Chang Yung-Ming, Tai Chi-Fu, Yang Sweo-Chung, Chen Chiou-Jong, Shih Tung-Sheng, Lin Ruey S, Liou Saou-Hsing
Graduate Institute of Life Sciences, National Defense Medical Center, Institute of Occupational Safety and Health, Council of Labor Affairs, Executive Yuan, Taipei, Taiwan, Republic of China.
Ann Epidemiol. 2003 Oct;13(9):652-60. doi: 10.1016/S1047-2797(03)00038-3.
A retrospective cohort mortality study based on standardized mortality ratios (SMRs) was conducted to investigate the possible association between exposure to chlorinated organic solvents and various types of cancer deaths.
Vital status and causes of death of study subjects were determined from January 1, 1985 to December 31, 1997 by linking cohort data with the National Mortality Database. Person-year accumulation began on the date of entry to the cohort, or January 1, 1985 (whichever came later), and ended on the closing date of the study (December 31, 1997), if alive; or the date of death.
This retrospective cohort study examined cancer mortality among 86,868 workers at an electronics factory in the northern Taiwan. Using various durations of employment and latency and adjusting for age and calendar year, no significantly elevated SMR was found for any cancer in either male or female exposed workers when compared with the general Taiwanese population. In particular, the risk of female breast cancer was not found to be increased. Although ovarian cancer suggested an upward trend when analyzed by length of employment, ovarian cancer risk for the entire female cohort was not elevated.
It is concluded that this study provided no evidence that exposure to chlorinated organic solvents was associated with human cancer risk.
开展一项基于标准化死亡比(SMR)的回顾性队列死亡率研究,以调查接触氯化有机溶剂与各类癌症死亡之间的可能关联。
通过将队列数据与国家死亡率数据库相链接,确定了1985年1月1日至1997年12月31日期间研究对象的生命状态和死亡原因。人年积累从进入队列之日或1985年1月1日(以较晚者为准)开始,若研究对象存活,则在研究结束日期(1997年12月31日)结束;若死亡,则在死亡日期结束。
这项回顾性队列研究调查了台湾北部一家电子厂86868名工人的癌症死亡率。在使用不同的就业时长和潜伏期,并对年龄和历年进行调整后,与台湾普通人群相比,暴露组的男性和女性工人中任何一种癌症的SMR均未显著升高。特别是,未发现女性乳腺癌风险增加。尽管按就业时长分析时卵巢癌呈上升趋势,但整个女性队列的卵巢癌风险并未升高。
得出的结论是,本研究没有提供证据表明接触氯化有机溶剂与人类癌症风险有关。