Pearce N, Reif J, Fraser J
Department of Community Health, Wellington School of Medicine, Wellington Hospital, New Zealand.
Int J Epidemiol. 1989 Mar;18(1):55-9. doi: 10.1093/ije/18.1.55.
A series of reports, including a New Zealand case-control study, have suggested that electrical workers are at increased risk of leukaemia. We report here a further series of case-control studies based on the New Zealand Cancer Registry. These involved 19,904 male patients registered with cancer for the period 1980-1984 who were aged 20 years or more at time of registration. For each cancer site, the registrations for other sites formed the control group. Three main findings emerged. First, there is an elevated leukaemia risk in New Zealand electrical workers (odds ratio (OR) = 1.62, 95% confidence interval (Cl) 1.04-2.52), but little evidence of increased risks for other cancer sites. Second, contrary to other published studies, the increased risk was primarily for chronic leukaemia (OR = 2.12) rather than acute leukaemia (OR = 1.25), and for lymphatic leukaemia (OR = 1.73) rather than myeloid leukaemia (OR = 1.22). Third, the increased risk was strongest for certain categories of electrical work including radio and television repairers (OR = 7.86, 95% CI 2.20-28.09), electricians (OR = 1.68, 95% Cl = 0.75-3.79), linemen (OR = 2.35, 95% Cl 0.97-5.70) and power station operators (OR = 3.89, 95% Cl 1.00-15.22).
包括一项新西兰病例对照研究在内的一系列报告表明,电气工人患白血病的风险增加。我们在此报告基于新西兰癌症登记处的另一系列病例对照研究。这些研究涉及1980年至1984年期间登记患有癌症的19904名男性患者,他们在登记时年龄在20岁及以上。对于每个癌症部位,其他部位的登记患者构成对照组。出现了三个主要发现。第一,新西兰电气工人患白血病的风险升高(优势比(OR)=1.62,95%置信区间(Cl)1.04 - 2.52),但几乎没有证据表明其他癌症部位的风险增加。第二,与其他已发表的研究相反,风险增加主要是慢性白血病(OR = 2.12)而非急性白血病(OR = 1.25),是淋巴性白血病(OR = 1.73)而非髓性白血病(OR = 1.22)。第三,某些电气工作类别风险增加最为明显,包括无线电和电视修理工(OR = 7.86,95% CI 2.20 - 28.09)、电工(OR = 1.68,95% Cl = 0.75 - 3.79)、线路工人(OR = 2.35,95% Cl 0.97 - 5.70)和电站操作员(OR = 3.89,95% Cl 1.00 - 15.22)。