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. 2019 Apr 24;127(4):046002. doi: 10.1289/EHP4381

Table 2.

Summary risk ratios (RRs) of childhood leukemia in the highest exposure category versus the lowest one for traffic density, benzene, and nitrogen dioxide (NO2) exposure, for all studies and stratified by age at diagnosis, leukemia subtype, exposure timing, and region.

All children Preschool children (<6yofage) Children6yofage
Indicator n RR 95% CI I2 (%) τ2 n RR 95% CI I2 (%) τ2 n RR 95% CI I2 (%) τ2
Traffic density
 All leukemia 16 1.09 1.00, 1.20 56.2 0.012 7 1.00 0.93, 1.09 67.0 0.006 3 1.05 0.96, 1.15 10.0 0.002
Subtype
 ALL 9 1.05 0.96, 1.16 34.7 0.005 3 1.02 0.99, 1.05 0.0 0.000 1 1.00 0.92, 1.09 0.000
 AML 5 1.09 0.86, 1.38 70.0 0.034 2 1.03 0.77, 1.38 87.7 0.039 1 1.25 1.02, 1.53 0.000
Exposure timing
 At birth 5 0.98 0.90, 1.06 30.9 0.003 4 0.95 0.85, 1.05 52.4 0.006 1 1.15 0.78, 1.70 0.000
 At diagnosis 14 1.32 1.12, 1.55 50.7 0.033 3 1.27 0.95, 1.71 81.0 0.049 2 1.05 0.94, 1.17 24.6 0.004
Region
 Asia 1 1.27 0.51, 3.17 0.000
 Europe 9 1.25 1.05, 1.49 50.4 0.026 3 1.05 0.87, 1.25 63.8 0.017 1 1.05 0.95, 1.17 0.000
 North America 6 1.02 0.89, 1.16 65.4 0.014 4 0.98 0.84, 1.15 74.9 0.017 2 1.09 0.72, 1.64 17.4 0.032
Benzene
 All leukemia 7 1.27 1.03, 1.56 52.4 0.043 4 1.39 1.03, 1.87 27.9 0.035 2 1.08 0.64, 1.82 0.0 0.000
Subtype
 ALL 7 1.09 0.88, 1.36 51.8 0.034 3 1.19 1.00, 1.40 0.0 0.000 1 0.69 0.27, 1.78 0.000
 AML 5 1.84 1.31, 2.59 0.0 0.000 2 3.21 1.39, 7.42 0.0 0.000 1 0.43 0.04, 4.79 0.000
Exposure timing
 At birth 3 1.21 1.04, 1.41 0.0 0.000 3 1.22 1.03, 1.43 0.0 0.000 1 1.14 0.63, 2.08 0.000
 At diagnosis 4 1.36 0.92, 2.00 65.2 0.125 1 3.30 1.03, 10.59 0.000 1 0.90 0.31, 2.60 0.000
Region
 Asia
 Europe 4 1.36 0.92, 2.00 65.2 0.125 1 3.30 1.03, 10.59 0.000 1 0.90 0.31, 2.60 0.000
 North America 3 1.21 1.04, 1.41 0.0 0.000 3 1.22 1.03, 1.43 0.0 0.000 1 1.14 0.63, 2.08 0.000
NO2
 All leukemia 8 1.04 0.90, 1.19 55.5 0.023 4 1.03 0.90, 1.18 14.9 0.004 1 0.89 0.42, 1.89 0.000
Subtype
 ALL 4 1.02 0.89, 1.18 55.6 0.011 2 1.10 0.92, 1.32 46.2 0.008
 AML 4 0.97 0.79, 1.19 0.0 0.000 2 0.86 0.60, 1.23 0.0 0.000
Exposure timing
 At birth 4 1.07 0.96, 1.19 0.0 0.000 4 1.03 0.90, 1.18 14.9 0.004 1 0.89 0.42, 1.89 0.000
 At diagnosis 4 1.17 0.82, 1.67 74.9 0.093
Region
 Asia 1 2.29 1.44, 3.64 0.000
 Europe 4 0.91 0.82, 1.00 0.0 0.000 1 0.79 0.52, 1.20 0.000
 North America 3 1.06 0.95, 1.18 0.0 0.000 3 1.06 0.94, 1.19 1.7 0.000 1 0.89 0.42, 1.89 0.000

Note: —, data not available; ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; CI, confidence interval; I2, I-squared statistic; RR, risk ratio; τ2, tau-squared statistic.