Table 2

Crude odds ratios (ORs) and 95% confidence intervals (CIs) for the association between Borrelia infection and risk of non-Hodgkin lymphoma (NHL) overall and NHL subtype

All NHLs
DLBCL
CLL
FL
MCL
MZL
LPL
TCL
No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)
Tick bite, self-reported 
    Ever 1248 1.0 (0.9-1.1) 319 0.99 (0.8-1.2) 318 1.1 (0.9-1.3) 224 0.9 (0.8-1.1) 65 1.0 (0.7-1.5) 46 1.01 (0.7-1.5) 51 1.2 (0.8-1.8) 71 0.8 (0.6-1.1) 
    Phomogeneity  0.90  0.92  0.49  0.35  0.83  0.95  0.42  0.17 
Borrelia infection, self-reported 
    Ever§ 102 1.3 (0.96-1.8) 26 1.3 (0.8-2.1) 23 1.2 (0.8-2.0) 19 1.3 (0.8-2.2) 2.5 (1.2-5.1) – 1.8 (0.7-4.7) 1.8 (0.8-3.8) 
    Phomogeneity  0.09  0.24  0.40  0.35  0.03  –  0.26  0.16 
Anti-Borrelia antibodies 
    Positive 73 1.3 (0.9-2.0) 18 1.4 (0.8-2.5) 23 1.0 (0.6-1.8) 13 1.1 (0.6-2.1) 12 3.6 (1.8-7.4) 1.1 (0.3-4.6) – 0.7 (0.2-2.5) 
    Phomogeneity  0.15  0.24  0.87  0.79  0.001  0.94  –  0.61 
All NHLs
DLBCL
CLL
FL
MCL
MZL
LPL
TCL
No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)No.OR* (95% CI)
Tick bite, self-reported 
    Ever 1248 1.0 (0.9-1.1) 319 0.99 (0.8-1.2) 318 1.1 (0.9-1.3) 224 0.9 (0.8-1.1) 65 1.0 (0.7-1.5) 46 1.01 (0.7-1.5) 51 1.2 (0.8-1.8) 71 0.8 (0.6-1.1) 
    Phomogeneity  0.90  0.92  0.49  0.35  0.83  0.95  0.42  0.17 
Borrelia infection, self-reported 
    Ever§ 102 1.3 (0.96-1.8) 26 1.3 (0.8-2.1) 23 1.2 (0.8-2.0) 19 1.3 (0.8-2.2) 2.5 (1.2-5.1) – 1.8 (0.7-4.7) 1.8 (0.8-3.8) 
    Phomogeneity  0.09  0.24  0.40  0.35  0.03  –  0.26  0.16 
Anti-Borrelia antibodies 
    Positive 73 1.3 (0.9-2.0) 18 1.4 (0.8-2.5) 23 1.0 (0.6-1.8) 13 1.1 (0.6-2.1) 12 3.6 (1.8-7.4) 1.1 (0.3-4.6) – 0.7 (0.2-2.5) 
    Phomogeneity  0.15  0.24  0.87  0.79  0.001  0.94  –  0.61 

NHL indicates non-Hodgkin lymphoma; DLBCL, diffuse large B-cell lymphoma; CLL, chronic lymphocytic leukemia; FL, follicular lymphoma; MCL, mantle cell lymphoma; MZL, marginal zone lymphoma; LPL, lymphoplasmacytic lymphoma; and TCL, T-cell lymphoma.

*

Adjusted for sex, age in 10-year intervals, and country of residence (matching variables).

Including answers of all SCALE participants (3055 NHL cases and 3187 matched controls).

Reference: never have had a tick bite.

§

Reference: never have had an injection with B burgdorferi.

Borrelia-specific IgG antibodies were analyzed in a case-control study subset including serum samples of 1579 cases with NHL and 1358 matched controls; in 6 participants (2 cases and 4 controls), serologic analyses yielded inconclusive results and were excluded.

Reference: negative for Borrelia-specific IgG antibodies in serum.

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