Institute of Medical Biostatistics, Epidemiology and Informatics, Universitätsmedizin der Johannes Gutenberg-Universität Mainz, Obere Zahlbacher Strasse 69, 55131 Mainz, Germany.
Cancer Epidemiol. 2010 Feb;34(1):55-61. doi: 10.1016/j.canep.2009.12.003. Epub 2010 Jan 12.
Several epidemiological studies have investigated the association between occupation and brain tumour risk, but results have been inconclusive. We investigated the association between six occupational categories defined a priori: chemical, metal, agricultural, construction, electrical/electronic and transport, and the risk of glioma, meningioma and acoustic neuroma.
In a population-based case-control study involving a total of 844 cases and 1688 controls conducted from 2000 to 2003, detailed information on life-long job histories was collected during personal interviews and used to create job calendars for each participant. Job title, job activity, job number, and the starting and ending dates of the activity were recorded for all activities with duration of at least 1 year. Reported occupational activities were coded according to the International Standard Classification of Occupations 1988 (ISCO 88). For the analyses we focused on six a priori defined occupational sectors, namely chemical, metal, agricultural, construction, electrical/electronic and transport. Multiple conditional logistic regression analysis was used to estimate odds ratios and their 95% confidence intervals.
Most of the observed odds ratios were close to 1.0 for ever having worked in the six occupational sectors and risk of glioma, meningioma and acoustic neuroma. Sub-group analyses according to duration of employment resulted in two elevated odds ratios with confidence intervals excluding unity.
We did not observe an increased risk of glioma or meningioma for occupations in the agricultural, construction, transport, chemical, electrical/electronic and metal sectors. The number of 'significant' odds ratios is consistent with an overall 'null-effect'.
已有多项流行病学研究调查了职业与脑肿瘤风险之间的关系,但结果尚无定论。我们调查了六个预先定义的职业类别(化学、金属、农业、建筑、电气/电子和交通)与神经胶质瘤、脑膜瘤和听神经瘤风险之间的关系。
在 2000 年至 2003 年期间进行的一项基于人群的病例对照研究中,共纳入了 844 例病例和 1688 例对照,在个人访谈中收集了详细的终身职业史信息,并用于为每位参与者创建职业日历。记录了所有持续时间至少 1 年的活动的职务名称、活动内容、职务编号以及活动的起止日期。报告的职业活动根据国际标准职业分类 1988 年版(ISCO 88)进行编码。在分析中,我们重点关注了六个预先定义的职业领域,即化学、金属、农业、建筑、电气/电子和交通。采用多条件逻辑回归分析来估计比值比及其 95%置信区间。
对于从事六个职业领域的工作与神经胶质瘤、脑膜瘤和听神经瘤风险之间的关系,大多数观察到的比值比接近 1.0。根据就业时间长短进行的亚组分析导致两个比值比升高,置信区间不包括 1.0。
我们没有观察到农业、建筑、交通、化学、电气/电子和金属等职业与神经胶质瘤或脑膜瘤风险增加有关。“显著”比值比的数量与总体“无效应”一致。