (n = 3,279), free of cancer and alive in the end of the index year (diagnosis of the case). Controls were matched by sex and age. A comprehensive history of residential mobility was constructed from the population registry including overall migration, moving to a larger municipality (more inhabitants), and moving to a municipality with low, intermediate, or high migration intensity. The association between residential mobility and the risk of childhood leukemia was evaluated using conditional logistic regression.
Results:
We did not observe consistently increased or decreased risks of childhood leukemia associated with different migration patterns. Overall, residential mobility showed odds ratios nonsignificantly below unity, and no elevated risks were found.
Conclusion:
Our results do not indicate that higher residential mobility or moving to municipalities with more inhabitants is associated with risk of childhood leukemia.
Insights
This study found no link between childhood leukemia risk and residential mobility, a measure of population mixing. Moving homes or to larger areas did not increase the risk of childhood leukemia.
Area of Science:
- Epidemiology
- Pediatric Oncology
- Infectious Disease Epidemiology
Background:
- Childhood leukemia may arise from an infective cause, with population mixing potentially increasing disease risk.
- Residential mobility serves as an individual-level indicator of population mixing.
Purpose of the Study:
- To investigate the association between residential mobility and childhood leukemia risk in children under 15.
- To determine if increased population mixing, indicated by residential moves, correlates with altered leukemia incidence.
Main Methods:
- A population-based case-control study utilized Finnish registry data from 1990-2011.
- 1,093 childhood leukemia cases were compared to 3,279 matched controls.
- Residential mobility history, including migration patterns and destination municipality characteristics, was analyzed using conditional logistic regression.
Main Results:
- No consistent increase or decrease in childhood leukemia risk was observed across various migration patterns.
- Overall residential mobility showed odds ratios slightly below unity, indicating no elevated risk.
- Moving to larger municipalities or those with high migration intensity was not associated with increased leukemia risk.
Conclusions:
- Higher residential mobility is not associated with an increased risk of childhood leukemia.
- Moving to municipalities with more inhabitants does not elevate the risk for childhood leukemia.
- The findings do not support the hypothesis that population mixing, via residential mobility, drives childhood leukemia incidence.
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