Epidemiology
British Journal of Cancer (2008) 98, 225–231. doi:10.1038/sj.bjc.6604141 www.bjcancer.com
Published online 18 December 2007
Childhood leukaemia and population movements in France, 1990–2003
S Bellec1,2,3, B Baccaïni4, A Goubin1,2,3, J Rudant1,2, M Ripert1,2, D Hémon1,2 and J Clavel1,2,3
- 1INSERM, U754, Hôpital Paul Brousse, F-94807 Villejuif, France
- 2Université Paris XI, F-94276 Kremlin-Bicêtre, France
- 3French Registry of Childhood Haematopoietic malignancies, F-94807 Villejuif, France
- 4INSEE Provence-Alpes-Côte d'Azur, F-13387 Marseille, France
Correspondence: Dr S Bellec, INSERM, U754, Hôpital Paul Brousse, F-94807 Villejuif, France. E-mail: bellec@vjf.inserm.fr
Received 24 September 2007; Revised 9 November 2007; Accepted 14 November 2007; Published online 18 December 2007.
Abstract
In a national study, we investigated the incidence of childhood leukaemia (CL) over a 14-year period in France in relation to several measures based on the proportion of individuals who changed address between the last two national censuses. A positive association was found with the proportion of migrants who came from a distant place. The further the migrants came, the higher was the incidence of leukaemia, particularly among children aged 0–4 years in 'isolated' communes at the time of diagnosis (RR=1.4, 95% CI: 1.1,1.8 in the highest category of migration distance). Although the role of the population density was less obvious, a more marked association was found above a certain threshold. No association with the proportion of commuters was observed.
Keywords:
childhood leukaemia, population movements, population density, infectious aetiology hypothesis
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