母亲的酒精消费和儿童癌症的风险:一个系统的审查和元分析
Roya Rashti1, Faezeh Ghaaseemi1, Jalal Poorolajal1,2
1Department of Epidemiology, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran.
Asian Pacific journal of cancer prevention : APJCP
|March 1, 2025
概括
怀孕前和怀孕期间母亲的酒精消费与患儿癌症的风险更高有关. 这一系统性审查和元分析强调了需要采取公共卫生举措来减少产前酒精暴露的必要性.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 儿科瘤学 儿科瘤学
背景情况:
- 儿童癌症是一个重大的全球健康问题.
- 怀孕期间母亲的酒精摄入量是一个可疑的,但不一致的风险因素.
- 现有证据需要通过严格的分析来澄清.
研究的目的:
- 系统地审查和元分析观察性研究.
- 澄清母亲饮酒与儿童癌症风险之间的关联.
- 为公共卫生战略提供证据.
主要方法:
- 在主要数据库 (PubMed,科学网,Scopus) 进行系统的文献搜索,截至2023年5月.
- 包括31项观察性研究,共47277名参与者.
- 使用随机效应模型来计算几率比率 (OR) 和95%置信区间 (CI) 的元分析.
主要成果:
- 怀孕前母亲的酒精消费显示了儿童癌症的风险增加 (OR:1.15,95% CI:1.00,1.33).
- 怀孕期间母亲的酒精消费也表明风险增加 (OR:1.11,95% CI:1.03,1.20).
- 评估了统计异质性和出版偏差.
结论:
- 有证据支持母亲饮酒与儿童癌症风险之间存在积极关联.
- 这些发现强调了减少产前酒精暴露的重要性.
- 建议采取公共卫生干预措施来减轻这种风险.
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