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美国东北地区警察的癌症发病率:1976 - 2006年

Cancer incidence among police officers in a U.S. northeast region: 1976-2006.

作者信息

Gu Ja K, Charles Luenda E, Burchfiel Cecil M, Andrew Michael E, Violanti John M

机构信息

Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, USA.

出版信息

Int J Emerg Ment Health. 2011;13(4):279-89.

Abstract

Police officers are exposed to occupational hazards which may put them at increased risk of cancer We examined the incidence of cancer in a cohort of 2234 white-male police officers in Buffalo, New York. The study population was followed for 31 years (1976-2006). The incidence of cancer, ascertained using a population-based tumor registry, was compared with 9 US regions using the Surveillance Epidemiology and End Results (SEER) program data. Four hundred and six officers (18.2%) developed cancer between 1976 and 2006. The risk of overall cancer among police officers was found to be similar to the general white-male population (standardized incidence ratio [SIR] = 0.94, 95%, confidence interval [CI] = 0.85-1.03). An elevated risk of Hodgkin's lymphoma was observed relative to the general population (SIR = 3.34, 95%, CI = 1.22-7.26). The risk of brain cancer, although only slightly elevated relative to the general population (SIR = 1.61, 95%, CI = 0.73-3.05), was significantly increased with 30 years or more of service (SIR = 2.92, 95%, CI = 1.07-6.36). Incidence ratios were significantly lower than expected for skin and bladder cancer Police officers were at increased risk of Hodgkin's lymphoma overall and of brain cancer after 30 years of service.

摘要

警察面临职业危害,这可能会增加他们患癌症的风险。我们调查了纽约州布法罗市2234名白人男性警察队列中的癌症发病率。研究人群随访了31年(1976 - 2006年)。使用基于人群的肿瘤登记处确定的癌症发病率,与美国9个地区使用监测、流行病学和最终结果(SEER)项目数据进行了比较。在1976年至2006年期间,406名警察(18.2%)患了癌症。发现警察中总体癌症风险与一般白人男性人群相似(标准化发病率比[SIR]=0.94,95%,置信区间[CI]=0.85 - 1.03)。相对于一般人群,观察到霍奇金淋巴瘤风险升高(SIR = 3.34,95%,CI = 1.22 - 7.26)。脑癌风险虽然相对于一般人群仅略有升高(SIR = 1.61,95%,CI = 0.73 - 3.05),但在服役30年或更长时间后显著增加(SIR = 2.92,95%,CI = 1.07 - 6.36)。皮肤癌和膀胱癌的发病率比显著低于预期。警察总体上患霍奇金淋巴瘤的风险增加,服役30年后患脑癌的风险增加。

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