Table 2.88Case–control studies of parental alcoholic beverage consumption and childhood brain tumours

Reference, location, periodCharacteristics of casesCharacteristics of controlsExposure assessmentExposure categoriesNo of casesRelative risk (95% CI)Adjustment factorsComments
Kramer et al. (1987), Great Delaware Valley, USA, 1970–79104 incident from the Great Delaware Valley Pediatric Tumor registry and the Cancer Research Center between 1970 and 1979; response rate, 74.8%101; selection through RDD; response rate, 57.1%Telephone interviewMaternal drinking during pregnancyNot specified90% CI reported; 1 drink=1 serving of beer, wine or liquor
Any drinking ≥1 drink/day (frequent)  36
    9
1.44 (0.94–2.21)
9.0 (2.16–37.56)
≥3 drinks/day (binge)    66.0 (1.26–28.54)
≥1 drink/day or ≥3 drinks occasionally  1212.0 (3.14–45.82)
Bunin et al. (1994), Canada, USA, 1986–89322 diagnosed before 6 years of age in 1986–89; identified through the Children's Cancer Group; response rate, 65%321; selected through RDD; 1:1 match; response rate, 74%Telephone interview of the mother or fatherMaternal exposure to beer during pregnancyIncome*Crude odds ratio reported
Astrocytoma Primitive neurectoderma tumour  10
  12
1.4 (0.5–3.7)
4.0 (1.1–22.1)*
Hu et al. (2000), Northeast, Heilongjiang Province, China, 1991–9682 consecutive incident (43 boys, 39 girls) intracranial primary brain tumours, ≤18 years of age; 100%; residing in Heilongjiang Province at the time of diagnosis; 100% histologically confirmed; participation rate3 individually matched per case; participation rate, 100%Structured questionnaire (interview) administered to parents of all study subjects; history of parental liquor drinking obtainedLifetime paternal liquor consumption (L)
Never
≤200
≥201





  41
  20
  21





1.00
3.21 (1.43–7.22)
4.43 (1.94–10.14)
p for trend=0.0001
Family income, mother's education, father's educationSimilar associations for paternal age when started to drink liquor and numbers of years of drinking liquor; only one mother in the case group and two mothers in the control group reported drinking hard liquor.
Yang et al. (2000), Canada, USA, 1992–94538 children newly diagnosed with neuroblastoma in 1992–94, ≤19 years old; 100% histologically confirmed; response rate, 73%504 mothers selected by RDD; 304 fathers directly interviewed; proxy interviews obtained for 142 (28%); 1:1 match; response rate, 72%Structured telephone questionnaire to parentsMaternal drinking
Lifetime
Around pregnancya
1 month before conception
1st trimester
2nd trimester
3rd trimester
Breastfeeding


253
235

205


  96
  60
  58
  54


0.9 (0.7–1.1)
1.1 (0.8–1.4)

1.1 (0.8–1.4)


1.2 (0.9–1.7)
1.6 (1.0–2.4)
1.4 (0.9–2.1)
1.0 (0.5–2.0)
Child's gender, mother's race and education, household income in the birth yearNo association for paternal lifetime alcohol consumption, or before mother's pregnancy
Schüz et al., (2001), Germany, 1988–94Pooled analysis of 2 case–control studies (1988–93; 1992–94); total of 192; children; response rate, 83.1%2537; 2:1 match by gender and date of birth within 1 year; response rate, 71%Questionnaire and telephone interview; same exposure assessment in both studiesMaternal alcohol consumption
Overall
Socioeconomic status, degree of urbanizationOdds ratio from a matched logistic regression on age, gender, birth year
Never
1–7 glasses/ week
140
  38
1.0
0.84 (0.56–1.26)
>7 glasses/ week
Stage I/II
    33.04 (0.75–12.2)
Never
1–7 glasses/ week
  73
  12
1.0
0.90 (0.45–1.80)
>7 glasses/ week
Stage III/VI
    0
Never
1–7 glasses/ week
  39
  23
1.0
0.88 (0.53–1.45)
>7 glasses/ week    35.23 (1.33–20.6)

CI, confidence interval; RDD, random-digit dialling

a

Exposure category includes drinking 1 month before pregnancy, during pregnancy and during breastfeeding

From: 2, Studies of Cancer in Humans

Cover of Alcohol Consumption and Ethyl Carbamate
Alcohol Consumption and Ethyl Carbamate.
IARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 96.
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans.
©International Agency for Research on Cancer, 2010.

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