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Occup Environ Med 66:81-89 doi:10.1136/oem.2007.038497
  • Original article

Geographic density of landfill sites and risk of congenital anomalies in England

Table 2 Rates of congenital anomalies per 100 000 birth-years by categories of the landfill exposure index, unadjusted odds ratios (OR) (95% confidence intervals) and adjusted OR* (95% credible intervals)
Landfill exposure index
1 2 3 4
Median (range) 0 (0) 0.10 (0.01–0.29) 0.57 (0.30–0.95) 1.75 (0.96–12.24)
Squares, n 1751 1229 1251 1206
Births, n 966 513 1 775 254 2 766 978 4 620 542
All anomalies
    Rate 1260.4 1322.2 1335.3 1389.9
    Unadjusted OR 1.00 1.05 (1.03 to 1.07) 1.06 (1.04 to 1.08) 1.10 (1.08 to 1.12)
    Adjusted OR 1.00 1.00 (0.95 to 1.05) 0.99 (0.94 to 1.03) 1.02 (0.98 to 1.07)
Hypospadias and epispadias
    Rate 118.3 113.8 113.7 129.1
    Unadjusted OR 1.00 0.96 (0.90 to 1.03) 0.96 (0.90 to 1.03) 1.09 (1.03 to 1.16)
    Adjusted OR 1.00 0.91 (0.83 to 1.01) 0.91 (0.82 to 1.00) 0.97 (0.89 to 1.06)
Neural tube defects
    Rate 48.5 52.5 53.8 58.8
    Unadjusted OR 1.00 1.08 (0.97 to 1.21) 1.11 (1.00 to 1.23) 1.21 (1.10 to 1.34)
    Adjusted OR 1.00 1.07 (0.94 to 1.22) 1.06 (0.93 to 1.19) 1.04 (0.93 to 1.18)
Cardiovascular defects
    Rate 77.7 84.7 83.9 87.3
    Unadjusted OR 1.00 1.09 (1.00 to 1.19) 1.08 (0.99 to 1.17) 1.12 (1.04 to 1.22)
    Adjusted OR 1.00 0.93 (0.81 to 1.07) 0.95 (0.83 to 1.09) 0.94 (0.82 to 1.07)
Abdominal wall defects
    Rate 20.4 21.5 23.7 25.0
    Unadjusted OR 1.00 1.05 (0.89 to 1.25) 1.16 (1.00 to 1.37) 1.23 (1.06 to 1.43)
    Adjusted OR 1.00 1.08 (0.90 to 1.3) 1.15 (0.97 to 1.37) 1.11 (0.94 to 1.32)
  • *Adjusted in the Bayesian hierarchical logistic regression model for deprivation, the presence or absence of a local registry and maternal age.

  • Values for non-special or unknown waste sites operational at some time between 1982 and 1997.

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