Review Article

Clinical, Molecular, and Environmental Risk Factors for Hodgkin Lymphoma

Table 1

Risk factors for Hodgkin lymphoma.

Risk FactorOdds Ratio95% CIStudy

Race/Ethnicity
 E European versus N American descent1.821.02–3.25Pahwa [17]
 Jewish versus Catholic2.291.26–4.19Chang [18]
 Jewish versus Protestant1.771.01–3.13Chang [18]

Medical History
 Measles0.720.53–0.98Pahwa [17]
0.70.53–0.94Karunanayake [19]
 Shingles2.411.38–4.22Pahwa [17]
2.161.31–3.56Karunanayake [19]
 Appendectomy4.31.90–10.00Cozen [20]
 Acne2.121.19–3.78Pahwa [17]
 Allergy desensitization shots0.550.30–0.99Pahwa [17]
 Eczema4.21.20–14.80Cozen [20]
 Family history of cancer (general)1.931.40–2.65Pahwa [17]
 Family history of cancer (hematopoietic)2.061.10–3.87Chang [18]

Exposure History
 Herbicide dichlorprop6.351.56–25.92Pahwa [17]
 Ionizing radiation from Uranium2.581.08–6.19Karunanayake [19]
 Ultraviolet radiation0.620.40–0.96Karunanayake [19]
 Childhood environmental tobacco smoke (F 19–44 years)1.70.90–3.40Glaser [21]
 Behaviors (thumb-sucking/putting things in mouth) resulting in  early oral exposure than twin0.10.00–0.50Cozen [20]
1 year nursery school attendance0.640.45–0.92Chang [18]

Physical Health
 2X/wk physical activity (F 19–44 years)0.580.39–0.87Keegan [22]
 2X/wk physical activity (F 45–79 years)0.450.19–1.06Keegan [22]
 High BMI (F 19–44 years)1.741.00–3.02Keegan [22]
 High BMI (F 45–79 years)0.370.11–1.30Keegan [22]
 Low-dose aspirin use0.60.30–1.00Chang [23]
 Smoking 10 lifetime packs of cigarettes1.311.03–1.69Chang [18]
 Current smoker (M)1.81.30–2.90Briggs [24]

Molecular Biology
 rs1585215 in NFKB1: AG versus AA2.11.50–2.90Chang [25]
 rs1585215 in NFKB1: GG versus AA3.52.20–5.70Chang [25]
 Carriership for 1237C (TLR9)2.531.36–4.71Mollaki [26]
 Carriership for 2848A (TLR9)6.201.30–28.8Mollaki [26]

Socioeconomics
 Having less than a high school education (15–54 years)0.820.70–0.96Chang [18]

E: East; N: North; F: female; M: male, BMI: body mass index.