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IJE Advance Access originally published online on May 24, 2005
International Journal of Epidemiology 2005 34(5):1118-1122; doi:10.1093/ije/dyi109
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2005; all rights reserved.

Article

Regular use of hair dyes and risk of lymphoma in Spain

Yolanda Benavente1, Natividad Garcia2, Eva Domingo-Domenech1,3, Tomás Alvaro4, Rebeca Font1, Yawei Zhang5 and Silvia de Sanjose1,*

1 Servei d'Epidemiologia and Registre del Cancer, IDIBELL, Institut Catala d'Oncologia, Barcelona, Spain
2 Patologia, Ramon y Cajal, Madrid, Spain
3 Hematologia Oncologica, Institut Catala d'Oncologia, IDIBELL, Spain
4 Patologia, Hospital Verge de la Cinta, Tortosa, Spain
5 Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, USA

* Corresponding author. Silvia de Sanjose, Servei d'Epidemiologia and Registre del Cancer, IDIBELL, Institut Catala d'Oncologia, Gran Via Km 2.7, 08907 L'Hospitalet, Barcelona, Spain. E-mail: s.sanjose{at}ico.scs.es

Background The use of hair dyes has been inconsistently associated with an increased risk of lymphomas. We explore hair dye use and lymphoma risk in a case–control study in Spain.

Methods We studied 574 incident lymphoma cases and 616 hospital controls in a multicentric study in Spain. Information on hair dye use was obtained through a personal interview together with information on other known or putative risk factors for lymphoma. Unconditional logistic regression analysis was used to estimate odds ratio (OR) and 95% confidence intervals (95% CI). All ORs were adjusted for pathology center, sex, age, and house ownership.

Results Ever use of hair dyes was associated with a non-significant 20% increased risk of lymphoma (OR = 1.2, 95% CI 0.9–1.7) with a slightly higher risk observed for those using permanent hair dyes (OR = 1.3, 95% CI 0.9–1.9). No association was observed with duration of use or lifetime doses of hair dyes. Among all lymphomas categories, only chronic lymphocytic leukaemia (CLL) was significantly associated with the use of hair dyes (OR = 2.3, 95% CI 1.1–4.7). The risk of CLL increased with lifetime doses received.

Conclusions Ever use of hair dye products is unlikely to substantially modify the risk of lymphoma. The observed association with CLL needs to be replicated.

Keywords Hair dyes, lymphoma, case–control, chronic lymphocytic leukaemia

Accepted 28 April 2005


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