Guay D, Siemiatycki J
Epidemiology and Preventive Medicine Research Centre, Institu Armand-Frappier, Laval-des-Rapides, Quebec, Canada.
Am J Ind Med. 1987;12(2):181-93. doi: 10.1002/ajim.4700120207.
A historic cohort mortality study was carried out among two groups of male workers in the Montreal fur industry: 263 dressers and dyers and 599 fur garment manufacturers. The first group is exposed to a very wide variety of chemicals used in tanning, cleaning, and dyeing fur, including substances considered to be carcinogenic and/or mutagenic. The second group is exposed to residue from the dressing and dyeing stage and to respirable fur dust. The cohorts consisted of all active members of two unions as of January 1, 1966. The mean age of the workers was 43.2 and the mean number of years since first employment 14.1. The follow-up period was from January 1, 1966, to December 31, 1981; 95% of the workers were successfully traced. Observed deaths were compared with those expected based on mortality rates of the population of metropolitan Montreal. Standardized mortality ratios (SMRs) for the manufacturers were significantly low, probably because of the ethnic composition of the cohort and a healthy worker effect. SMRs for the dressers and dyers were also low, but not as low as for the manufacturers. When attention was restricted to the French Canadians in the cohort, the observed deaths were close to the expected; there was a noteworthy excess of colorectal cancer (four observed, 0.8 expected) for dressers and dyers. Apart from this weak suggestive evidence, the results did not indicate any excess mortality risks in the fur industry. However, because of the relatively small number of expected and observed deaths in the cohort and especially among the heavily exposed dressers and dyers, the confidence intervals around SMR estimates were wide and excess risks cannot be ruled out.
263名鞣革工、染色工以及599名毛皮服装制造商。第一组工人接触鞣制、清洗和染色毛皮过程中使用的种类繁多的化学物质,包括被认为具有致癌性和/或致突变性的物质。第二组工人接触鞣革和染色阶段的残留物以及可吸入的毛皮粉尘。队列由截至1966年1月1日两个工会的所有在职成员组成。工人的平均年龄为43.2岁,自首次就业以来的平均年数为14.1年。随访期为1966年1月1日至1981年12月31日;95%的工人被成功追踪。将观察到的死亡人数与基于蒙特利尔大都市人口死亡率预期的死亡人数进行比较。制造商的标准化死亡率(SMR)显著较低,可能是由于队列的种族构成以及健康工人效应。鞣革工和染色工的SMR也较低,但不如制造商低。当将注意力限制在队列中的法裔加拿大人时,观察到的死亡人数接近预期;鞣革工和染色工的结直肠癌明显过多(观察到4例,预期0.8例)。除了这一微弱的提示性证据外,结果并未表明毛皮行业存在任何额外的死亡风险。然而,由于队列中预期和观察到的死亡人数相对较少,尤其是在接触程度较高的鞣革工和染色工中,SMR估计值周围的置信区间较宽,不能排除额外风险。