Environment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer (IARC/WHO), 150 cours Albert Thomas, 69372, Lyon Cedex 08, France.
Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Germany.
Int Arch Occup Environ Health. 2022 Aug;95(6):1243-1253. doi: 10.1007/s00420-021-01818-4. Epub 2021 Dec 1.
OBJECTIVE: We assessed the association between parental prenatal exposures in wood-related jobs and risk of testicular germ cell tumours (TGCT) in offspring. METHODS: NORD-TEST, a registry-based case-control study in Sweden, Finland and Norway, included 8112 TGCT cases diagnosed at ages 14-49 years between 1978 and 2012 with no history of prior cancer, and up to four controls matched to each case on year and country of birth. Parents of cases and controls were identified via linkages with the population registries and their occupational information was retrieved from censuses. The Nordic Occupational Cancer Study Job-Exposure Matrix was used to assign occupational exposures to each parent. Logistic regression models were used to estimate odds ratios (OR) and 95% confidence intervals (CI). RESULTS: Maternal wood-related job was not associated with the risk of TGCT in offspring (OR 1.08, CI 0.55-2.14), while paternal wood-related job was associated with a decreased risk of TGCT in offspring (OR 0.85, CI 0.75-0.96). None of the specific wood-related jobs, such as upholsterers, sawyers, or construction carpenters, were significantly associated with a risk of TGCT. Only exception was observed in a sensitivity analysis which showed an increased risk in the small group of sons of fathers working as 'cabinetmakers and joiners' the year before conception (OR of 2.06, CI 1.00-4.25). CONCLUSION: This large-scale NORD-TEST analysis provided no evidence of an association between parental prenatal exposures in wood-related jobs and TGCT in sons.
目的:我们评估了与木材相关工作中的父母产前暴露相关的风险与子女睾丸生殖细胞肿瘤(TGCT)之间的关联。
方法:NORD-TEST 是一项基于瑞典、芬兰和挪威登记的病例对照研究,纳入了 1978 年至 2012 年间年龄在 14-49 岁之间且无既往癌症病史的 8112 例 TGCT 病例,并根据出生年份和国家与每位病例匹配最多 4 名对照。通过与人口登记册的链接确定病例和对照的父母,从人口普查中检索其父母的职业信息。使用北欧职业癌症研究工作暴露矩阵将职业暴露分配给每位父母。使用逻辑回归模型估计比值比(OR)和 95%置信区间(CI)。
结果:母亲从事木材相关工作与子女 TGCT 的风险无关(OR 1.08,95%CI 0.55-2.14),而父亲从事木材相关工作与子女 TGCT 的风险降低相关(OR 0.85,95%CI 0.75-0.96)。没有任何特定的木材相关工作,如家具制造商、锯木工人或建筑木匠,与 TGCT 的风险显著相关。只有在一项敏感性分析中观察到了一个例外,该分析显示在一个小的父亲在受孕前一年从事“细木工和细木工”的儿子群体中风险增加(OR 2.06,95%CI 1.00-4.25)。
结论:这项大规模的 NORD-TEST 分析没有提供父母在木材相关工作中的产前暴露与儿子 TGCT 之间存在关联的证据。
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