Table 8.

Etiologic fractions for various factors associated with aplastic anemia in Thailand


Factor

Relative risk estimate

Proportion of cases exposed, %

Etiologic fraction, %
Benzene   3.5   1   1  
Other organic solvents*  2.0   11   5  
Associated drugs  3.9   4   3  
Agricultural pesticides (Khonkaen)  3.5   22   15  
Exposure to ducks (Khonkaen)§  3.7   26   19  
Use of animal fertilizers (Khonkaen)§  2.1   27   14  
Use of nonbottled water (Khonkaen)   2.8   95   61  
Nonmedical needle exposures
 
3.8
 
3
 
2
 

Factor

Relative risk estimate

Proportion of cases exposed, %

Etiologic fraction, %
Benzene   3.5   1   1  
Other organic solvents*  2.0   11   5  
Associated drugs  3.9   4   3  
Agricultural pesticides (Khonkaen)  3.5   22   15  
Exposure to ducks (Khonkaen)§  3.7   26   19  
Use of animal fertilizers (Khonkaen)§  2.1   27   14  
Use of nonbottled water (Khonkaen)   2.8   95   61  
Nonmedical needle exposures
 
3.8
 
3
 
2
 

Based on all factors with elevated relative risk estimates and lower confidence limits of 1.0 or greater that represent direct exposures (Results; Tables 3, 4, 5, 6, 7). The factors are not mutually exclusive, and therefore the individual etiologic fractions cannot be summed to determine the total proportion of aplastic anemia that can be explained.

*

Not including fuels or glues

Sulfonamides, mebendazole, and thiazide diuretics

Organophosphates, DDT, carbamates, paraquat

§

Among farmers, farm workers, or those who live on farms

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