Wiklund K, Lindefors B M, Holm L E
Department of Cancer Epidemiology, Karolinska Hospital and Institute, Stockholm, Sweden.
Br J Ind Med. 1988 Jan;45(1):19-24. doi: 10.1136/oem.45.1.19.
The risk of malignant lymphoma after possible exposure to phenoxy acid herbicides was studied in 354,620 Swedish men who, according to a national census in 1960, were employed in agriculture or forestry. The cohort was divided into subcohorts according to assumed exposure and compared with 1,725,645 Swedish men having other economic activities. All were followed up in the Cancer-Environment Register between 1961 and 1979. Non-Hodgkin lymphoma was found in 861 men in the study cohort. The relative risk was not significantly increased in any subcohort, did not differ significantly between the subcohorts, and showed no time related increase in the total cohort or any subcohort. Hodgkin's disease was found in 355 men in the study cohort. Relative risks significantly higher than unity were found among fur farming and silviculture workers where the relative risks were 4.45 and 2.26, respectively. All five cases in the former group were engaged in mink farming. A time related rising trend in relative risk was found in the silviculture subcohort. Elsewhere the relative risk did not diverge from unity and no time related trend was discernible.
对354,620名瑞典男性进行了研究,这些男性根据1960年的全国人口普查受雇于农业或林业,研究其在可能接触苯氧基酸除草剂后患恶性淋巴瘤的风险。根据假定的接触情况,该队列被分为亚队列,并与1,725,645名从事其他经济活动的瑞典男性进行比较。所有人员在1961年至1979年期间在癌症-环境登记处接受随访。在研究队列的861名男性中发现了非霍奇金淋巴瘤。在任何亚队列中,相对风险均未显著增加,亚队列之间也无显著差异,且在整个队列或任何亚队列中均未显示出与时间相关的增加。在研究队列的355名男性中发现了霍奇金病。在毛皮养殖和造林工人中发现相对风险显著高于1,其相对风险分别为4.45和2.26。前一组中的所有5例病例均从事水貂养殖。在造林亚队列中发现相对风险有与时间相关的上升趋势。在其他地方,相对风险与1无差异,且未发现与时间相关的趋势。