Frentzel-Beyme R, Chang-Claude J, Kunze E
Deutsches Krebsforschungszentrum, Heidelberg.
Soz Praventivmed. 1989;34(6):249-55. doi: 10.1007/BF02083218.
The occupations and life-style factors of 531 male bladder cancer patients were compared with matched hospital controls; risk estimates were obtained as odds ratios of discordant pairs. The case-control study as a "fishing approach" for occupational risk factors has proven successfully that established hazards for cancer could be confirmed (e g smoking, bladder infections, mining and chemical exposures), and others were identified for the first time in Germany (vehicle driving, spray painting, oil- and petroleum exposures). Not only could smoking-adjusted risk estimates be statistically confirmed but also trends of risk increasing with duration of occupational exposure were determined. Logistic regressions were performed to determine the influence of life-style factors on occupational risks.
将531名男性膀胱癌患者的职业和生活方式因素与配对的医院对照组进行比较;风险估计以不一致配对的优势比表示。作为一种针对职业风险因素的“探索性方法”,病例对照研究已成功证实了已确定的癌症危险因素(如吸烟、膀胱感染、采矿和化学暴露),并在德国首次发现了其他危险因素(驾驶车辆、喷漆、接触石油和汽油)。不仅经吸烟调整后的风险估计在统计学上得到了证实,而且还确定了职业暴露时间越长风险增加的趋势。进行逻辑回归以确定生活方式因素对职业风险的影响。