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

Table 3.

Summary risk ratios (RRs) for association of childhood leukemia with particulate matter (PM2.5/PM10) and 1,3-butadiene comparing the highest versus the lowest exposure categories 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
PM2.5
 All leukemia 3 1.05 0.94, 1.16 0.0 0.000 3 1.04 0.94, 1.16 0.0 0.000
Subtype
 ALL 2 1.11 0.95, 1.31 0.0 0.000 2 1.11 0.95, 1.31 0.0 0.000
 AML 2 1.00 0.87, 1.13 0.0 0.000 2 1.00 0.87, 1.13 0.0 0.000
Exposure timing
 At birth 3 1.05 0.94, 1.16 0.0 0.000 3 1.04 0.94, 1.16 0.0 0.000
 At diagnosis
Region
 Europe 1 1.00 0.72, 1.39 0.000 1 0.94 0.62, 1.43 0.000
 North America 2 1.05 0.94, 1.17 0.0 0.000 2 1.05 0.94, 1.17 0.0 0.000
PM10
 All leukemia 2 1.20 0.70, 2.04 43.5 0.075 2 1.09 0.66, 1.80 12.3 0.028 1 1.50 0.48, 4.70 0.000
Subtype
 ALL 1 1.45 0.73, 2.87 0.000 1 1.50 0.52, 4.33 0.000 1 1.39 0.54, 3.57 0.000
 AML 1 1.30 0.41, 4.14 0.000 1 1.21 0.18, 8.16 0.000 1 1.18 0.25, 5.56 0.000
Exposure timing
 At birth 1 1.00 0.70, 1.42 0.000 1 0.97 0.62, 1.51 0.000
 At diagnosis 1 1.80 0.82, 3.97 0.000 1 1.90 0.60, 6.01 0.000 1 1.50 0.48, 4.70 0.000
Region
 Europe 2 1.20 0.70, 2.04 43.5 0.075 2 1.09 0.66, 1.80 12.3 0.028 1 1.50 0.48, 4.70 0.000
 North America
1,3—Butadiene
 All leukemia 2 1.45 1.08, 1.95 28.0 0.025 2 1.45 1.08, 1.95 28.0 0.025
Subtype
 ALL 2 1.31 1.11, 1.54 0.0 0.000 2 1.31 1.11, 1.54 0.0 0.000
 AML 1 2.35 1.02, 5.40 0.000 1 2.35 1.02, 5.40 0.000
Exposure timing
 At birth 2 1.45 1.08, 1.95 28.0 0.025 2 1.45 1.08, 1.95 28.0 0.025
 At diagnosis
Region
 Europe
 North America 2 1.45 1.08, 1.95 28.0 0.025 2 1.45 1.08, 1.95 28.0 0.025

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.