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Patterns of infection and day care utilization and risk of childhood acute lymphoblastic leukaemia
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  • Regular Article
  • Open access
  • Published: 10 December 1999

Patterns of infection and day care utilization and risk of childhood acute lymphoblastic leukaemia

  • J P Neglia1,3,
  • M S Linet4,
  • X O Shu5,
  • R K Severson7,
  • J D Potter6,
  • A C Mertens1,3,
  • W Wen5,
  • J H Kersey1,2 &
  • …
  • L L Robison1,3 

British Journal of Cancer volume 82, pages 234–240 (2000)Cite this article

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Abstract

To investigate if decreased exposure to common childhood infections is associated with risk of childhood acute lymphoblastic leukaemia (ALL) we conducted a case–control study of 1842 newly diagnosed and immunophenotypically defined cases of ALL under age 15, and 1986 matched controls in the US. Data regarding day care, sibship size and common childhood infections were obtained through parental interviews. Data were analysed stratified by leukaemia lineage and separately for ‘common’ childhood ALL (age 2–5 years, CD19, CD10-positive). Neither attendance at day care nor time at day care was associated with risk of ALL overall or ‘common’ ALL. Ear infections during infancy were less common among cases, with odds ratios of 0.86, 0.83, 0.71 and 0.69 for 1, 2–4, 5+ episodes, and continuous infections respectively (trend P = 0.026). No effect of sibship size or birth interval was seen. With one exception (ear infections), these data do not support the hypothesis that a decrease in the occurrence of common childhood infection increases risk of ALL. © 2000 Cancer Research Campaign

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  • 16 November 2011

    This paper was modified 12 months after initial publication to switch to Creative Commons licence terms, as noted at publication

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Author information

Authors and Affiliations

  1. Department of Pediatrics, University of Minnesota School of Medicine, Minneapolis, MN, USA

    J P Neglia, A C Mertens, J H Kersey & L L Robison

  2. Department of Laboratory Medicine and Pathology, University of Minnesota School of Medicine, Minneapolis, MN, USA

    J H Kersey

  3. Division of Epidemiology, University of Minnesota School of Public Health, Minneapolis, MN, USA

    J P Neglia, A C Mertens & L L Robison

  4. Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA

    M S Linet

  5. Department of Pediatrics, University of South Carolina School of Medicine, Columbia, SC, USA

    X O Shu & W Wen

  6. Fred Hutchinson Cancer Research Center, Seattle, WA, USA

    J D Potter

  7. Karmanos Cancer Institute, Detroit, MI, USA

    R K Severson

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  1. J P Neglia
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  2. M S Linet
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From twelve months after its original publication, this work is licensed under the Creative Commons Attribution-NonCommercial-Share Alike 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/3.0/

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Neglia, J., Linet, M., Shu, X. et al. Patterns of infection and day care utilization and risk of childhood acute lymphoblastic leukaemia. Br J Cancer 82, 234–240 (2000). https://doi.org/10.1054/bjoc.1999.0905

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  • Received: 05 March 1999

  • Revised: 01 June 1999

  • Accepted: 14 June 1999

  • Published: 10 December 1999

  • Issue date: 01 January 2000

  • DOI: https://doi.org/10.1054/bjoc.1999.0905

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Keywords

  • childhood acute lymphoblastic leukaemia
  • infections
  • day care

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