University of Montreal Hospital Research Centre (CRCHUM), Montreal, Canada.
BMC Public Health. 2013 Apr 12;13:340. doi: 10.1186/1471-2458-13-340.
BACKGROUND: The aim was to investigate possible associations between glioma (an aggressive type of brain cancer) and occupational exposure to selected agents: combustion products (diesel and gasoline exhaust emissions, benzo(a)pyrene), dusts (animal dust, asbestos, crystalline silica, wood dust) and some other chemical agents (formaldehyde, oil mist, sulphur dioxide). METHODS: The INTEROCC study included cases diagnosed with glioma during 2000-2004 in sub-regions of seven countries. Population controls, selected from various sampling frames in different centers, were frequency or individually matched to cases by sex, age and center. Face-to-face interviews with the subject or a proxy respondent were conducted by trained interviewers. Detailed information was collected on socio-economic and lifestyle characteristics, medical history and work history. Occupational exposure to the 10 selected agents was assessed by a job exposure matrix (JEM) which provides estimates of the probability and level of exposure for different occupations. Using a 25% probability of exposure in a given occupation in the JEM as the threshold for considering a worker exposed, the lifetime prevalence of exposure varied from about 1% to about 15% for the different agents. Associations between glioma and each of the 10 agents were estimated by conditional logistic regression, and using three separate exposure indices: i) ever vs. never; ii) lifetime cumulative exposure; iii) total duration of exposure. RESULTS: The study sample consisted of 1,800 glioma cases and 5,160 controls. Most odds ratio estimates were close to the null value. None of the ten agents displayed a significantly increased odds ratio nor any indication of dose-response relationships with cumulative exposure or with duration of exposure. CONCLUSION: Thus, there was no evidence that these exposures influence risk of glioma.
背景:本研究旨在探讨脑胶质瘤(一种侵袭性脑癌)与职业暴露于某些因素之间的可能关联,这些因素包括燃烧产物(柴油和汽油废气排放物、苯并[a]芘)、粉尘(动物粉尘、石棉、结晶二氧化硅、木尘)以及其他一些化学物质(甲醛、油雾、二氧化硫)。
方法:INTEROCC 研究纳入了 2000-2004 年期间在七个国家的部分地区被诊断为脑胶质瘤的病例。人群对照来自不同中心的各种抽样框架,通过性别、年龄和中心与病例进行频率匹配或个体匹配。由经过培训的调查员对研究对象或其代理进行面对面访谈。收集了社会经济和生活方式特征、病史和职业史等详细信息。职业暴露于 10 种选定的物质通过职业暴露矩阵(JEM)进行评估,该矩阵提供了不同职业暴露概率和水平的估计。使用 JEM 中特定职业暴露概率为 25%作为暴露工人的阈值,10 种物质的终生暴露发生率从约 1%到约 15%不等。使用条件逻辑回归,以及三种单独的暴露指数(i)曾经 vs. 从未;ii)终生累积暴露;iii)总暴露持续时间,评估了脑胶质瘤与每种物质的关系。
结果:研究样本包括 1800 例脑胶质瘤病例和 5160 例对照。大多数比值比估计值接近零值。十种物质中没有一种表现出明显增加的比值比,也没有任何迹象表明与累积暴露或暴露持续时间有关的剂量-反应关系。
结论:因此,没有证据表明这些暴露会影响脑胶质瘤的风险。
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