Andjelkovich D A, Abdelghany N, Mathew R M, Blum S
School of Public Health, Department of Epidemiology, University of North Carolina, Chapel Hill.
Am J Ind Med. 1988;14(5):559-74. doi: 10.1002/ajim.4700140507.
This report presents the findings of a case-control study of lung cancer among workers at a rubber manufacturing plant. Detailed work histories of 40 lung cancer deaths, which occurred during 1977 and 1978, were compared with those of 146 controls who were individually matched to cases on age, sex, and race; 66 of the controls were also matched on year of first hire. Elevated odds ratios were noted for different durations of employment in four work areas: Reclaim Operation, Chemicals, Special Products Manufacture, and Curing Preparation. A clear trend of increasing odds ratios with increasing durations of exposure was observed for the first three of these work areas. Several chemicals used in these processes are known respiratory system hazards. The results of this study suggest an association between lung cancer mortality risk and employment in Reclaim Operation, Chemicals, and Special Products Manufacture. A moderate excess risk was observed in these areas among both smokers and nonsmokers, although the risk was greater among the smokers.
本报告介绍了一家橡胶制造厂工人肺癌病例对照研究的结果。对1977年至1978年期间发生的40例肺癌死亡病例的详细工作经历,与146名对照者的工作经历进行了比较,这些对照者在年龄、性别和种族方面与病例个体匹配;其中66名对照者还在首次入职年份上进行了匹配。在四个工作区域,不同就业时长的比值比均有所升高:再生操作、化学品、特殊产品制造和硫化准备。在前三个工作区域,观察到比值比随着暴露时长增加而升高的明显趋势。这些工艺中使用的几种化学品是已知的呼吸系统危害物。本研究结果表明,再生操作、化学品和特殊产品制造岗位的就业与肺癌死亡风险之间存在关联。在这些区域,吸烟者和非吸烟者中均观察到中度超额风险,尽管吸烟者中的风险更大。