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从事使用溶剂行业的相对年轻女性患乳腺癌的风险。

Breast cancer risk among relatively young women employed in solvent-using industries.

作者信息

Hansen J

机构信息

Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark.

出版信息

Am J Ind Med. 1999 Jul;36(1):43-7. doi: 10.1002/(sici)1097-0274(199907)36:1<43::aid-ajim6>3.0.co;2-a.

Abstract

BACKGROUND

Breast cancer is the most common tumor among women, and the causes remain almost unknown apart from changes in the reproductive pattern. Based on experimental evidence, some organic solvents may have carcinogenic properties to the female breast.

METHODS

We used a comprehensive national data linkage to examine the adjusted breast cancer risk among relatively young (20-55 years) Danish women employed in industries with extensive use of organic solvents (i.e., the metal product, wood and furniture, printing, chemical, and textile and clothing industries). Relative risks (OR) were estimated from a matched case-control study on 7,802 women with breast cancer (1970-1989). Potential exposure to organic solvents was accessed from the duration of employment within the selected industries and reconstructed from the files of a nationwide compulsory pension fund. Socioeconomic status and the individual reproductive pattern were obtained from the central person registry.

RESULTS

The adjusted OR for breast cancer after 15 years latency was increased in each of the selected industrial groups (from 1.4 to 2.4). For the entire group with over 10 years of employment, the OR was significantly elevated (twofold).

CONCLUSIONS

This study supports the observation that long-term occupational exposure to organic solvents may play a role in breast cancer risk. However, some residual confounding may exist, and further studies are required to identify specific carcinogenic organic solvents.

摘要

背景

乳腺癌是女性中最常见的肿瘤,除生殖模式变化外,其病因几乎仍不明确。基于实验证据,一些有机溶剂可能对女性乳腺具有致癌特性。

方法

我们利用全国综合数据链接,研究了在大量使用有机溶剂的行业(即金属制品、木材和家具、印刷、化工以及纺织和服装行业)工作的相对年轻(20 - 55岁)丹麦女性患乳腺癌的校正风险。相对风险(OR)通过对7802名乳腺癌女性(1970 - 1989年)进行的匹配病例对照研究估算得出。有机溶剂的潜在暴露量根据在所选行业内的工作时长确定,并从全国强制性养老基金的档案中重建。社会经济地位和个人生殖模式从中央人口登记处获取。

结果

在潜伏期15年后,每个所选工业组中乳腺癌的校正OR均有所增加(从1.4到2.4)。对于就业超过10年的整个群体,OR显著升高(两倍)。

结论

本研究支持长期职业性接触有机溶剂可能在乳腺癌风险中起作用这一观察结果。然而,可能存在一些残余混杂因素,需要进一步研究以确定特定的致癌有机溶剂。

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