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暴露于焊接烟尘会增加轻度吸烟者的肺癌风险,但不会增加重度吸烟者的肺癌风险:来自蒙特利尔两项病例对照研究的证据。

Exposure to welding fumes increases lung cancer risk among light smokers but not among heavy smokers: evidence from two case-control studies in Montreal.

机构信息

CHUM Research Center, University of Montreal, Montreal Quebec, Canada.

出版信息

Cancer Med. 2012 Aug;1(1):47-58. doi: 10.1002/cam4.6. Epub 2012 Jun 7.


DOI:10.1002/cam4.6
PMID:23342253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3544431/
Abstract

We investigated relationships between occupational exposure to gas and arc welding fumes and the risk of lung cancer among workers exposed to these agents throughout the spectrum of industries. Two population-based case-control studies were conducted in Montreal. Study I (1979-1986) included 857 cases and 1066 controls, and Study II (1996-2001) comprised 736 cases and 894 controls. Detailed job histories were obtained by interview and evaluated by an expert team of chemist-hygienists to estimate degree of exposure to approximately 300 substances for each job. Gas and arc welding fumes were among the agents evaluated. We estimated odds ratios (ORs) and 95% confidence intervals (CIs) of lung cancer using logistic regression, adjusting for smoking history and other covariates. The two studies provided similar results, so a pooled analysis was conducted. Among all subjects, no significant association was found between lung cancer and gas welding fumes (OR = 1.1; 95% CI = 0.9-1.4) or arc welding fumes (OR = 1.0; 95% CI = 0.8-1.2). However, when restricting attention to light smokers, there was an increased risk of lung cancer in relation to gas welding fumes (OR = 2.9; 95% CI = 1.7-4.8) and arc welding fumes (OR = 2.3; 95% CI = 1.3-3.8), with even higher OR estimates among workers with the highest cumulative exposures. In conclusion, there was no detectable excess risk of lung cancer due to welding fumes among moderate to heavy smokers; but among light smokers we found an excess risk related to both types of welding fumes.

摘要

我们调查了职业接触气体和电弧焊接烟尘与这些暴露于全光谱工业制剂的工人肺癌风险之间的关系。在蒙特利尔进行了两项基于人群的病例对照研究。研究 I(1979-1986 年)包括 857 例病例和 1066 例对照,研究 II(1996-2001 年)包括 736 例病例和 894 例对照。通过访谈获得详细的职业史,并由化学卫生学家专家组进行评估,以估计每种工作的接触约 300 种物质的程度。评估的制剂包括气体和电弧焊接烟尘。我们使用逻辑回归估计肺癌的比值比(OR)和 95%置信区间(CI),并调整吸烟史和其他协变量。两项研究提供了相似的结果,因此进行了汇总分析。在所有受试者中,未发现肺癌与气体焊接烟尘(OR=1.1;95%CI=0.9-1.4)或电弧焊接烟尘(OR=1.0;95%CI=0.8-1.2)之间存在显著关联。然而,当仅关注轻度吸烟者时,与气体焊接烟尘(OR=2.9;95%CI=1.7-4.8)和电弧焊接烟尘(OR=2.3;95%CI=1.3-3.8)相关的肺癌风险增加,并且在累积暴露量最高的工人中,OR 估计值更高。总之,在中度至重度吸烟者中,由于焊接烟尘而导致肺癌的风险没有可检测到的增加;但在轻度吸烟者中,我们发现与两种类型的焊接烟尘都相关的超额风险。

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[3]
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[6]
Welding Fumes, a Risk Factor for Lung Diseases.

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[7]
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[8]
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[9]
Agreement in Occupational Exposures Between Men and Women Using Retrospective Assessments by Expert Coders.

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[10]
Cancer Risks among Welders and Occasional Welders in a National Population-Based Cohort Study: Canadian Census Health and Environmental Cohort.

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本文引用的文献

[1]
Relationships between lung adenocarcinoma and gender, age, smoking and occupational risk factors: A case-case study.

Lung Cancer. 2009-7-7

[2]
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Scand J Work Environ Health. 2007-10

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Occup Environ Med. 2007-10

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Exposure to diesel and gasoline engine emissions and the risk of lung cancer.

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