Bethwaite P B, Pearce N, Fraser J
Department of Community Health, Wellington School of Medicine, New Zealand.
Br J Ind Med. 1990 Nov;47(11):742-6. doi: 10.1136/oem.47.11.742.
Painters are exposed to a range of complex chemical mixtures which include organic solvents and dye products with known carcinogenic and mutagenic potential. Trade painters or those manufacturing paints and coatings have increased rates of non-malignant diseases and cancers; including lung cancer, acute leukaemia, bladder cancer, and cancers of the oesophagus, larynx, biliary system, liver, skin, and large bowel. A series of case-control studies of painters, based on the New Zealand Cancer Registry, are presented. These concerned 19,904 male patients registered for the period 1980-4 who were aged 20 or older at the time of registration. For each cancer site studied, the registrants for all other cancer sites formed the control group. Three cancer sites were associated with work as a painter--namely, bladder tumours (odds ratio (OR) 1.52, 95% confidence interval (95% CI) 1.00-2.31), kidney and other urothelial tumours (OR 1.45, 95% CI 0.85-2.50), and multiple myeloma (OR 1.95, 95%, CI 1.05-3.65). Risks for multiple myeloma were greater among car or spray painters and signwriters (OR 2.81) compared with construction and general painters (OR 1.80). No increased risk was found for leukaemia or for respiratory, biliary, skin, or gastrointestinal cancers.
油漆工接触一系列复杂的化学混合物,其中包括具有已知致癌和致突变潜力的有机溶剂和染料产品。职业油漆工或制造油漆和涂料的人员患非恶性疾病和癌症的几率有所增加;包括肺癌、急性白血病、膀胱癌以及食管癌、喉癌、胆道癌、肝癌、皮肤癌和大肠癌。本文介绍了一系列基于新西兰癌症登记处的油漆工病例对照研究。这些研究涉及19904名男性患者,他们在1980年至1984年期间登记,登记时年龄在20岁及以上。对于所研究的每个癌症部位,所有其他癌症部位的登记者组成对照组。有三个癌症部位与油漆工的工作有关——即膀胱肿瘤(优势比(OR)1.52,95%置信区间(95%CI)1.00 - 2.31)、肾脏和其他尿路上皮肿瘤(OR 1.45,95%CI 0.85 - 2.50)以及多发性骨髓瘤(OR 1.95,95%CI 1.05 - 3.65)。与建筑和普通油漆工(OR 1.80)相比,汽车或喷漆工以及招牌绘制工患多发性骨髓瘤的风险更高(OR 2.81)。未发现白血病或呼吸道、胆道、皮肤或胃肠道癌症的风险增加。