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一家变压器制造工厂工人的癌症发病率和死亡率:队列研究的更新

Cancer incidence and mortality in workers employed at a transformer manufacturing plant: update to a cohort study.

作者信息

Yassi Annalee, Tate Robert B, Routledge Michael

机构信息

Institute for Health Promotion Research, University of British Columbia, Vancouver, British Columbia.

出版信息

Am J Ind Med. 2003 Jul;44(1):58-62. doi: 10.1002/ajim.10237.

Abstract

BACKGROUND

This study is an extension of a previously published analysis of cancer mortality in a transformer manufacturing plant where there had been extensive use of mineral oil transformer fluid. The objectives of the present study were to update the mortality analysis and include deaths for the past 6 years as well as to do an analysis of cancer incidence of the cohort.

METHODS

A cohort of 2,222 males working at a transformer manufacturing plant between 1946 and 1975 was constructed. Using a classical historical cohort study design, cancer incidence and mortality were determined through record linkage with Canadian provincial and national registries. The rates of cancer incidence and mortality experienced by this cohort were compared to that of the Canadian male population.

RESULTS

A statistically significant increased risk of developing and dying of pancreatic cancer was found but not an increase in overall cancer mortality. This was consistent with the previous report from this group. Interestingly, the cohort demonstrated a statistically significant risk of overall cancer incidence and specific increased incidence of gallbladder cancer.

CONCLUSIONS

This study contributes further evidence to the growing body of literature indicating the carcinogenic properties of mineral oils used in occupational settings, in particular those used prior to 1970s.

摘要

背景

本研究是先前已发表的一项关于一家广泛使用矿物油变压器油的变压器制造工厂癌症死亡率分析的扩展。本研究的目的是更新死亡率分析,纳入过去6年的死亡情况,并对该队列的癌症发病率进行分析。

方法

构建了一个由1946年至1975年间在一家变压器制造工厂工作的2222名男性组成的队列。采用经典的历史性队列研究设计,通过与加拿大省级和国家级登记处的记录链接来确定癌症发病率和死亡率。将该队列经历的癌症发病率和死亡率与加拿大男性人群的发病率和死亡率进行比较。

结果

发现患胰腺癌和死于胰腺癌的风险有统计学意义的增加,但总体癌症死亡率没有增加。这与该研究团队之前的报告一致。有趣的是,该队列显示出总体癌症发病率有统计学意义的风险,以及胆囊癌发病率的特定增加。

结论

本研究为越来越多表明职业环境中使用的矿物油具有致癌特性的文献提供了进一步的证据,特别是20世纪70年代以前使用的矿物油。

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