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橡胶工人的癌症死亡率和发病率

Cancer mortality and morbidity among rubber workers.

作者信息

Monson R R, Fine L J

出版信息

J Natl Cancer Inst. 1978 Oct;61(4):1047-53.

PMID:279710
Abstract

Mortality and morbidity from cancer among a cohort of 13,570 white male rubber workers were examined. Each man worked for at least 5 years at the Akron, Ohio, plant of the B. F. Goodrich Company. The potential period of follow-up was from January 1, 1940 to June 30, 1976. Departmental work histories were based primarily on records maintained by Local no. 5, United Rubber Workers. The occurrence of cancer was measured by death certificates and by a survey of Akron-area hospital tumor registries from 1964 to 1974. Two types of analyses were made: 1) an external comparison of mortality rates of rubber workers versus rates of U.S. white males, and 2) an internal comparison of cancer morbidity rates among persons who were employed in various work areas of the plant. Excess cases of specific cancers (observed/expected numbers) among workers in specific work areas included: stomach and intestine: rubber making (30/14.4); lung: tire curing (31/14.1), fuel cells and/or deicers (46/29.1); bladder: chemical plant (6/2.4), and tire building (16/10.7); skin cancer: tire assembly (12/1.9); brain cancer: tire assembly (8/2.0); lymphatic cancer: tire building (8/3.2); and leukemia: calendering (8/2.2), tire curing (8/2.6), tire building (12/7.5), elevators (4/1.4), tubes (4/1.6), and rubber fabrics (4/1.1). Agents that may be responsible for these excesses were considered.

摘要

对一组13570名白人男性橡胶工人的癌症死亡率和发病率进行了调查。每名男性都在俄亥俄州阿克伦市的BF古德里奇公司工厂工作至少5年。潜在随访期为1940年1月1日至1976年6月30日。部门工作经历主要基于美国橡胶工人联合会第5地方分会保存的记录。癌症的发生情况通过死亡证明以及对1964年至1974年阿克伦地区医院肿瘤登记处的调查来衡量。进行了两种类型的分析:1)橡胶工人死亡率与美国白人男性死亡率的外部比较,以及2)工厂各个工作区域就业人员的癌症发病率内部比较。特定工作区域工人中特定癌症的超额病例(观察数/预期数)包括:胃和肠道:橡胶制造(30/14.4);肺:轮胎硫化(31/14.1),燃料电池和/或除冰器(46/29.1);膀胱:化工厂(6/2.4),以及轮胎制造(16/10.7);皮肤癌:轮胎装配(12/1.9);脑癌:轮胎装配(8/2.0);淋巴癌:轮胎制造(8/3.2);以及白血病:压延(8/2.2),轮胎硫化(8/2.6),轮胎制造(12/7.5),电梯(4/1.4),内胎(4/1.6),以及橡胶织物(4/1.1)。研究了可能导致这些超额病例的因素。

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