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Paternal exposure to hydrocarbon solvents in the workplace and cancer risk in children and adolescents

Abstract

Background

According to the International Agency for Research on Cancer, certain hydrocarbons are known or suspected carcinogens.

Objective

Our study aimed to estimate cancer risks in children and adolescents associated with paternal exposure to groups of aliphatic/alicyclic, aromatic, and chlorinated hydrocarbons, and the individual chemicals, toluene, methylene chloride, trichloroethylene, and 1,1,1-trichloroethane, from 3 months preconception to birth.

Methods

For this population-based case-control study of Danish children and adolescents (born 1968–2013) < 20 years of age when diagnosed with cancer 1968–2016, 10,442 cancer cases were matched to 261,050 cancer-free controls (25:1 matching ratio by sex and birth year). Paternal occupational exposure to hydrocarbons was generated by job-exposure matrices to span the time 3 months before conception until the child’s birthdate. We employed unconditional logistic regression to estimate cancer risks in children and adolescents whose fathers were exposed to hydrocarbons, compared to those born to unexposed employed fathers and examined associations by exposure status (any or high/low vs. unexposed).

Results

We found consistent associations for several hydrocarbon solvents and glioma, acute myeloid leukemia (AML), and osteosarcoma in children and adolescents. The risk of glioma was highest in children and adolescents whose fathers were highly exposed to chlorinated hydrocarbons (low exposure: adjusted Odds Ratio (aOR): 1.24; 95% Confidence Interval (CI): 0.88, 1.74; high exposure: aOR: 1.68; 95% CI: 1.10, 2.57), while AML risk was increased when fathers were highly exposed to aliphatic/alicyclic hydrocarbons (low: aOR: 1.08; 95% CI: 0.68, 1.71; high: aOR: 1.87; 95% CI: 1.25, 2.78). The risk of osteosarcoma increased in children and adolescents with fathers highly exposed to 1,1,1-trichloroethane (low: aOR: 1.27; 95% CI: 0.65, 2.45; high: aOR: 2.14; 95% CI: 1.20, 3.82).

Significance

Our findings in Denmark suggest that paternal hydrocarbon exposure in the preconception and pregnancy periods may increase the risk of certain cancers in their children and adolescents.

Impact

This study comprehensively evaluates paternal occupational exposure to solvents in relation to childhood cancer using nationwide registry data. By leveraging high-quality Danish occupational histories and robust exposure assessment methods, we contribute to narrowing the research gap in paternal environmental contributions to early-life carcinogenesis. Our findings provide new insights into preconception paternal risk factors and highlight the need for future prevention strategies.

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Fig. 1: Plots show adjusted log odds and corresponding 95% confidence intervals (CIs; error bars) of childhood cancer subtypes associated with higher and lower paternal occupational exposure to hydrocarbon groups.
Fig. 2: Plots show adjusted log odds and corresponding 95% confidence intervals (CIs; error bars) of childhood cancer subtypes associated with higher and lower paternal occupational exposure to individual hydrocarbons.

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Data availability

The data that support the findings of this study are not publicly available and cannot be shared due to legal and ethical restrictions under the EU General Data Protection Regulation (GDPR).

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Acknowledgements

Ms. Yixin Chen was partially supported by the National Cancer Institute, Department of Health and Human Services, Grant No. T32CA009142.

Funding

This work was supported by grants from the US National Institutes of Health (Grant # R21CA175959, R03ES021643); Ms. Yixin Chen was partially supported by the National Cancer Institute, Department of Health and Human Services, Grant T32CA009142.

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Author YC conducted the study analysis and prepared the manuscript. CD reviewed the analytical code and helped prepare the manuscript. BR advised on study analysis and reviewed the manuscript. JH advised on the investigation and methodology and reviewed the manuscript. ZZ advised on investigations. JH developed the strategic plan, reviewed the manuscript and supervised the study.

Corresponding author

Correspondence to Julia E. Heck.

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The authors declare no competing interests.

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All methods were performed in accordance with the relevant guidelines and recommendations. Informed consent was not required for this registry-based study. Study approval was received from the Danish Data Protection Agency and the human subjects’ protection boards at the University of California, Los Angeles (IRB#11-003360), and the University of North Texas (#IRB-20-255).

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Chen, Y., Hansen, J., Deng, C. et al. Paternal exposure to hydrocarbon solvents in the workplace and cancer risk in children and adolescents. J Expo Sci Environ Epidemiol (2026). https://doi.org/10.1038/s41370-026-00852-z

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