Table 3.
Odds ratios (OR) and 95% confidence intervals (CI) for the association between an interquartile range increase in PM2.5 and childhood cancer risk, per pregnancy period.
| First Trimester (IQR: 2.50) a | 2nd Trimester (IQR: 2.46) b | Third Trimester (IQR: 2.50) c | Full Pregnancy (IQR: 1.88) d | ||||||||||||||
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| Cancer type | N, 5069 | OR | 95% CI | FDR P | OR | 95% CI | FDR P | OR | 95% CI | FDR P | OR | 95% CI | FDR P | ||||
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| All cancer combined | 1236 | 0.96 | 0.88 | 1.04 | 0.78 | 0.93 | 0.86 | 1.02 | 0.63 | 1.04 | 0.95 | 1.13 | 0.77 | 0.95 | 0.87 | 1.04 | 0.62 |
| Lymphoid leukemias | 297 | 0.99 | 0.85 | 1.16 | 0.98 | 0.92 | 0.79 | 1.09 | 0.75 | 1.17 | 1.01 | 1.37 | 0.27 | 1.03 | 0.87 | 1.23 | 0.94 |
| Mature B-cell leukemias | 263 | 1.01 | 0.86 | 1.20 | 0.98 | 0.96 | 0.81 | 1.14 | 0.86 | 1.20 | 1.02 | 1.41 | 0.27 | 1.07 | 0.90 | 1.28 | 0.69 |
| Mature T-cell leukemias | 20 | 0.91 | 0.50 | 1.65 | 0.98 | 1.06 | 0.57 | 1.97 | 0.95 | 1.64 | 0.97 | 2.76 | 0.33 | 1.34 | 0.70 | 2.56 | 0.62 |
| <1 year | 17 | 0.62 | 0.30 | 1.27 | 0.68 | 0.57 | 0.27 | 1.17 | 0.63 | 1.20 | 0.64 | 2.25 | 0.83 | 0.65 | 0.33 | 1.29 | 0.62 |
| 1–5 years | 230 | 1.05 | 0.88 | 1.25 | 0.97 | 0.93 | 0.78 | 1.12 | 0.75 | 1.13 | 0.95 | 1.34 | 0.45 | 1.04 | 0.86 | 1.26 | 0.83 |
| Acute myeloid leukemias | 58 | 0.95 | 0.66 | 1.37 | 0.98 | 0.84 | 0.58 | 1.23 | 0.75 | 1.14 | 0.81 | 1.62 | 0.80 | 0.98 | 0.67 | 1.43 | 0.95 |
| Other leukemias e | 32 | 0.76 | 0.47 | 1.23 | 0.78 | 0.80 | 0.49 | 1.29 | 0.75 | 1.01 | 0.64 | 1.59 | 0.98 | 0.77 | 0.48 | 1.23 | 0.62 |
| Hodgkin lymphomas | 16 | 0.98 | 0.53 | 1.83 | 0.98 | 2.60 | 1.52 | 4.45 | 0.01 | 0.89 | 0.45 | 1.77 | 0.88 | 1.92 | 0.95 | 3.87 | 0.43 |
| Non-Hodgkin lymphomas | 27 | 0.51 | 0.29 | 0.90 | 0.17 | 0.80 | 0.47 | 1.34 | 0.75 | 0.67 | 0.40 | 1.14 | 0.45 | 0.62 | 0.38 | 1.00 | 0.43 |
| Burkitt lymphoma | 18 | 1.93 | 1.13 | 3.30 | 0.17 | 1.24 | 0.68 | 2.28 | 0.76 | 1.38 | 0.74 | 2.54 | 0.70 | 1.72 | 0.86 | 3.44 | 0.62 |
| Miscellaneous lymphoreticular neoplasms | 52 | 1.43 | 1.01 | 2.01 | 0.27 | 1.05 | 0.72 | 1.51 | 0.95 | 1.09 | 0.76 | 1.58 | 0.83 | 1.32 | 0.86 | 2.01 | 0.62 |
| Ependymomas | 40 | 1.23 | 0.82 | 1.84 | 0.78 | 0.83 | 0.53 | 1.30 | 0.75 | 0.95 | 0.60 | 1.49 | 0.89 | 0.97 | 0.62 | 1.51 | 0.95 |
| Astrocytomas | 130 | 0.74 | 0.58 | 0.95 | 0.17 | 1.01 | 0.80 | 1.28 | 0.95 | 0.84 | 0.66 | 1.07 | 0.45 | 0.80 | 0.63 | 1.01 | 0.43 |
| Medulloblastomas | 36 | 0.67 | 0.42 | 1.08 | 0.42 | 0.90 | 0.57 | 1.43 | 0.87 | 0.86 | 0.54 | 1.36 | 0.81 | 0.73 | 0.47 | 1.13 | 0.62 |
| Other intracranial and intraspinal embryonal f | 19 | 1.13 | 0.61 | 2.06 | 0.98 | 0.66 | 0.33 | 1.31 | 0.65 | 1.90 | 1.07 | 3.37 | 0.27 | 1.17 | 0.59 | 2.32 | 0.86 |
| Other CNS cancer types g | 57 | 1.01 | 0.72 | 1.41 | 0.98 | 0.79 | 0.55 | 1.13 | 0.63 | 1.30 | 0.94 | 1.79 | 0.45 | 0.96 | 0.67 | 1.37 | 0.95 |
| Neuroblastoma and other peripheral nervous cell tumors | 148 | 0.93 | 0.75 | 1.16 | 0.97 | 0.79 | 0.63 | 0.99 | 0.48 | 0.79 | 0.63 | 0.99 | 0.27 | 0.76 | 0.61 | 0.96 | 0.43 |
| Retinoblastoma | 43 | 1.10 | 0.73 | 1.65 | 0.98 | 1.02 | 0.67 | 1.55 | 0.95 | 1.21 | 0.80 | 1.82 | 0.75 | 1.17 | 0.74 | 1.84 | 0.83 |
| Renal tumors | 107 | 0.93 | 0.72 | 1.20 | 0.97 | 0.94 | 0.72 | 1.21 | 0.86 | 1.07 | 0.83 | 1.38 | 0.83 | 0.97 | 0.75 | 1.27 | 0.95 |
| Hepatic tumors | 24 | 1.18 | 0.72 | 1.94 | 0.97 | 0.99 | 0.58 | 1.68 | 0.97 | 0.98 | 0.57 | 1.67 | 0.97 | 1.14 | 0.66 | 1.95 | 0.86 |
| Malignant bone tumors | 19 | 1.29 | 0.75 | 2.22 | 0.81 | 1.44 | 0.82 | 2.51 | 0.63 | 0.93 | 0.50 | 1.73 | 0.89 | 1.39 | 0.75 | 2.59 | 0.62 |
| Soft tissue and other extraosseous sarcomas | 54 | 0.97 | 0.67 | 1.41 | 0.98 | 0.77 | 0.52 | 1.15 | 0.63 | 1.28 | 0.89 | 1.84 | 0.45 | 0.99 | 0.68 | 1.46 | 0.97 |
| Germ cell tumors, trophoblastic tumors and neoplasms of gonads | 40 | 0.67 | 0.43 | 1.05 | 0.41 | 1.03 | 0.69 | 1.55 | 0.95 | 1.09 | 0.73 | 1.61 | 0.85 | 0.85 | 0.55 | 1.32 | 0.83 |
| Other malignant epithelial neoplasms and malignant melanomas | 19 | 0.98 | 0.54 | 1.76 | 0.98 | 1.50 | 0.82 | 2.73 | 0.63 | 0.78 | 0.39 | 1.56 | 0.80 | 1.16 | 0.62 | 2.17 | 0.86 |
Abbreviation: PM2.5: Particulate matter <2.5 mg/m3; FDR: False Discovery Rate. 1st Trimester included 1st, 2nd and 3rd month of a pregnancy; 2nd Trimester included 4th, 5th and 6th month of a pregnancy; 3rd Trimester included 7th, 8th, 9th month of a pregnancy. Bold values indicated P-value less than 0.05.
Adjusted for trimester 1 PM2.5 for each control IQR increase from trimester 1, maternal age at delivery, maternal race/ethnicity, maternal education, child sex, year of birth, trimester 2 PM2.5 (high/low), trimester 3 PM2.5 (high/low).
Adjusted for trimester 2 PM2.5 for each control IQR increase from trimester 2, maternal age at delivery, maternal race/ethnicity, maternal education, child sex, year of birth, trimester 1 PM2.5 (high/low), trimester 3 PM2.5 (high/low).
Adjusted for trimester 3 PM2.5 for each control IQR increase from trimester 3, maternal age at delivery, maternal race/ethnicity, maternal education, child sex, year of birth, trimester 1 PM2.5 (high/low), trimester 2 PM2.5 (high/low).
Adjusted for PM2.5 for each control IQR increase from full pregnancy, maternal age at delivery, maternal race/ethnicity, maternal education, child sex, year of birth.
Chronic myeloproliferative diseases, Myelodysplastic syndrome, Unspecified and other specified leukemias.
Primitive neuroectodermal tumor (PNET), Medulloepithelioma, Atypical teratoid/rhabdoid tumor.
Other gliomas, Other specified intracranial and intraspinal neoplasms, Unspecified intracranial and intraspinal neoplasms.