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American Journal of Epidemiology Vol. 133, No. 2: 123-132
Copyright © 1991 by The Johns Hopkins University School of Hygiene and Public Health


research-article

Prenatal Exposure to Parents' Smoking and Childhood Cancer

Esther M. John1,2,, David A. Savitz1 and Dale P. Sandler3

1Department of Epidemiology, School of Public Health, University of North Carolina Chapel Hill, NC
2Current address. Department of Health Research and Policy, Stanford University School of Medicine Stanford, CA
3Epidemiology Branch, Division of Biometry and Risk Assessment, National Institute of Environmental Health Sciences Research Triangle Park, NC

Reprint requests to Esther M John, Department of Health Research and Policy, Stanford University School of Medicine, HAP Buitding, Surte 8, Stanford, CA 94305-5092

The relation between parents' tobacco smoking prior to birth and cancer in the offspring was investigated with the use of data from a case-control study. Incident cases included all children (aged 0–14 years) diagnosed in Denver, Colorado from 1976 to 1983. Controls were selected through random digit dialing, and matched to cases on age, sex, and geographic area. Information on smoking by parents and other household members was obtained by personal interview for 223 cases and 196 controls. After adjustment for father's education, mother's smoking during the first trimester of pregnancy was associated with an increased nsk for all cancers combined (odds ratio (OR) = 1.3, 95% confidence interval (Cl) 0.7–2.1), acute lymphocytic leukemia (OR = 1.9, 95% Cl 0.9–4.1), and lyrnphomas (OR = 2.3, 95% Cl 0.8–7.1). Adjusting for father's education, associations with father's smoking in the absence of mother's smoking were found for all cancers combined (OR = 1.2, 95% Cl 0.8–2.1), acute lymphocytic leukemia (OR = 1.4, 95% Cl 0.6–3.1), tymphomas (OR = 1.6, 95% 0.5–5.4), and brain cancer (OR = 1.6, 95% Cl 0.7–3.5). In spite of imprecision resulting from small numbers of cases in diagnostic subgroups, these results are suggestive of a possible influence of parents' smoking on childhood cancer. Am J Epidemiol 1991133:123-32.

brain neoplasms; child; leukemia; smoking


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