Cancer cluster studies in North Carolina identified several communities in
which there existed an elevated risk of brain cancer. These findings prompt
ed a series of case-control studies. The current article, which originated
from the results of the 3rd of such studies, is focused on inclusion of the
earth's own geomagnetic fields that interact with electromagnetic fields g
enerated from distribution power lines. This article also contains an asses
sment of the contribution of confounding by residential (e.g., urban, rural
) and case characteristics (e.g., age, race, gender). Newly diagnosed brain
cancer cases were identified for a 4-county region of central North Caroli
na, which the authors chose on the basis of the results of earlier observat
ions. A 3:1 matched series of cancer cases from the same hospitals in which
the cases were diagnosed served as the comparison group. Extensive geograp
hic information was collected and was based on an exact place of residence
at the time of cancer diagnosis, thus providing several strategic geophysic
al elements for assessment. The model for this assessment was based on the
effects of these two sources of electromagnetic fields for an ion cyclotron
resonance mechanism of disease risk. The authors used logistic regression
models that contained the predicted value for the parallel component of the
earth's magnetic field; these models were somewhat erratic, and the elemen
ts were not merged productively into a single statistical model. Interpreta
tion of these values was difficult; therefore, the modeled values for the m
odel elements, at progressive distances from the nearest power-line segment
s, are provided. The results of this study demonstrate the merits of using
large, population-based databases, as well as using rigorous Geographic Inf
ormation System techniques, for the assessment of ecologic environmental ri
sks. The results also suggest promise for exposure classification that is c
ompatible with the theoretical biological mechanisms posited for electromag
netic fields.