Adult myeloid leukaemia and radon exposure: a Bayesian model for a case-control study with error in covariates

Stat Med. 2005 Jun 30;24(12):1849-64. doi: 10.1002/sim.2064.

Abstract

The possible association between radon exposure in dwellings and adult myeloid leukaemia had been explored in an Italian province by a case-control study. A total of 44 cases and 211 controls were selected from death certificates file. No association had been found in the original study (OR = 0.58 for > 185 vs 80 < or = Bq/cm). Here we reanalyse the data taking into account the measurement error of radon concentration and the presence of missing data. A Bayesian hierarchical model with error in covariates is proposed which allows appropriate imputation of missing values. The general conclusion of no evidence of association with radon does not change, but a negative association is not observed anymore (OR = 0.99 for > 185 vs 80 < or = Bq/cm). After adjusting for residential house radon and gamma radiation, and for the multilevel data structure, geological features of the soil is associated with adult myeloid leukaemia risk (OR = 2.14, 95 per cent Cr.I. 1.0-5.5).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Bayes Theorem
  • Case-Control Studies
  • Environmental Exposure*
  • Female
  • Humans
  • Italy
  • Leukemia, Myeloid / etiology*
  • Male
  • Middle Aged
  • Radon / adverse effects*

Substances

  • Radon