title: Atrazine and nitrate in public drinking water supplies and non-hodgkin lymphoma in nebraska, USA.
abstract: A secondary analysis of 1999-2002 Nebraska case-control data was conducted to assess the risk of non-Hodgkin lymphoma (NHL) associated with exposure to nitrate- and atrazine-contaminated drinking water. Water chemistry data were collected and weighted by well contribution and proximity of residence to water supply, followed by logistic regression to determine odds ratios (OR) and 95% confidence intervals (CI). We found no association between NHL risk and exposure to drinking water containing atrazine or nitrate alone. Risk associated with the interaction of nitrate and atrazine in drinking water was elevated (OR, 2.5; CI, 1.0-6.2). Risk of indolent B-cell lymphoma was higher than risk of aggressive B-cell lymphoma (indolent: OR, 3.5; CI, 1.0-11.6 vs. aggressive: OR, 1.9; CI, 0.6-5.58). This increased risk may be due to in vivo formation and subsequent metabolism of N-nitrosoatrazine. A larger study is warranted to confirm our findings.
authors.affiliation: School of Natural Resources, University of Nebraska-Lincoln, Lincoln, Nebraska.
authors.forename: Martha G
authors.initials: MG
authors.lastname: Rhoades
authors.forename: Jane L
authors.initials: JL
authors.lastname: Meza
authors.forename: Cheryl L
authors.initials: CL
authors.lastname: Beseler
authors.forename: Patrick J
authors.initials: PJ
authors.lastname: Shea
authors.forename: Andy
authors.initials: A
authors.lastname: Kahle
authors.forename: Julie M
authors.initials: JM
authors.lastname: Vose
authors.forename: Kent M
authors.initials: KM
authors.lastname: Eskridge
authors.forename: Roy F
authors.initials: RF
authors.lastname: Spalding
keywords: NHL; atrazine; drinking water; nitrate; nitrosamines