Riise Trond, Moen Bente E, Kyvik Knut Rasmus
Section for Occupational Medicine, Department of Public Health, University of Bergen, Norway.
Epidemiology. 2002 Nov;13(6):718-20. doi: 10.1097/00001648-200211000-00018.
Epidemiologic studies suggest that environmental factors may be part of the yet unknown causation of multiple sclerosis (MS). Several case-control studies have shown a history of elevated exposure to organic solvents among cases.
Three cohorts of 11,542 painters, 36,899 construction workers and 9,314 food-processing workers were identified by the 1970 census in Norway. The cohorts were followed until the end of 1986 for registration of disability pensions.
A total of nine painters, 12 construction workers and six food workers had received a disability pension because of MS. The relative risk for painters compared with workers not exposed to organic solvents was 2.0 (95% confidence inter-val = 0.9-4.5) for MS.
These results are compatible with the hypothesis of organic solvents being a possible risk factor for MS.
流行病学研究表明,环境因素可能是多发性硬化症(MS)尚未明确的病因的一部分。多项病例对照研究显示,病例中有有机溶剂暴露增加的病史。
通过挪威1970年人口普查确定了三组队列,分别为11,542名油漆工、36,899名建筑工人和9,314名食品加工工人。对这些队列进行随访,直至1986年底,记录残疾抚恤金情况。
共有9名油漆工、12名建筑工人和6名食品工人因MS领取了残疾抚恤金。与未接触有机溶剂的工人相比,油漆工患MS的相对风险为2.0(95%置信区间=0.9 - 4.5)。
这些结果与有机溶剂可能是MS风险因素的假设相符。