Danish Cancer Society Research Center, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark.
Cancer Epidemiol. 2022 Oct;80:102227. doi: 10.1016/j.canep.2022.102227. Epub 2022 Aug 4.
Former epidemiological studies have indicated that solar ultraviolet B radiation (UV) may reduce the risk of prostate cancer, however, the evidence is inconclusive. To contribute with evidence, the present study aimed to evaluate the association between occupational UV exposure and prostate cancer in Danish men.
A total of 12,268 men diagnosed with primary prostate cancer before age 70 were identified via the Danish Cancer Registry. The Danish Civil Registration System was used to randomly select five male controls matched on year of birth, alive and free of prostate cancer at the time of diagnosis of the index case. Full individual-level employment history was retrieved from the Danish Supplementary Pension Fund Register and linked to a job exposure matrix to assess occupational UV exposure. Conditional logistic regression was used to estimate odds ratios (ORs) with corresponding 95 % confidence intervals.
We observed an inverse association between ever exposure to occupational UV and prostate cancer (OR=0.93, 95 % CI: 0.89-0.97). Longer duration of exposure (≥20 years: OR=0.90, 95 % CI: 0.84-0.96) and highest cumulative exposure (OR=0.90, 95 % CI: 0.84-0.96) were both inversely associated with disease risk.
The present study indicates a modest protective effect from occupational UV exposure on the risk of prostate cancer. This finding needs further attention in future large-scale studies.
先前的流行病学研究表明,太阳紫外线 B 辐射(UV)可能降低前列腺癌的风险,但证据尚无定论。为了提供更多证据,本研究旨在评估丹麦男性职业性 UV 暴露与前列腺癌之间的关联。
通过丹麦癌症登记处,共确定了 12268 名 70 岁以下被诊断患有原发性前列腺癌的男性。丹麦民事登记系统被用于随机选择与出生年份、在病例诊断时仍存活且无前列腺癌的 5 名男性对照。从丹麦补充养老金基金登记处获取完整的个人就业历史记录,并与职业 UV 暴露的工作暴露矩阵相关联,以评估职业性 UV 暴露。采用条件逻辑回归估计比值比(OR)及其相应的 95%置信区间。
我们观察到职业性 UV 暴露与前列腺癌之间存在负相关关系(OR=0.93,95%CI:0.89-0.97)。较长时间的暴露(≥20 年:OR=0.90,95%CI:0.84-0.96)和最高累积暴露(OR=0.90,95%CI:0.84-0.96)均与疾病风险呈负相关。
本研究表明职业性 UV 暴露对前列腺癌风险具有适度的保护作用。这一发现需要在未来的大规模研究中进一步关注。