A case control study was performed with 142 leukemia patients and 284
controls matched for age and sex. Occupation, birth order, past medica
l history, and drinking and smoking habits were compared in these two
groups. Persons born first or fourth were found to have a higher incid
ence of leukemia. History of a fracture was one of the risk factors fo
r acute leukemia, and a history of gastroduodenal ulcer was a risk fac
tor for chronic leukemia. This may suggest that extensive exposure to
X-rays in diagnosis and treatment is a risk factor for leukemia. There
was a significant dose-response relationship between the amount of sm
oking and the incidence of acute nonlymphocytic leukemia, but not betw
een the amount of alcohol consumption and the incidence of leukemia. T
hus, smoking was one of the risk factors for acute leukemia.