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从事电气和电子工作的男性患脑肿瘤的死亡风险:一项病例对照研究。

Brain tumor mortality risk among men with electrical and electronics jobs: a case-control study.

作者信息

Thomas T L, Stolley P D, Stemhagen A, Fontham E T, Bleecker M L, Stewart P A, Hoover R N

出版信息

J Natl Cancer Inst. 1987 Aug;79(2):233-8.

PMID:3474455
Abstract

Brain tumor risk associated with electrical and electronics jobs and with occupational exposure to microwave and radiofrequency (MW/RF) electromagnetic radiation was evaluated with the use of data from a death certificate-based case-control study of brain tumors and occupational risk factors in northern New Jersey, Philadelphia, PA, and southern Louisiana. Next-of-kin of 435 white men who died of a primary brain tumor and of 386 controls who died from other causes were interviewed to obtain information on lifetime occupational history and other factors that might be related to excess brain tumor risk. The relative risk (RR) for all brain tumors was elevated among men exposed to MW/RF radiation [RR = 1.6; 95% confidence interval (Cl) = 1.0, 2.4] and was significantly elevated among men exposed for 20 or more years. All of the excess risk for MW/RF radiation-exposed subjects was derived from jobs that involved the design, manufacture, repair, or installation of electrical or electronic equipment (RR = 2.3; 95% Cl = 1.3, 4.2), while risk of brain tumors among MW/RF radiation-exposed subjects who never worked in electrical or electronics jobs was not elevated (RR = 1.0; 95% Cl = 0.5, 1.9). Furthermore, risk was elevated for electronics workers who were considered to have no exposure to MW/RF radiation. Among electrical and electronics workers, risk was highest for engineers, teachers, technicians, repairers, and assemblers combined (RR = 3.9; 95% Cl = 1.6, 9.9) and was limited to excess risk from astrocytic tumors (RR = 4.6; 95% Cl = 1.9, 12.2). Risk of astrocytic tumors among these electronics manufacture and repair workers increased with duration of exposure to tenfold among those employed for 20 or more years. Among electricians and power and telephone linemen combined (electrical tradesmen), the RR for astrocytic tumors was slightly elevated, but not statistically significant (RR = 1.8), and showed no consistent evidence of a duration-response relationship. Electrical tradesmen are exposed to extremely low frequency electromagnetic radiation, while men in some jobs associated with electronics manufacture and repair are exposed to electromagnetic radiation in the very high frequency and ultra-high frequency ranges and also may be exposed to soldering fumes, solvents, and a variety of other chemicals.

摘要

利用新泽西州北部、宾夕法尼亚州费城以及路易斯安那州南部基于死亡证明的脑肿瘤与职业风险因素病例对照研究数据,评估了与电气和电子工作以及职业性接触微波和射频(MW/RF)电磁辐射相关的脑肿瘤风险。对435名死于原发性脑肿瘤的白人男性的近亲以及386名死于其他原因的对照者的近亲进行了访谈,以获取有关终生职业史和其他可能与脑肿瘤风险增加相关因素的信息。在接触MW/RF辐射的男性中,所有脑肿瘤的相对风险(RR)升高[RR = 1.6;95%置信区间(Cl)= 1.0,2.4],在接触20年或更长时间的男性中显著升高。接触MW/RF辐射的受试者的所有额外风险均来自涉及电气或电子设备设计、制造、维修或安装的工作(RR = 2.3;95% Cl = 1.3,4.2),而从未从事电气或电子工作的接触MW/RF辐射的受试者中脑肿瘤风险未升高(RR = 1.0;95% Cl = 0.5,1.9)。此外,被认为未接触MW/RF辐射的电子工人的风险也升高。在电气和电子工人中,工程师、教师、技术人员、维修人员和装配人员的综合风险最高(RR = 3.9;95% Cl = 1.6,9.9),且仅限于星形细胞瘤的额外风险(RR = 4.6;95% Cl = 1.9,12.2)。这些电子制造和维修工人中星形细胞瘤的风险随接触时间的延长而增加,在工作20年或更长时间的人群中增加了10倍。在电工以及电力和电话线路工人(电气行业工人)中,星形细胞瘤的RR略有升高,但无统计学意义(RR = 1.8),且未显示出持续时间 - 反应关系的一致证据。电气行业工人接触极低频电磁辐射,而一些与电子制造和维修相关工作的男性接触甚高频和超高频范围内的电磁辐射,并且也可能接触焊接烟雾、溶剂和各种其他化学物质。

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