Kauppinen Timo, Pukkala Eero, Saalo Anja, Sasco Annie J
Department of Epidemiology and Biostatistics, Finnish Institute of Occupational Health, Helsinki, Finland.
Am J Ind Med. 2003 Oct;44(4):343-50. doi: 10.1002/ajim.10278.
Laboratory workers have long been suspected of having increased risks of cancer due to their occupation. We evaluated occupational exposure and cancer incidence among Finnish laboratory workers.
The cohort was comprised of 4,722 laboratory workers reported to the Finnish Register of Workers Exposed to Carcinogens in 1979-1988. The standardized incidence ratios (SIR) for cancers and their 95% confidence intervals (CI) were calculated based on data of the Finnish Cancer Registry.
The most common carcinogens, to which these workers were potentially exposed, were chromium (VI), carbon tetrachloride, cadmium, benzene, and chloroform. From this cohort, 174 persons were recorded with primary tumors in 1980-1999. The SIR for cancer of all sites combined was 0.99 (CI 0.85-1.14). None of the cancer-specific SIRs were significantly elevated. Slight excesses were found, e.g., for non-Hodgkin's lymphoma (seven observed, 4.8 expected) and leukemia (four observed, three expected).
This study did not suggest any major cancer risks among Finnish laboratory workers but the follow-up time of the cohort was too short (on an average 15.7 years) to reveal possible cancer risks requiring a longer induction period.
长期以来,实验室工作人员一直被怀疑因其职业而患癌症的风险增加。我们评估了芬兰实验室工作人员的职业暴露情况和癌症发病率。
该队列由1979 - 1988年向芬兰接触致癌物工人登记处报告的4722名实验室工作人员组成。根据芬兰癌症登记处的数据计算癌症的标准化发病比(SIR)及其95%置信区间(CI)。
这些工作人员可能接触的最常见致癌物为六价铬、四氯化碳、镉、苯和氯仿。在这个队列中,1980 - 1999年有174人被记录患有原发性肿瘤。所有部位癌症的SIR为0.99(CI 0.85 - 1.14)。没有任何癌症特异性SIR显著升高。发现有轻微的超额情况,例如非霍奇金淋巴瘤(观察到7例,预期4.8例)和白血病(观察到4例,预期3例)。
本研究未表明芬兰实验室工作人员存在任何重大癌症风险,但该队列的随访时间太短(平均15.7年),无法揭示可能需要更长诱导期的癌症风险。