From the Western Australian Institute for Medical Research (Ms Buitenhuis and Drs Fritschi, Thomson, and Peters) and School of Population Health (Dr Heyworth), University of Western Australia, Perth, Western Australia, Australia; Division of Human Nutrition (Ms Buitenhuis), Wageningen University, Wageningen, the Netherlands; and Department of Epidemiology and Preventive Medicine (Dr Glass), Monash University, Melbourne, Victoria, Australia.
J Occup Environ Med. 2013 Dec;55(12):1431-5. doi: 10.1097/JOM.0b013e3182a7e692.
To evaluate current breast cancer risk due to occupational exposure to ionizing radiation.
We analyzed data from the Western Australian population-based Breast Cancer Employment and Environment Study. The Breast Cancer Employment and Environment Study included 1205 cases with incident breast cancer during 2009-2011 and 1789 controls. Age-adjusted odds ratios (ORs) were estimated with logistic regression models.
There was a weak, not statistically significant association between breast cancer and occupational exposure to ionizing radiation (OR = 1.16; 95% confidence interval, 0.86 to 1.57). The risk of human epidermal growth factor receptor 2-positive breast cancer with occupational exposure to ionizing radiation in women who were premenopausal at the time of interview was higher (OR = 2.57; 95% confidence interval, 1.09 to 6.03).
This study suggests that the risk of breast cancer is low at current levels of occupational exposure to ionizing radiation, although the risk of human epidermal growth factor receptor 2-positive cancer may be a concern.
评估因职业性电离辐射暴露而导致的当前乳腺癌风险。
我们分析了来自西澳大利亚基于人群的乳腺癌就业与环境研究的数据。乳腺癌就业与环境研究包括 1205 例 2009-2011 年间发生的乳腺癌病例和 1789 例对照。采用逻辑回归模型估计年龄调整后的比值比(OR)。
乳腺癌与职业性电离辐射暴露之间存在微弱但无统计学意义的关联(OR=1.16;95%置信区间,0.86 至 1.57)。对于在接受访谈时处于绝经前的女性,职业性电离辐射暴露与人类表皮生长因子受体 2 阳性乳腺癌的风险更高(OR=2.57;95%置信区间,1.09 至 6.03)。
本研究表明,目前职业性电离辐射暴露水平下乳腺癌风险较低,但人类表皮生长因子受体 2 阳性癌症的风险可能令人担忧。