McLean D, Cheng S, 't Mannetje A, Woodward A, Pearce N
Centre for Public Health Research, Research School of Public Health, Massey University, Wellington Campus, New Zealand.
Occup Environ Med. 2004 Jun;61(6):541-7. doi: 10.1136/oem.2003.010587.
To ascertain whether there is an increased risk of cancers of the lung and lymphohaematopoietic tissue in workers employed in the New Zealand meat processing industry, and to identify exposures associated with any increased risks.
A cohort of 6647 individuals assembled from personnel records from three plants was followed from 1988 until 2000. The observed number of deaths and cancer registrations was compared with expected numbers using five year age and gender specific rates for the New Zealand population. Subgroup analyses evaluated the effect of duration of exposure to selected agents, based on job titles and departments.
Vital status was determined for 84% of the cohort, and 92% of the total possible person-years. Mortality from all causes and all cancers was increased, and there was a significant excess of lung cancer. There were significant trends of increasing risk of lung and lymphohaematopoietic cancer with increasing duration of exposure to biological material.
Excess risks were observed for mortality from all causes, all cancers, and lung cancer. Although the increased risk of lung cancer may be partly due to confounding by smoking, it is unlikely to be entirely due to this cause. Furthermore, the dose-response relation observed for lung cancer suggests the effect is related to exposure to biological material contained in animal urine, faeces, and blood. Although numbers were small, the risk of lymphohaematopoietic cancer was also associated with increasing duration and level of exposure to biological material.
确定在新西兰肉类加工业工作的工人患肺癌和淋巴造血组织癌症的风险是否增加,并确定与任何增加的风险相关的暴露因素。
从三个工厂的人事记录中选取6647名个体组成队列,从1988年至2000年进行随访。使用新西兰人口按年龄和性别划分的五年特定死亡率,将观察到的死亡人数和癌症登记数与预期数进行比较。基于职位和部门,亚组分析评估了接触选定物质的持续时间的影响。
确定了该队列中84%的个体的生命状态,以及所有可能的人年数的92%。所有原因和所有癌症导致的死亡率均有所增加,且肺癌明显超额。随着接触生物物质时间的增加,患肺癌和淋巴造血组织癌症的风险有显著的上升趋势。
观察到所有原因、所有癌症和肺癌导致的死亡率存在超额风险。虽然肺癌风险增加可能部分归因于吸烟的混杂作用,但不太可能完全是这个原因。此外,观察到的肺癌剂量反应关系表明,这种影响与接触动物尿液、粪便和血液中的生物物质有关。尽管数量较少,但淋巴造血组织癌症的风险也与接触生物物质的时间和水平增加有关。