Table 3.
Association between infectious, autoimmune, and allergic diseases in (full and half) siblings and childhood and adolescent Hodgkin lymphoma overall and by EBV status*,†
Combined cases | EBV+ | EBV− | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Ncontrols | Ncases | OR‡ | 95% CI | Ncontrols | Ncases | OR‡ | 95% CI | Ncontrols | Ncases | OR‡ | 95% CI | |
Infectious diseases in siblings | ||||||||||||
Any infectious disease‡ | 615 | 441 | 2.04 | 1.01, 4.14 | 126 | 74 | 1.79 | 0.47, 6.83 | 307 | 234 | 1.70 | 0.60, 4.79 |
None | 35 | 12 | Ref | 10 | 4 | Ref | 14 | 6 | Ref | |||
Number of siblings with infectious disease‡ |
||||||||||||
0 | 35 | 12 | Ref | 10 | 4 | Ref | 14 | 6 | Ref | |||
1 - 2 | 517 | 337 | 1.89 | 0.93, 3.85 | 105 | 56 | 1.69 | 0.43, 6.68 | 256 | 177 | 1.61 | 0.57, 4.57 |
3 - 4 | 81 | 84 | 3.45 | 1.52, 7.84 | 21 | 15 | 4.55 | 0.78, 26.55 | 38 | 45 | 2.75 | 0.83, 9.08 |
5+ | 17 | 20 | 4.49 | 1.42, 14.21 | 0 | 3 | - | - | 13 | 12 | 2.59 | 0.62, 13.00 |
P trend | 0.0006 | 0.02 | 0.11 | |||||||||
Infectious mononucleosis | 28 | 20 | 0.97 | 0.50, 1.88 | 10 | 5 | 0.91 | 0.24, 3.49 | 12 | 10 | 0.87 | 0.34, 2.25 |
None | 622 | 433 | Ref | 126 | 73 | Ref | 309 | 230 | Ref | |||
Whooping cough | 12 | 11 | 1.51 | 0.61, 3.73 | 2 | 2 | 0.84 | 0.11, 6.38 | 6 | 5 | 1.33 | 0.35, 5.01 |
None | 638 | 442 | Ref | 134 | 76 | Ref | 315 | 235 | Ref | |||
Strep or sore throat/Scarlet fever/Tonsillitis |
502 | 346 | 0.94 | 0.69, 1.29 | 100 | 55 | 0.77 | 0.37, 1.60 | 256 | 188 | 0.92 | 0.59, 1.43 |
None | 148 | 107 | Ref | 36 | 23 | Ref | 65 | 52 | Ref | |||
Spinal meningitis | 9 | 9 | 1.51 | 0.56, 4.09 | 2 | 1 | 0.55 | 0.04, 8.01 | 6 | 0 | - | - |
None | 641 | 444 | Ref | 134 | 77 | Ref | 315 | 240 | Ref | |||
Chicken pox | 504 | 366 | 1.20 | 0.87, 1.66 | 99 | 59 | 1.08 | 0.54, 2.19 | 251 | 202 | 1.45 | 0.90, 2.34 |
None | 146 | 87 | Ref | 37 | 19 | Ref | 70 | 38 | Ref | |||
Cold sores | 86 | 71 | 1.15 | 0.80, 1.66 | 23 | 13 | 1.08 | 0.48, 2.46 | 33 | 38 | 1.57 | 0.93, 2.65 |
None | 564 | 382 | Ref | 113 | 65 | Ref | 288 | 202 | Ref | |||
Red measles | 22 | 28 | 1.47 | 0.81, 2.67 | 2 | 6 | 3.22 | 0.57, 18.36 | 15 | 13 | 0.94 | 0.42, 2.07 |
None | 628 | 425 | Ref | 134 | 72 | Ref | 306 | 227 | Ref | |||
German measles | 39 | 44 | 1.58 | 0.98, 2.54 | 10 | 9 | 2.69 | 0.86, 8.43 | 19 | 21 | 1.44 | 0.71, 2.92 |
None | 611 | 409 | Ref | 126 | 69 | Ref | 302 | 219 | Ref | |||
Roseola | 73 | 60 | 1.28 | 0.86, 1.91 | 17 | 5 | 0.52 | 0.16, 1.67 | 40 | 41 | 1.42 | 0.85, 2.37 |
None | 577 | 393 | Ref | 119 | 73 | Ref | 281 | 199 | Ref | |||
Mumps | 28 | 36 | 1.32 | 0.77, 2.26 | 2 | 6 | 5.72 | 0.92, 35.54 | 15 | 20 | 1.39 | 0.69, 2.81 |
None | 622 | 417 | Ref | 134 | 72 | Ref | 306 | 220 | Ref | |||
Ringworm/Athlete’s foot | 76 | 86 | 1.50 | 1.04, 2.15 | 9 | 17 | 3.44 | 1.22, 9.64 | 41 | 45 | 1.29 | 0.78, 2.13 |
None | 574 | 367 | Ref | 127 | 61 | Ref | 280 | 195 | Ref | |||
Thrush | 73 | 57 | 1.23 | 0.83, 1.84 | 17 | 13 | 2.88 | 1.06, 7.82 | 32 | 32 | 1.37 | 0.78, 2.43 |
None | 577 | 396 | Ref | 119 | 65 | Ref | 289 | 208 | Ref | |||
Macroparasites | 52 | 39 | 1.03 | 0.64, 1.65 | 11 | 7 | 1.49 | 0.47, 2.67 | 28 | 17 | 0.70 | 0.35, 1.39 |
None | 598 | 414 | Ref | 125 | 71 | Ref | 293 | 223 | Ref | |||
Ear infections | 431 | 324 | 1.39 | 1.04, 1.86 | 85 | 51 | 2.21 | 1.04, 4.69 | 213 | 182 | 1.52 | 1.02, 2.27 |
None | 219 | 129 | Ref | 51 | 27 | Ref | 108 | 58 | Ref | |||
Croup | 90 | 64 | 1.02 | 0.69, 1.49 | 22 | 9 | 0.52 | 0.20, 1.36 | 45 | 35 | 0.90 | 0.53, 1.53 |
None | 560 | 389 | Ref | 114 | 69 | Ref | 276 | 205 | Ref | |||
Bronchiolitis/Bronchitis | 175 | 139 | 1.22 | 0.91, 1.65 | 33 | 22 | 1.19 | 0.57, 2.53 | 89 | 82 | 1.34 | 0.89, 2.00 |
None | 475 | 314 | Ref | 103 | 56 | Ref | 232 | 158 | Ref | |||
Pneumonia | 96 | 89 | 1.25 | 0.88, 1.78 | 20 | 15 | 0.86 | 0.37, 2.02 | 54 | 52 | 1.15 | 0.70, 1.88 |
None | 554 | 364 | Ref | 116 | 63 | Ref | 267 | 188 | Ref | |||
UTI | 73 | 55 | 1.09 | 0.72, 1.64 | 16 | 8 | 1.26 | 0.46, 3.42 | 37 | 29 | 1.01 | 0.56, 1.83 |
None | 577 | 398 | Ref | 120 | 70 | Ref | 284 | 211 | Ref | |||
Impetigo | 74 | 71 | 1.23 | 0.85, 1.78 | 17 | 11 | 1.12 | 0.46, 2.72 | 38 | 43 | 1.29 | 0.77, 2.15 |
None | 576 | 382 | Ref | 119 | 67 | Ref | 283 | 197 | Ref | |||
Other skin infections | 16 | 12 | 1.07 | 0.46, 2.49 | 4 | 4 | 2.89 | 0.51, 16.37 | 8 | 5 | 0.99 | 0.30, 3.28 |
None | 634 | 441 | Ref | 132 | 74 | Ref | 313 | 235 | Ref | |||
Other infectious diseases | 59 | 47 | 1.24 | 0.82, 1.88 | 14 | 7 | 0.95 | 0.32, 2.81 | 28 | 22 | 1.13 | 0.62, 2.06 |
None | 591 | 406 | Ref | 122 | 71 | Ref | 293 | 218 | Ref | |||
Autoimmune diseases in
siblings |
||||||||||||
Any autoimmune disease§ | 16 | 8 | 0.59 | 0.24, 1.46 | 0 | 1 | - | - | 7 | 5 | 0.74 | 0.21, 2.63 |
None | 634 | 445 | Ref | 136 | 77 | Ref | 314 | 235 | Ref | |||
Arthritis | 7 | 5 | 1.00 | 0.29, 3.44 | 0 | 1 | - | - | 4 | 2 | 0.64 | 0.11, 3.91 |
None | 643 | 448 | Ref | 136 | 77 | Ref | 317 | 238 | Ref | |||
Allergic diseases in siblings | ||||||||||||
Any allergy∥ | 246 | 197 | 1.21 | 0.93, 1.59 | 56 | 30 | 0.61 | 0.30, 1.24 | 116 | 116 | 1.62 | 1.11, 2.36 |
None | 404 | 256 | Ref | 80 | 48 | Ref | 205 | 124 | Ref | |||
Number of siblings with allergies∥ |
||||||||||||
0 | 404 | 256 | Ref | 80 | 48 | Ref | 205 | 124 | Ref | |||
1 | 181 | 146 | 1.18 | 0.87, 1.58 | 45 | 22 | 0.43 | 0.19, 0.98 | 86 | 90 | 1.72 | 1.14, 2.59 |
2 | 53 | 39 | 1.24 | 0.75, 2.05 | 11 | 6 | 1.38 | 0.40, 4.72 | 24 | 18 | 1.10 | 0.52, 2.36 |
3+ | 12 | 12 | 1.86 | 0.76, 4.54 | 0 | 2 | - | - | 6 | 8 | 2.22 | 0.69, 7.11 |
P trend | 0.20 | 0.86 | 0.03 | |||||||||
Asthma | 87 | 72 | 1.27 | 0.89, 1.83 | 21 | 13 | 0.95 | 0.38, 2.41 | 43 | 41 | 1.39 | 0.86, 2.26 |
None | 563 | 381 | Ref | 115 | 65 | Ref | 278 | 199 | Ref | |||
Eczema | 51 | 50 | 1.34 | 0.86, 2.09 | 11 | 7 | 1.15 | 0.39, 3.36 | 26 | 29 | 1.39 | 0.75, 2.58 |
None | 599 | 403 | Ref | 125 | 71 | Ref | 295 | 211 | Ref | |||
Hay fever | 127 | 109 | 1.30 | 0.94, 1.78 | 26 | 18 | 1.14 | 0.51, 2.53 | 57 | 67 | 1.92 | 1.22, 3.03 |
None | 523 | 344 | Ref | 110 | 60 | Ref | 264 | 173 | Ref | |||
Hives | 78 | 60 | 1.04 | 0.70, 1.53 | 13 | 8 | 1.55 | 0.55, 4.37 | 35 | 34 | 1.06 | 0.62, 1.81 |
None | 572 | 393 | Ref | 123 | 70 | Ref | 286 | 206 | Ref | |||
Contact dermatitis | 26 | 14 | 0.80 | 0.39, 1.65 | 7 | 2 | 0.48 | 0.07, 3.08 | 10 | 8 | 1.31 | 0.44, 3.92 |
None | 624 | 439 | Ref | 129 | 76 | Ref | 311 | 232 | Ref | |||
Other allergy | 54 | 40 | 1.24 | 0.77, 1.98 | 12 | 5 | 0.63 | 0.18, 2.20 | 23 | 32 | 2.39 | 1.25, 4.55 |
None | 596 | 413 | Ref | 124 | 73 | Ref | 298 | 208 | Ref |
CI = confidence interval ; OR = odds ratio; UTI = urinary tract infection
Numbers in tables may not sum to total number of cases/controls due to missing values.
ORs adjusted for household income at birth, mother’s education, and number of (full and half) siblings
Any infectious disease and number of siblings with infectious disease include: tuberculosis, whooping cough, strep or sore throat/scarlet fever/tonsillitis, spinal meningitis, chicken pox, cold sores, red measles, German measles, roseola, hepatitis, mumps, infectious mononucleosis, cytomegalovirus, ringworm/athelete’s foot, thrush, macroparasites, ear infections, rheumatic fever, croup, bronchiolitis/bronchitis, pneumonia, urinary tract infection (UTI), impetigo, other skin infections, other infectious diseases. Less than five cases had one or more siblings with the individual infectious diseases: tuberculosis (1 case, 4 controls), hepatitis (2 cases, 3 controls), cytomegalovirus (1 case, 0 controls), rheumatic fever (1 case, 2 controls).
Any autoimmune disease variable includes: arthritis, diabetes, or any other autoimmune condition indicated by parent. Less than five cases had one or more siblings with diabetes (2 cases, 3 controls), psoriasis (0 cases, 4 controls), other autoimmune diseases (1 case, 3 controls).
Any allergy and number of allergies variables include: asthma, eczema, hay fever, hives, contact dermatitis, other allergy.