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丹麦木工职业中患呼吸道和胃癌的风险。

Risks for respiratory and gastric cancer in wood-working occupations in Denmark.

作者信息

Olsen J H, Møller H, Jensen O M

机构信息

Danish Cancer Registry, Institute of Cancer Epidemiology, Copenhagen.

出版信息

J Cancer Res Clin Oncol. 1988;114(4):420-4. doi: 10.1007/BF02128189.

Abstract

Cases of cancer notified to the Danish Cancer Registry during the period 1970 to 1984 in the age groups 16 to 66 years have been linked to information on employment kept on file in the nationwide Supplementary Pension Fund since 1964. Industrial hygienists classified industrial groups as defined by the Pension Fund with regard to exposure to wood dust, and a list of industries with major exposure to wood dust was defined. The risk for cancer of the respiratory system and the gastrointestinal tract was evaluated by means of a proportional cancer incidence analysis. A fourfold increase in risk for sinonasal cancer was found among men involved in the manufacture of wooden furniture, and a twofold increase in risk for gastric cancer was seen in all of the component industries of basic wood-processing. In contrast, no excess of gastric cancer could be detected in men working in the manufacture of wooden building materials and wooden furniture, and a risk below unity was seen for those in carpentry and joinery. The elevated risk for gastric cancer in some wood-processing industries is probably due to social factors also common to men in agriculture and manufacturing. The absence of an increased risk for gastric cancer in trades in which a high risk for sinonasal cancer is seen indicates that wood dust is not of aetiological importance for gastric cancer. No excess of total lung cancer or of the adenocarcinoma subtype was seen in any of the wood-processing industries.

摘要

1970年至1984年期间向丹麦癌症登记处报告的16至66岁年龄组的癌症病例,已与自1964年以来保存在全国补充养老基金档案中的就业信息相关联。工业卫生学家根据养老基金定义的工业类别,对接触木尘的情况进行了分类,并确定了主要接触木尘的行业清单。通过比例癌症发病率分析评估了呼吸系统和胃肠道癌症的风险。在木制家具制造行业的男性中,鼻窦癌风险增加了四倍,在基础木材加工的所有组成行业中,胃癌风险增加了两倍。相比之下,在木制建筑材料和木制家具制造行业工作的男性中未发现胃癌超额,而木工和细木工行业的男性风险低于1。一些木材加工行业胃癌风险升高可能是由于农业和制造业男性也普遍存在的社会因素。在鼻窦癌风险较高的行业中未发现胃癌风险增加,这表明木尘对胃癌没有病因学重要性。在任何木材加工行业中,均未发现肺癌总数或腺癌亚型超额。

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