Sorahan T, Esmen N A
Institute of Occupational Health, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.
Occup Environ Med. 2004 Feb;61(2):108-16. doi: 10.1136/oem.2003.009282.
To investigate mortality from lung cancer in nickel-cadmium battery workers in relation to cumulative exposure to cadmium hydroxide.
The mortality of a cohort of 926 male workers from a factory engaged in the manufacture of nickel-cadmium batteries in the West Midlands of England was investigated for the period 1947-2000. All subjects were first employed at the plant in the period 1947-75 and employed for a minimum period of 12 months. Work histories were available for the period 1947-86; the factory closed down in 1992. 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 was shown for cancers of the pharynx (observed (Obs) 4, expected (Exp) 0.7, standardised mortality ratio (SMR) 559, p<0.05), non-malignant diseases of the respiratory system (Obs 61, Exp 43.0, SMR 142, p<0.05), and non-malignant diseases of the genitourinary system (Obs 10, Exp 4.1, SMR 243, p<0.05). Non-significantly increased SMRs were shown for lung cancer (Obs 45, Exp 40.7, SMR 111) and cancer of the prostate (Obs 9, Exp 7.5, SMR 116). Estimated cumulative cadmium exposures were not related to risks of lung cancer or risks of chronic obstructive pulmonary diseases, even when exposure histories were lagged first by 10, then by 20 years.
The study findings do not support the hypotheses that cadmium compounds are human lung carcinogens.
调查镍镉电池厂工人中肺癌死亡率与氢氧化镉累积暴露之间的关系。
对英格兰西米德兰兹郡一家从事镍镉电池制造工厂的926名男性工人队列在1947年至2000年期间的死亡率进行了调查。所有受试者均于1947年至1975年期间首次受雇于该工厂,且工作时间至少为12个月。可获取1947年至1986年期间的工作经历;该工厂于1992年关闭。采用了两种分析方法,即间接标准化法和泊松回归法。
基于英格兰和威尔士普通人群的系列死亡率,发现咽癌死亡率显著增加(观察值(Obs)4,期望值(Exp)0.7,标准化死亡比(SMR)559,p<0.05),呼吸系统非恶性疾病(Obs 61,Exp 43.0,SMR 142,p<0.05),以及泌尿生殖系统非恶性疾病(Obs 10,Exp 4.1,SMR 243,p<0.05)。肺癌(Obs 45,Exp 40.7,SMR 111)和前列腺癌(Obs 9,Exp 7.5,SMR 116)的SMR虽有增加但无统计学意义。即使将暴露史分别滞后10年和20年,估计的镉累积暴露量与肺癌风险或慢性阻塞性肺疾病风险均无关联。
该研究结果不支持镉化合物是人类肺癌致癌物的假设。