Sorahan T, Harrington J M
Institute of Occupational Health, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Occup Environ Med. 2000 Jun;57(6):385-9. doi: 10.1136/oem.57.6.385.
To investigate mortality from lung cancer in chrome platers, a group exposed to chromic acid.
The mortality of a cohort of 1087 chrome platers (920 men, 167 women) from 54 plants situated in the West Riding of Yorkshire, United Kingdom, was investigated for the period 1972-97. All subjects were employed as chrome platers for >/=3 months and all were alive on 31 May 1972. Mortality data were also available for a cohort of 1163 comparison workers with no known occupational exposure to chrome compounds (989 men, 174 women). Information on duration of chrome work and smoking habits collected for a cross sectional survey carried out in 1969-72 were available for 916 (84.3%) of the chrome platers; smoking habits were available for 1004 (86.3%) comparison workers. Two analytical approaches were used, indirect standardisation and Poisson regression.
Based on serial mortality rates for the general population of England and Wales, significantly increased mortality from lung cancer was observed (obs) in male chrome platers (obs 60, expected (exp) 32.5, standardised mortality ratio (SMR) 185, p<0. 001) but not in male comparison workers (obs 47, exp 36.9, SMR 127). Positive trends were not shown for duration of employment exposed to chrome, although data on working after 1972 were not available.
Confident interpretation is not possible but occupational exposures to hexavalent chromium may well have been involved in the increased mortality from lung cancer found in this cohort of chrome platers.
调查接触铬酸的镀铬工人的肺癌死亡率。
对英国约克郡西区54家工厂的1087名镀铬工人(920名男性,167名女性)队列在1972 - 1997年期间的死亡率进行了调查。所有受试者担任镀铬工人≥3个月,且在1972年5月31日时均存活。同时也有1163名无已知职业性铬化合物接触史的对照工人队列的死亡率数据(989名男性,174名女性)。1969 - 1972年进行的横断面调查收集的镀铬工作时长和吸烟习惯信息可用于916名(84.3%)镀铬工人;吸烟习惯信息可用于1004名(86.3%)对照工人。采用了两种分析方法,间接标准化法和泊松回归法。
基于英格兰和威尔士一般人群的系列死亡率,男性镀铬工人的肺癌死亡率显著升高(观察值60,预期值32.5,标准化死亡比(SMR)185,p<0.001),而男性对照工人未出现这种情况(观察值47,预期值36.9,SMR 127)。尽管没有1972年之后的工作数据,但未显示出接触铬的工作时长与肺癌死亡率之间的正相关趋势。
虽然无法进行确切解释,但该镀铬工人群体中发现的肺癌死亡率增加很可能与职业性接触六价铬有关。