 |
Tables for "Pesticide Use and Breast Cancer Risk among Farmers'
Wives in the Agricultural Health Study"
TABLE 4. Individual pesticide
use (ever/never) and risk of breast cancer, by state, among farmers' wives,
Agricultural Health Study, 1993-1997. (fully
expanded)
| |
Wife's pesticide use among all wives in the cohort |
Husband's pesticide use among wives who never used
pesticides |
| |
Cases
n (%)* |
Non-cases
n (%)* |
Adjusted RR (95% CI),
|
Cases
n (%)* |
Non-cases
n (%)* |
Adjusted RR (95% CI), |
| Iowa |
N=207 |
N=20,592 |
|
N=93 |
N=8,221 |
|
| Any pesticides |
114 (55.1) |
12,371 (60.1) |
0.9 (0.7, 1.1) |
92 (100.0) |
8,091 (99.4) |
|
Chemical
classes§: (expand/collapse)
| Carbamates |
67 (33.2) |
6,211 (30.7) |
1.0 (0.7, 1.3) |
35 (53.9) |
2,735 (53.3) |
1.0 (0.6, 1.7) |
| Chloroacetanilides |
13 (6.4) |
1,383 (6.9) |
0.8 (0.5, 1.4) |
71 (80.7) |
6,112 (77.7) |
1.2 (0.7, 2.0) |
| Dinitroanilines |
13 (6.4) |
1,589 (7.9) |
0.7 (0.4, 1.2) |
60 (80.0) |
5,405 (81.6) |
1.4 (0.8, 2.4) |
| Dithiocarbamates |
<3
|
138 (0.7)
|
|
<3
|
45 (1.0)
|
|
| Organochlorines |
13 (6.5)
|
1,578 (8.0)
|
0.4 (0.2, 0.8)
|
47 (75.8)
|
1,856 (41.1)
|
2.2 (1.2, 4.0)
|
| Organophosphates |
60 (29.6)
|
5,565 (27.8)
|
0.9 (0.7, 1.2)
|
77 (92.8)
|
6,800 (94.3)
|
1.1 (0.5, 2.5)
|
| Phenoxy herbicides |
32 (15.8)
|
3,774 (18.7)
|
0.7 (0.5, 1.0)
|
77 (90.6)
|
6,757 (91.8)
|
1.1 (0.5, 2.3)
|
| Pyrethroids |
8 (4.0)
|
1,110 (5.6)
|
0.6 (0.3, 1.3)
|
19 (22.1)
|
1,887 (24.6)
|
1.3 (0.7, 2.1)
|
| Thiocarbamates |
4 (2.0)
|
575 (2.9)
|
0.5 (0.2, 1.4)
|
32 (50.8)
|
2,812 (53.8)
|
1.2 (0.8, 2.0)
|
| Triazines |
11 (5.4)
|
1,431 (7.1)
|
0.6 (0.3, 1.1)
|
78 (91.8)
|
6,949 (93.2)
|
1.2 (0.6, 2.7)
|
|
Insecticides:
(expand/collapse)
| Aldicarb |
<3
|
40 (0.2)
|
|
<3
|
121 (1.5)
|
|
| Aldrin |
3 (1.5)
|
212 (1.1)
|
0.7 (0.2, 2.2)
|
47 (51.1)
|
1,459 (18.2)
|
2.3 (1.5, 3.5)
|
| Carbaryl |
64 (31.7)
|
6,049 (29.8)
|
1.0 (0.7, 1.3)
|
38 (41.3)
|
2,432 (30.2)
|
1.6 (1.1, 2.5)
|
| Carbofuran |
5 (2.5)
|
431 (2.2)
|
0.9 (0.4, 2.2)
|
27 (32.5)
|
2,010 (26.0)
|
1.0 (0.6, 1.6)
|
| Chlordane |
9 (4.5)
|
911 (4.6)
|
0.5 (0.3, 1.0)
|
34 (37.0)
|
1,174 (14.7)
|
2.4 (1.5, 3.6)
|
| Chlorpyrifos |
13 (6.4)
|
844 (4.2)
|
1.5 (0.9, 2.7)
|
43 (50.0)
|
3,498 (44.5)
|
1.4 (0.9, 2.1)
|
| Coumaphos |
3 (1.5)
|
283 (1.4)
|
0.7 (0.2, 2.3)
|
8 (9.6)
|
635 (8.3)
|
1.0 (0.5, 2.0)
|
| DDT |
8 (4.0)
|
699 (3.5)
|
0.6 (0.3, 1.1)
|
40 (43.5)
|
1,381 (17.2)
|
1.6 (1.0, 2.6)
|
| Diazinon |
18 (9.0)
|
1,869 (9.3)
|
0.9 (0.6, 1.5)
|
19 (20.7)
|
1,236 (15.4)
|
1.6 (0.9, 2.6)
|
| Dichlorvos |
13 (6.5)
|
682 (3.4)
|
1.3 (0.7, 2.2)
|
16 (18.8)
|
935 (12.1)
|
1.5 (0.9, 2.6)
|
| Dieldrin |
<3
|
97 (0.5)
|
|
14 (15.2)
|
381 (4.8)
|
1.9 (1.1, 3.4)
|
| Fonofos |
5 (2.5)
|
529 (2.6)
|
0.8 (0.3, 1.9)
|
32 (38.1)
|
2,247 (28.7)
|
1.4 (0.9, 2.2)
|
| Heptachlor |
4 (2.0)
|
214 (1.1)
|
1.0 (0.4, 2.7)
|
35 (38.0)
|
1,253 (15.6)
|
1.8 (1.2, 2.8)
|
| Lindane |
<3
|
324 (1.6)
|
|
21 (22.8)
|
1,203 (15.0)
|
1.7 (1.0, 2.8)
|
| Malathion |
43 (21.3)
|
4,204 (20.7)
|
0.8 (0.6, 1.2)
|
63 (68.5)
|
5,241 (64.8)
|
1.4 (0.9, 2.2)
|
| Parathion |
<3
|
183 (0.9)
|
|
8 (8.7)
|
421 (5.3)
|
2.0 (1.0, 4.1)
|
| Permethrin (for animals) |
6 (3.0)
|
863 (4.3)
|
0.6 (0.3, 1.4)
|
12 (14.0)
|
1,249 (16.0)
|
1.2 (0.7, 2.3)
|
| Permethrin (for crops) |
<3
|
391 (1.9)
|
|
8 (9.4)
|
860 (11.2)
|
1.2 (0.6, 2.5)
|
| Phorate |
5 (2.5)
|
522 (2.6)
|
0.7 (0.3, 1.8)
|
42 (45.2)
|
3,008 (37.5)
|
1.2 (0.8, 1.8)
|
| Terbufos |
8 (3.9)
|
745 (3.7)
|
1.0 (0.5, 2.0)
|
36 (41.9)
|
3,755 (47.7)
|
0.8 (0.5, 1.2)
|
| Toxaphene |
<3
|
107 (0.5)
|
|
18 (19.6)
|
595 (7.4)
|
1.9 (1.2, 3.2)
|
|
Herbicides:
(expand/collapse)
| Alachlor |
9 (4.4)
|
1,035 (5.1)
|
0.7 (0.3, 1.3)
|
53 (60.9)
|
4,576 (58.7)
|
0.9 (0.6, 1.4)
|
| Atrazine |
9 (4.4)
|
1,142 (5.6)
|
0.6 (0.3, 1.2)
|
71 (80.7)
|
6,466 (80.8)
|
1.0 (0.6, 1.7)
|
| Butylate |
<3
|
353 (1.8)
|
|
29 (31.5)
|
2,567 (32.0)
|
0.9 (0.6, 1.4)
|
| Chlorimuron ethyl |
6 (2.9)
|
435 (2.2)
|
1.3 (0.6, 2.9)
|
29 (31.5)
|
2,932 (36.6)
|
1.0 (0.7, 1.6)
|
| Cyanazine |
7 (3.4)
|
779 (3.9)
|
0.7 (0.3, 1.5)
|
45 (51.7)
|
4,271 (54.6)
|
0.8 (0.5, 1.2)
|
| Dicamba |
14 (6.9)
|
1,082 (5.3)
|
1.2 (0.7, 2.1)
|
57 (64.8)
|
5,193 (66.6)
|
1.1 (0.7, 1.7)
|
| EPTC§ |
<3
|
373 (1.9)
|
|
19 (22.6)
|
2,032 (26.3)
|
1.0 (0.6, 1.7)
|
| Glyphosate |
63 (30.9)
|
7,408 (36.4)
|
0.9 (0.7, 1.3)
|
64 (71.9)
|
5,519 (69.5)
|
1.3 (0.8, 2.0)
|
| Imazethapyr |
6 (2.9)
|
860 (4.3)
|
0.8 (0.4, 1.8)
|
49 (57.0)
|
4,725 (60.3)
|
1.2 (0.8, 1.9)
|
| Metolachlor |
11 (5.4)
|
865 (4.3)
|
1.2 (0.7, 2.3)
|
47 (54.7)
|
4,215 (54.0)
|
1.2 (0.8, 1.8)
|
| Metribuzin |
<3
|
471 (2.3)
|
|
42 (45.7)
|
3,913 (48.7)
|
0.9 (0.6, 1.4)
|
| Paraquat |
<3
|
137 (0.7)
|
|
9 (9.8)
|
716 (9.0)
|
1.3 (0.7, 2.6)
|
| Pendimethalin |
3 (1.5)
|
551 (2.7)
|
0.6 (0.2, 1.8)
|
31 (33.7)
|
3,152 (39.3)
|
1.1 (0.7, 1.7)
|
| Petroleum oil |
10 (4.9)
|
856 (4.2)
|
0.9 (0.5, 1.7)
|
25 (27.2)
|
2,835 (35.4)
|
1.2 (0.8, 2.0)
|
| Trifluralin |
12 (5.9)
|
1,429 (7.1)
|
0.7 (0.4, 1.3)
|
56 (64.4)
|
4,989 (63.0)
|
1.0 (0.6, 1.5)
|
| 2,4-D† |
32 (15.7)
|
3,751 (18.5)
|
0.7 (0.5, 1.0)
|
77 (85.6)
|
6,672 (83.9)
|
0.9 (0.5, 1.7)
|
| 2,4,5-T† |
<3
|
184 (0.9)
|
|
31 (33.7)
|
1,528 (19.1)
|
1.3 (0.8, 1.9)
|
| 2,4,5-TP† |
<3
|
84 (0.4)
|
|
12 (13.0)
|
468 (5.9)
|
1.9 (1.0, 3.4)
|
|
Fungicides:
(expand/collapse)
| Benomyl |
<3
|
64 (0.3)
|
|
<3
|
141 (1.8)
|
|
| Captan |
3 (1.5)
|
414 (2.1)
|
0.5 (0.2, 1.5)
|
15 (17.7)
|
794 (10.3)
|
3.2 (1.8, 5.6)
|
| Chlorothalonil |
3 (1.5)
|
118 (0.6)
|
2.4 (0.8, 7.7)
|
<3
|
88 (1.1)
|
|
| Maneb |
<3
|
125 (0.6)
|
|
<3
|
105 (1.3)
|
|
| Metalaxyl |
<3
|
77 (0.4)
|
|
4 (4.4)
|
563 (7.0)
|
0.6 (0.2, 1.6)
|
|
Fumigants:
(expand/collapse)
| Carbon tetrachloride/ carbon disulfide |
<3
|
134 (0.7)
|
|
7 (7.6)
|
361 (4.5)
|
1.2 (0.6, 2.6)
|
| Ethylene dibromide |
<3
|
15 (0.1)
|
|
<3
|
75 (0.9)
|
|
| Methyl bromide |
<3
|
45 (0.2)
|
|
<3
|
107 (1.4)
|
|
|
| N. Carolina |
N=102 |
N=9,553 |
|
N=59 |
N=5,076 |
|
| Any pesticides |
43 (42.2) |
4,477 (46.9) |
0.8 (0.6, 1.2) |
52 (98.1) |
4,611 (98.9) |
|
Chemical
classes: (expand/collapse)
| Carbamates |
31 (31.0)
|
3,060 (32.4)
|
0.9 (0.6, 1.4)
|
35 (85.4)
|
2,669 (86.3)
|
1.0 (0.4, 2.3)
|
| Chloroacetanilides |
3 (3.0)
|
217 (2.3)
|
1.3 (0.4, 4.0)
|
19 (44.2)
|
2,303 (55.9)
|
0.7 (0.4, 1.3)
|
| Dinitroanilines |
5 (5.0)
|
192 (2.0)
|
2.3 (0.9, 5.6)
|
22 (57.9)
|
1,932 (65.1)
|
1.1 (0.6, 2.1)
|
| Dithiocarbamates |
<3
|
323 (3.5)
|
|
10 (23.3)
|
612 (22.7)
|
1.0 (0.5, 2.0)
|
| Organochlorines |
6 (6.1)
|
627 (6.7)
|
0.6 (0.3, 1.3)
|
22 (51.2)
|
1,408 (52.2)
|
0.7 (0.4, 1.2)
|
| Organophosphates |
26 (26.3)
|
2,015 (21.5)
|
1.1 (0.7, 1.8)
|
45 (97.8)
|
3,277 (90.0)
|
6.7 (0.9, 48.7)
|
| Phenoxy herbicides |
9 (9.0)
|
531 (5.7)
|
1.5 (0.7, 2.9)
|
33 (73.3)
|
2,780 (79.2)
|
1.1 (0.6, 2.1)
|
| Pyrethroids |
<3
|
283 (3.0)
|
|
6 (13.6)
|
843 (21.9)
|
0.7 (0.3, 1.7)
|
| Thiocarbamates |
<3
|
64 (0.7)
|
|
4 (14.3)
|
580 (25.3)
|
0.6 (0.2, 1.8)
|
| Triazines |
<3
|
196 (2.1)
|
|
31 (72.1)
|
2,772 (76.4)
|
1.3 (0.6, 2.4)
|
|
Insecticides:
(expand/collapse)
| Aldicarb |
<3
|
112 (1.2)
|
|
7 (13.2)
|
1,219 (27.0)
|
0.5 (0.2, 1.2)
|
| Aldrin |
<3
|
22 (0.2)
|
|
5 (9.4)
|
430 (9.6)
|
0.9 (0.4, 2.2)
|
| Carbaryl |
31 (31.0)
|
3,043 (32.1)
|
0.9 (0.6, 1.4)
|
40 (72.7)
|
3,389 (73.0)
|
0.9 (0.5, 1.7)
|
| Carbofuran |
<3
|
116 (1.2)
|
|
12 (27.3)
|
1,174 (29.7)
|
0.9 (0.5, 1.7)
|
| Chlordane |
5 (5.0)
|
290 (3.1)
|
1.0 (0.4, 2.6)
|
18 (32.7)
|
1,264 (27.9)
|
1.1 (0.6, 1.9)
|
| Chlorpyrifos |
3 (3.0)
|
318 (3.4)
|
1.1 (0.4, 3.6)
|
18 (36.7)
|
1,688 (42.0)
|
1.1 (0.6, 1.9)
|
| Coumaphos |
<3
|
86 (0.9)
|
|
<3
|
298 (7.8)
|
|
| DDT† |
<3
|
334 (3.6)
|
|
21 (37.5)
|
1,409 (31.0)
|
0.9 (0.5, 1.5)
|
| Diazinon |
13 (12.9)
|
1,108 (11.7)
|
1.2 (0.7, 2.1)
|
20 (37.0)
|
1,760 (38.9)
|
1.2 (0.7, 2.0)
|
| Dichlorvos† |
<3
|
46 (0.5)
|
|
<3
|
128 (3.3)
|
|
| Dieldrin |
<3
|
10 (0.1)
|
|
<3
|
110 (2.5)
|
|
| Fonofos |
<3
|
20 (0.2)
|
|
<3
|
284 (7.3)
|
|
| Heptachlor |
<3
|
6 (0.1)
|
|
<3
|
151 (3.4)
|
|
| Lindane |
<3
|
113 (1.2)
|
|
8 (15.1)
|
518 (11.5)
|
1.5 (0.7, 3.3)
|
| Malathion |
20 (19.8)
|
1,502 (15.9)
|
1.0 (0.6, 1.7)
|
38 (71.7)
|
2,824 (61.1)
|
1.5 (0.8, 2.7)
|
| Parathion |
<3
|
115 (1.2)
|
|
10 (19.2)
|
963 (21.5)
|
0.9 (0.5, 1.8)
|
| Permethrin (for animals) |
<3
|
137 (1.5)
|
|
<3
|
186 (4.8)
|
|
| Permethrin (for crops) |
<3
|
190 (2.0)
|
|
4 (8.9)
|
706 (18.1)
|
0.6 (0.2, 1.7)
|
| Phorate |
<3
|
53 (0.6)
|
|
6 (11.3)
|
714 (15.9)
|
0.8 (0.3, 1.9)
|
| Terbufos |
<3
|
93 (1.0)
|
|
9 (20.0)
|
944 (24.1)
|
1.0 (0.5, 2.1)
|
| Toxaphene |
<3
|
94 (1.0)
|
|
11 (21.2)
|
882 (19.7)
|
0.9 (0.5, 1.7)
|
|
Herbicides:
(expand/collapse)
| Alachlor |
<3
|
184 (2.0)
|
|
19 (44.2)
|
2,016 (49.3)
|
0.9 (0.5, 1.6)
|
| Atrazine |
<3
|
165 (1.8)
|
|
30 (63.8)
|
2,596 (60.6)
|
1.2 (0.7, 2.1)
|
| Butylate |
<3
|
51 (0.5)
|
|
7 (13.0)
|
799 (17.9)
|
0.8 (0.4, 1.7)
|
| Chlorimuron ethyl |
<3
|
64 (0.7)
|
|
14 (25.9)
|
1,379 (30.4)
|
1.0 (0.6, 1.9)
|
| Cyanazine |
<3
|
49 (0.5)
|
|
4 (9.5)
|
638 (16.2)
|
0.6 (0.2, 1.8)
|
| Dicamba |
<3
|
64 (0.7)
|
|
5 (12.5)
|
712 (18.3)
|
0.8 (0.3, 1.9)
|
| EPTC† |
<3
|
23 (0.2)
|
|
<3
|
260 (6.8)
|
|
| Glyphosate |
19 (19.0)
|
2,608 (27.7)
|
0.7 (0.4, 1.2)
|
45 (86.5)
|
3,785 (86.4)
|
1.2 (0.6, 2.8)
|
| Imazethapyr |
<3
|
18 (0.2)
|
|
<3
|
351 (9.2)
|
|
| Metolachlor |
<3
|
93 (1.0)
|
|
11 (26.2)
|
1,407 (35.1)
|
0.8 (0.4, 1.5)
|
| Metribuzin |
<3
|
37 (0.4)
|
|
9 (16.7)
|
855 (19.0)
|
1.1 (0.5, 2.2)
|
| Paraquat |
<3
|
216 (2.3)
|
|
21 (38.2)
|
1,799 (39.5)
|
1.2 (0.7, 2.1)
|
| Pendimethalin |
3 (3.0)
|
144 (1.5)
|
2.0 (0.6, 6.3)
|
17 (31.5)
|
1,964 (43.1)
|
0.8 (0.5, 1.4)
|
| Petroleum oil |
<3
|
168 (1.8)
|
|
13 (24.1)
|
1,123 (25.1)
|
1.5 (0.8, 2.8)
|
| Trifluralin |
<3
|
82 (0.9)
|
|
13 (30.2)
|
1,349 (34.3)
|
0.9 (0.5, 1.7)
|
| 2,4-D† |
9 (8.9)
|
523 (5.6)
|
1.5 (0.7, 2.9)
|
30 (63.8)
|
2,691 (64.8)
|
0.9 (0.5, 1.7)
|
| 2,4,5-T† |
<3
|
30 (0.3)
|
|
13 (24.1)
|
727 (16.2)
|
1.3 (0.7, 2.4)
|
| 2,4,5-TP† |
<3
|
19 (0.2)
|
|
7 (13.2)
|
299 (6.7)
|
2.1 (0.9, 4.6)
|
|
Fungicides:
(expand/collapse)
| Benomyl |
<3
|
188 (2.0)
|
|
18 (33.3)
|
1,080 (23.8)
|
1.7 (0.9, 2.9)
|
| Captan |
<3
|
220 (2.4)
|
|
8 (20.0)
|
439 (11.4)
|
1.9 (0.9, 4.3)
|
| Chlorothalonil |
<3
|
151 (1.6)
|
|
13 (31.0)
|
973 (24.7)
|
1.5 (0.8, 2.9)
|
| Maneb |
<3
|
322 (3.4)
|
|
13 (23.6)
|
1,042 (23.0)
|
1.0 (0.5, 1.9)
|
| Metalaxyl |
4 (4.1)
|
371 (4.0)
|
0.9 (0.3, 2.6)
|
25 (45.5)
|
2,208 (48.0)
|
1.1 (0.6, 1.8)
|
|
Fumigants:
(expand/collapse)
| Carbon tetrachloride/ carbon disulfide |
<3
|
27 (0.3)
|
|
3 (5.5)
|
177 (3.9)
|
1.4 (0.4, 4.5)
|
| Ethylene dibromide |
<3
|
22 (0.2)
|
|
3 (5.5)
|
425 (9.5)
|
0.5 (0.1, 1.5)
|
| Methyl bromide |
6 (5.9)
|
305 (3.2)
|
1.4 (0.6, 3.2)
|
20 (43.5)
|
1,814 (44.8)
|
1.0 (0.6, 1.8)
|
|
* The numbers of cases and noncases included in the analyses differ across
pesticides because of missing data.
RR, rate ratio; CI, confidence interval; DDT, dichlorodiphenyltrichloroethane;
dichlorvos, 2,2-dichloroethenyl dimethylphosphate; EPTC, S-ethyl dipropylthiocarbamate;
2,4-D, 2,4-dichlorophenoxyacetic acid; 2,4,5-T, 2,4,5-trichlorophenoxyacetic
acid; 2,4,5-TP, 2,4,5-trichlorophenoxypropionic acid.
Each pesticide exposure was examined in a separate model adjusted
for age (<40, 40-49, 50-59, and =60 years), race (White and other),
and state of residence (Iowa and North Carolina). A rate ratio was estimated
only if there were at least three exposed and three unexposed cases and
three exposed and three unexposed noncases.
§ Organophosphate insecticides: chlorpyrifos, coumaphos, diazinon,
dichlorvos, fonofos, malathion, methyl or ethyl parathion, phorate, terbufos,
and trichlorfon; organochlorine insecticides: aldrin, chlordane, DDT,
dieldrin, heptachlor, lindane, and toxaphene; carbamate insecticides:
aldicarb, carbaryl, and carbofuran; pyrethroid insecticides: permethrin
or pyrethroid products; triazine herbicides: atrazine, cyanazine, and
metribuzin; chloroacetanilide herbicides: alachlor and metolachlor; thiocarbamate
herbicides: butylate and EPTC; dinitroaniline herbicides: pendimethalin
and trifluralin; phenoxy herbicides: 2,4-D, 2,4,5-T, and 2,4,5-TP; dithiocarbamate
fungicides: mancozeb, maneb, and ziram.
TABLE 5. Individual pesticide
use (ever/never) and risk of breast cancer, by menopausal status at enrollment,
among farmers' wives, Agricultural Health Study, 1993-1997 (fully
expanded)
| |
Wife's pesticide use among all wives in
the cohort |
Husband's pesticide use among wives who
never used pesticides |
| |
Cases
n (%)* |
Non-cases
n (%)* |
Adjusted RR (95% CI), |
Cases
n (%)* |
Non-cases
n (%)* |
Adjusted RR (95% CI), |
| Premenopausal women |
N=87 |
N=13,087 |
|
N=36 |
N=5,674 |
|
| Any pesticides |
51 (58.6) |
7,413 (56.6) |
1.1 (0.7, 1.8) |
35 (100.0) |
5,507 (99.3) |
|
Chemical
classes: (expand/collapse)
| Carbamates |
28 (33.3)
|
3,800 (29.4)
|
1.1 (0.7, 1.7)
|
13 (65.0)
|
2,142 (57.7)
|
1.2 (0.5, 3.2)
|
| Chloroacetanilides |
6 (6.9)
|
694 (5.4)
|
1.1 (0.5, 2.6)
|
23 (69.7)
|
3,893 (72.9)
|
0.9 (0.4, 1.9)
|
| Dinitroanilines |
9 (10.3)
|
765 (5.9)
|
1.6 (0.8, 3.3)
|
16 (66.7)
|
3,363 (76.6)
|
0.8 (0.3, 1.9)
|
| Dithiocarbamates |
<3
|
173 (1.4)
|
|
<3
|
249 (7.4)
|
|
| Organochlorines |
7 (8.6)
|
635 (5.0)
|
1.1 (0.5, 2.5)
|
8 (44.4)
|
1,050 (31.2)
|
0.9 (0.4, 2.4)
|
| Organophosphates |
25 (29.4)
|
3,239 (25.2)
|
1.1 (0.7, 1.7)
|
30 (100.0)
|
4,548 (92.7)
|
|
| Phenoxy herbicides |
15 (17.2)
|
1,893 (14.7)
|
1.2 (0.7, 2.0)
|
25 (80.7)
|
4,171 (85.9)
|
0.9 (0.4, 2.3)
|
| Pyrethroids |
4 (4.8)
|
737 (5.8)
|
0.7 (0.3, 2.0)
|
9 (26.5)
|
1,464 (28.3)
|
1.0 (0.5, 2.2)
|
| Thiocarbamates |
<3
|
268 (2.1)
|
|
5 (29.4)
|
1,677 (46.5)
|
0.6 (0.2, 1.6)
|
| Triazines |
5 (5.8)
|
673 (5.2)
|
1.0 (0.4, 2.4)
|
27 (87.1)
|
4,324 (87.5)
|
1.4 (0.5, 4.3)
|
|
Insecticides:
(expand/collapse)
| Aldicarb |
<3
|
71 (0.6)
|
|
<3
|
530 (9.6)
|
|
| Aldrin |
<3
|
54 (0.4)
|
|
6 (17.7)
|
416 (7.6)
|
1.4 (0.6, 3.8)
|
| Carbaryl |
26 (31.0)
|
3,723 (28.7)
|
1.0 (0.6, 1.6)
|
14 (40.0)
|
2,247 (40.6)
|
0.8 (0.4, 1.7)
|
| Carbofuran |
<3
|
192 (1.5)
|
|
10 (31.3)
|
1,261 (24.2)
|
1.1 (0.5, 2.3)
|
| Chlordane |
6 (7.3)
|
361 (2.8)
|
1.6 (0.7, 3.7)
|
8 (23.5)
|
717 (13.0)
|
1.4 (0.6, 3.2)
|
| Chlorpyrifos |
7 (8.3)
|
503 (3.9)
|
2.2 (1.0, 4.9)
|
13 (39.4)
|
2,483 (46.8)
|
0.8 (0.4, 1.6)
|
| Coumaphos |
<3
|
154 (1.2)
|
|
<3
|
416 (8.1)
|
|
| DDT† |
<3
|
167 (1.3)
|
|
7 (20.6)
|
484 (8.8)
|
1.3 (0.5, 3.2)
|
| Diazinon |
8 (9.5)
|
1,333 (10.4)
|
0.8 (0.4, 1.6)
|
10 (29.4)
|
1,187 (21.6)
|
1.5 (0.7, 3.2)
|
| Dichlorvos† |
6 (7.1)
|
311 (2.4)
|
2.3 (1.0, 5.3)
|
4 (12.1)
|
547 (10.6)
|
1.1 (0.4, 3.3)
|
| Dieldrin |
<3
|
26 (0.2)
|
|
<3
|
91 (1.7)
|
|
| Fonofos |
<3
|
210 (1.6)
|
|
7 (21.9)
|
1,143 (21.8)
|
1.1 (0.4, 2.5)
|
| Heptachlor |
<3
|
53 (0.4)
|
|
3 (8.8)
|
357 (6.5)
|
0.9 (0.3, 3.3)
|
| Lindane |
<3
|
189 (1.5)
|
|
8 (23.5)
|
707 (12.9)
|
2.1 (0.9, 4.6)
|
| Malathion |
16 (19.1)
|
2,335 (18.0)
|
0.9 (0.5, 1.5)
|
25 (71.4)
|
3,505 (63.3)
|
1.5 (0.7, 3.0)
|
| Parathion |
<3
|
123 (1.0)
|
|
3 (8.8)
|
474 (8.6)
|
0.9 (0.3, 3.0)
|
| Permethrin (for animals) |
<3
|
558 (4.3)
|
|
5 (15.6)
|
825 (15.8)
|
1.3 (0.5, 3.3)
|
| Permethrin (for crops) |
<3
|
291 (2.3)
|
|
5 (14.7)
|
789 (15.2)
|
0.9 (0.4, 2.4)
|
| Phorate |
3 (3.6)
|
236 (1.8)
|
1.5 (0.5, 4.9)
|
11 (31.4)
|
1,576 (28.6)
|
1.2 (0.6, 2.5)
|
| Terbufos |
6 (7.1)
|
358 (2.8)
|
2.6 (1.1, 5.9)
|
14 (41.2)
|
2,259 (42.8)
|
1.0 (0.5, 2.1)
|
| Toxaphene |
<3
|
57 (0.5)
|
|
5 (14.7)
|
436 (7.9)
|
1.2 (0.4, 3.1)
|
|
Herbicides:
(expand/collapse)
| Alachlor |
6 (6.9)
|
510 (4.0)
|
1.5 (0.6, 3.3)
|
17 (51.5)
|
2,942 (55.6)
|
0.7 (0.4, 1.4)
|
| Atrazine |
4 (4.6)
|
528 (4.1)
|
1.0 (0.4, 2.6)
|
24 (72.7)
|
4,028 (74.6)
|
1.0 (0.4, 2.1)
|
| Butylate |
<3
|
155 (1.2)
|
|
5 (14.7)
|
1,500 (27.3)
|
0.4 (0.2, 1.0)
|
| Chlorimuron ethyl |
<3
|
217 (1.7)
|
|
12 (35.3)
|
2,101 (38.2)
|
1.1 (0.5, 2.2)
|
| Cyanazine |
4 (4.6)
|
337 (2.6)
|
1.6 (0.6, 4.4)
|
11 (33.3)
|
2,300 (43.8)
|
0.6 (0.3, 1.2)
|
| Dicamba |
3 (3.5)
|
502 (3.9)
|
0.9 (0.3, 2.7)
|
17 (53.1)
|
2,860 (54.6)
|
1.1 (0.5, 2.5)
|
| EPTC§ |
<3
|
173 (1.3)
|
|
4 (12.9)
|
1,173 (22.6)
|
0.6 (0.2, 1.8)
|
| Glyphosate |
32 (36.8)
|
4,613 (35.5)
|
1.2 (0.8, 1.9)
|
25 (71.4)
|
4,170 (76.9)
|
0.7 (0.3, 1.4)
|
| Imazethapyr |
<3
|
390 (3.0)
|
|
16 (51.6)
|
2,572 (49.3)
|
1.8 (0.8, 4.0)
|
| Metolachlor |
4 (4.6)
|
426 (3.3)
|
1.3 (0.5, 3.5)
|
13 (40.6)
|
2,711 (51.3)
|
0.7 (0.3, 1.4)
|
| Metribuzin |
<3
|
194 (1.5)
|
|
13 (38.2)
|
2,209 (40.2)
|
1.0 (0.5, 2.1)
|
| Paraquat |
<3
|
138 (1.1)
|
|
5 (14.7)
|
985 (17.9)
|
0.7 (0.3, 2.0)
|
| Pendimethalin |
<3
|
300 (2.3)
|
|
6 (17.7)
|
2,332 (42.3)
|
0.3 (0.1, 0.8)
|
| Petroleum oil |
3 (3.5)
|
455 (3.5)
|
0.8 (0.3, 2.5)
|
13 (38.2)
|
1,764 (32.1)
|
1.8 (0.9, 3.6)
|
| Trifluralin |
7 (8.1)
|
640 (5.0)
|
1.5 (0.7, 3.2)
|
14 (45.2)
|
2,875 (54.5)
|
0.7 (0.3, 1.4)
|
| 2,4-D† |
15 (17.2)
|
1,880 (14.5)
|
1.2 (0.7, 2.1)
|
25 (71.4)
|
4,116 (76.8)
|
0.7 (0.3, 1.5)
|
| 2,4,5-T† |
<3
|
57 (0.4)
|
|
6 (17.7)
|
694 (12.7)
|
1.0 (0.4, 2.4)
|
| 2,4,5-TP† |
<3
|
22 (0.2)
|
|
3 (8.8)
|
271 (4.9)
|
1.6 (0.5, 5.2)
|
|
Fungicides:
(expand/collapse)
| Benomyl |
<3
|
101 (0.8)
|
|
<3
|
432 (7.8)
|
|
| Captan |
<3
|
276 (2.2)
|
|
3 (9.7)
|
539 (10.4)
|
1.1 (0.3, 3.5)
|
| Chlorothalonil |
<3
|
115 (0.9)
|
|
3 (9.7)
|
400 (7.7)
|
0.9 (0.3, 3.4)
|
| Maneb |
<3
|
165 (1.3)
|
|
3 (8.8)
|
396 (7.2)
|
1.0 (0.3, 3.6)
|
| Metalaxyl |
3 (3.6)
|
193 (1.5)
|
2.0 (0.6, 6.4)
|
7 (20.6)
|
1,121 (20.3)
|
0.8 (0.3, 2.1)
|
|
Fumigants:
(expand/collapse)
| Carbon tetrachloride/carbon disulfide |
<3
|
32 (0.3)
|
|
<3
|
148 (2.7)
|
|
| Ethylene dibromide |
<3
|
18 (0.1)
|
|
3 (8.8)
|
179 (3.3)
|
2.0 (0.6, 7.2)
|
| Methyl bromide |
3 (3.6)
|
161 (1.3)
|
1.9 (0.6, 6.1)
|
5 (15.6)
|
718 (13.8)
|
0.8 (0.3, 2.5)
|
|
| Postmenopausal women |
N=192 |
N=10,736 |
|
N=103 |
N=4,700 |
|
| Any pesticides |
89 (46.4) |
6,036 (56.2) |
0.7 (0.5, 1.0) |
98 (99.0) |
4,448 (99.4) |
|
Chemical
classes: (expand/collapse)
| Carbamates |
57 (30.3)
|
3,698 (35.1)
|
0.8 (0.6, 1.1)
|
52 (65.8)
|
2,391 (70.4)
|
0.9 (0.6, 1.5)
|
| Chloroacetanilides |
8 (4.3)
|
617 (5.9)
|
0.7 (0.3, 1.4)
|
60 (69.0)
|
2,711 (67.1)
|
1.0 (0.6, 1.6)
|
| Dinitroanilines |
7 (3.7)
|
718 (6.9)
|
0.5 (0.3, 1.2)
|
58 (73.4)
|
2,504 (70.4)
|
1.4 (0.8, 2.4)
|
| Dithiocarbamates |
<3
|
244 (2.4)
|
|
8 (10.0)
|
364 (11.3)
|
0.9 (0.4, 2.0)
|
| Organochlorines |
12 (6.4)
|
1,320 (12.7)
|
0.4 (0.2, 0.7)
|
57 (69.5)
|
1,930 (59.8)
|
1.3 (0.8, 2.2)
|
| Organophosphates |
52 (27.8)
|
3,047 (29.3)
|
0.9 (0.7, 1.3)
|
85 (93.4)
|
3,561 (91.0)
|
1.6 (0.7, 3.7)
|
| Phenoxy herbicides |
23 (12.3)
|
1,705 (16.3)
|
0.7 (0.4, 1.0)
|
74 (84.1)
|
3,331 (85.5)
|
1.0 (0.6, 1.9)
|
| Pyrethroids |
3 (1.6)
|
459 (4.5)
|
0.4 (0.1, 1.1)
|
15 (17.7)
|
652 (17.0)
|
1.3 (0.7, 2.2)
|
| Thiocarbamates |
<3
|
249 (2.4)
|
|
28 (40.6)
|
1,109 (37.3)
|
1.2 (0.7, 1.9)
|
| Triazines |
5 (2.7)
|
669 (6.4)
|
0.4 (0.2, 1.0)
|
73 (84.9)
|
3,304 (83.5)
|
1.2 (0.7, 2.2)
|
|
Insecticides:
(expand/collapse)
| Aldicarb |
<3
|
55 (0.5)
|
|
5 (5.1)
|
466 (10.7)
|
0.6 (0.2, 1.5)
|
| Aldrin |
3 (1.6)
|
154 (1.5)
|
0.9 (0.3, 2.8)
|
40 (40.4)
|
1,079 (24.7)
|
1.7 (1.1, 2.6)
|
| Carbaryl |
56 (29.8)
|
3,626 (34.3)
|
0.8 (0.6, 1.2)
|
54 (54.0)
|
2,308 (51.7)
|
1.4 (0.9, 2.2)
|
| Carbofuran |
3 (1.6)
|
266 (2.5)
|
0.7 (0.2, 2.1)
|
26 (31.0)
|
1,220 (31.0)
|
0.9 (0.6, 1.4)
|
| Chlordane |
8 (4.3)
|
717 (6.9)
|
0.5 (0.2, 1.0)
|
36 (35.6)
|
1,220 (27.8)
|
1.5 (1.0, 2.3)
|
| Chlorpyrifos |
7 (3.7)
|
455 (4.3)
|
1.0 (0.5, 2.2)
|
44 (48.4)
|
1,557 (38.9)
|
1.6 (1.1, 2.4)
|
| Coumaphos |
<3
|
167 (1.6)
|
|
8 (9.5)
|
324 (8.5)
|
1.0 (0.5, 2.1)
|
| DDT† |
8 (4.3)
|
755 (7.3)
|
0.5 (0.2, 0.9)
|
48 (47.1)
|
1,758 (39.8)
|
1.2 (0.8, 1.7)
|
| Diazinon |
19 (10.1)
|
1,128 (10.7)
|
1.1 (0.7, 1.8)
|
28 (28.0)
|
1,113 (25.4)
|
1.5 (0.9, 2.3)
|
| Dichlorvos† |
7 (3.8)
|
344 (3.3)
|
1.0 (0.4, 2.0)
|
11 (12.9)
|
318 (8.2)
|
1.4 (0.7, 2.6)
|
| Dieldrin |
<3
|
71 (0.7)
|
|
12 (12.2)
|
295 (6.8)
|
1.6 (0.9, 3.0)
|
| Fonofos |
<3
|
242 (2.3)
|
|
22 (25.9)
|
811 (20.6)
|
1.3 (0.8, 2.1)
|
| Heptachlor |
3 (1.6)
|
144 (1.4)
|
0.9 (0.3, 2.9)
|
30 (30.9)
|
751 (17.2)
|
1.7 (1.1, 2.7)
|
| Lindane |
<3
|
193 (1.8)
|
|
20 (20.2)
|
596 (13.6)
|
1.7 (1.0, 2.7)
|
| Malathion |
41 (21.7)
|
2,446 (23.1)
|
0.9 (0.6, 1.2)
|
69 (69.7)
|
2,801 (62.7)
|
1.5 (1.0, 2.3)
|
| Parathion |
<3
|
130 (1.2)
|
0.4 (0.1, 3.0)
|
13 (13.3)
|
574 (13.2)
|
1.4 (0.8, 2.5)
|
| Permethrin (for animals) |
3 (1.6)
|
319 (3.1)
|
0.5 (0.2, 1.6)
|
9 (10.5)
|
290 (7.4)
|
1.5 (0.7, 3.0)
|
| Permethrin (for crops) |
<3
|
192 (1.8)
|
|
6 (7.1)
|
415 (10.7)
|
0.9 (0.4, 2.1)
|
| Phorate |
3 (1.6)
|
249 (2.4)
|
0.6 (0.2, 2.0)
|
33 (33.3)
|
1,335 (30.5)
|
1.0 (0.7, 1.6)
|
| Terbufos |
3 (1.6)
|
327 (3.1)
|
0.5 (0.2, 1.6)
|
29 (33.7)
|
1,388 (35.1)
|
0.9 (0.5, 1.4)
|
| Toxaphene |
<3
|
123 (1.2)
|
|
21 (21.4)
|
760 (17.5)
|
1.3 (0.8, 2.2)
|
|
Herbicides:
(expand/collapse)
| Alachlor |
3 (1.6)
|
510 (4.9)
|
0.3 (0.1, 0.9)
|
50 (58.1)
|
2,259 (56.4)
|
1.0 (0.7, 1.5)
|
| Atrazine |
4 (2.1)
|
553 (5.3)
|
0.4 (0.1, 1.0)
|
68 (74.7)
|
3,048 (72.4)
|
1.0 (0.6, 1.7)
|
| Butylate |
<3
|
178 (1.7)
|
|
26 (26.0)
|
1,084 (24.8)
|
1.0 (0.6, 1.6)
|
| Chlorimuron ethyl |
3 (1.6)
|
187 (1.8)
|
0.9 (0.3, 2.8)
|
28 (28.0)
|
1,201 (27.4)
|
1.1 (0.7, 1.6)
|
| Cyanazine |
<3
|
340 (3.2)
|
|
35 (41.2)
|
1,508 (38.3)
|
0.9 (0.6, 1.4)
|
| Dicamba |
10 (5.3)
|
442 (4.2)
|
1.3 (0.7, 2.5)
|
42 (49.4)
|
1,757 (44.9)
|
1.1 (0.7, 1.7)
|
| EPTC† |
<3
|
145 (1.4)
|
|
15 (18.3)
|
618 (16.1)
|
1.1 (0.6, 2.0)
|
| Glyphosate |
40 (21.3)
|
3,339 (31.7)
|
0.7 (0.5, 1.0)
|
74 (77.9)
|
3,133 (74.4)
|
1.4 (0.9, 2.3)
|
| Imazethapyr |
3 (1.6)
|
301 (2.9)
|
0.7 (0.2, 2.1)
|
29 (35.4)
|
1,377 (35.6)
|
0.9 (0.6, 1.5)
|
| Metolachlor |
7 (3.7)
|
331 (3.2)
|
1.3 (0.6, 2.7)
|
39 (45.9)
|
1,697 (42.7)
|
1.1 (0.7, 1.7)
|
| Metribuzin |
<3
|
246 (2.3)
|
|
33 (33.0)
|
1,465 (33.4)
|
0.9 (0.6, 1.4)
|
| Paraquat |
<3
|
147 (1.4)
|
|
20 (19.8)
|
939 (21.4)
|
1.3 (0.8, 2.2)
|
| Pendimethalin |
<3
|
255 (2.4)
|
|
36 (36.0)
|
1,562 (35.5)
|
1.2 (0.8, 1.8)
|
| Petroleum oil |
6 (3.2)
|
431 (4.1)
|
0.7 (0.3, 1.6)
|
21 (21.0)
|
1,084 (24.8)
|
1.1 (0.7, 1.8)
|
| Trifluralin |
6 (3.2)
|
621 (5.9)
|
0.5 (0.2, 1.2)
|
48 (54.6)
|
2,058 (51.7)
|
1.0 (0.7, 1.6)
|
| 2,4-D† |
23 (12.2)
|
1,690 (16.1)
|
0.7 (0.4, 1.0)
|
71 (78.0)
|
3,225 (78.8)
|
0.9 (0.5, 1.5)
|
| 2,4,5-T† |
<3
|
141 (1.4)
|
|
36 (36.0)
|
1,108 (25.3)
|
1.4 (0.9, 2.2)
|
| 2,4,5-TP† |
<3
|
67 (0.6)
|
|
15 (15.2)
|
321 (7.4)
|
2.2 (1.3, 3.9)
|
|
Fungicides:
(expand/collapse)
| Benomyl |
<3
|
126 (1.2)
|
|
14 (14.0)
|
528 (12.0)
|
1.6 (0.9, 3.0)
|
| Captan |
<3
|
266 (2.6)
|
|
17 (20.5)
|
335 (8.7)
|
3.6 (2.1, 6.1)
|
| Chlorothalonil |
3 (1.6)
|
114 (1.1)
|
1.7 (0.6, 5.5)
|
9 (10.6)
|
430 (11.0)
|
1.3 (0.6, 2.8)
|
| Maneb |
<3
|
240 (2.3)
|
|
9 (8.9)
|
524 (11.9)
|
0.9 (0.4, 1.8)
|
| Metalaxyl |
<3
|
189 (1.8)
|
|
20 (19.8)
|
1,040 (23.5)
|
1.0 (0.6, 1.7)
|
|
Fumigants:
(expand/collapse)
| Carbon tetrachloride/carbon disulfide |
<3
|
99 (1.0)
|
|
8 (7.9)
|
272 (6.2)
|
1.3 (0.6, 2.7)
|
| Ethylene dibromide |
<3
|
17 (0.2)
|
|
<3
|
237 (5.4)
|
|
| Methyl bromide |
4 (2.1)
|
150 (1.4)
|
1.4 (0.5, 3.8)
|
14 (15.9)
|
810 (20.3)
|
1.0 (0.5, 1.9)
|
|
* The numbers of cases and noncases included in the analyses differ across
pesticides because of missing data.
RR, rate ratio; CI, confidence interval; DDT, dichlorodiphenyltrichloroethane;
dichlorvos, 2,2-dichloroethenyl dimethylphosphate; EPTC, S-ethyl dipropylthiocarbamate;
2,4-D, 2,4-dichlorophenoxyacetic acid; 2,4,5-T, 2,4,5-trichlorophenoxyacetic
acid; 2,4,5-TP, 2,4,5-trichlorophenoxypropionic acid.
Each pesticide exposure was examined in a separate model adjusted
for age (<40, 40-49, 50-59, and =60 years), race (White and other),
and state of residence (Iowa and North Carolina). A rate ratio was estimated
only if there were at least three exposed and three unexposed cases and
three exposed and three unexposed noncases.
§ Organophosphate insecticides: chlorpyrifos, coumaphos, diazinon,
dichlorvos, fonofos, malathion, methyl or ethyl parathion, phorate, terbufos,
and trichlorfon; organochlorine insecticides: aldrin, chlordane, DDT,
dieldrin, heptachlor, lindane, and toxaphene; carbamate insecticides:
aldicarb, carbaryl, and carbofuran; pyrethroid insecticides: permethrin
or pyrethroid products; triazine herbicides: atrazine, cyanazine, and
metribuzin; chloroacetanilide herbicides: alachlor and metolachlor; thiocarbamate
herbicides: butylate and EPTC; dinitroaniline herbicides: pendimethalin
and trifluralin; phenoxy herbicides: 2,4-D, 2,4,5-T, and 2,4,5-TP; dithiocarbamate
fungicides: mancozeb, maneb, and ziram.
|