Garland F C, Gorham E D, Garland C F
Occupational Medicine Department, Naval Health Research Center, San Diego, California 92138-9174.
Int J Epidemiol. 1987 Sep;16(3):367-72. doi: 10.1093/ije/16.3.367.
Hodgkin's disease incidence has an early peak in young adulthood. The US Navy maintains computerized career history and hospitalization information for one of the largest defined populations of young adults available for prospective studies. There were approximately 2.3 million person-years at risk in white male enlisted personnel involved in more than 80 occupations in the Navy from 1974-79. During this period 88 incident cases were identified. Navy age-adjusted incidence rates of Hodgkin's disease did not differ significantly from US population rates. There was a slight, but not significant, increased incidence with increasing length of Navy service. One occupation, machinists' mate, had about double the risk of Hodgkin's disease as the entire Navy (SIR = 2.3, p = 0.004) and the US population (SIR = 1.8, ns). Probable exposures of machinists' mates include: volatile solvents, metal dusts and, possibly, ionizing radiation. Further studies are needed, however, to clarify this association.
霍奇金淋巴瘤的发病率在青年期有一个早期高峰。美国海军保存着计算机化的职业履历和住院信息,这些信息来自一个可供前瞻性研究的最大的特定青年人群体。1974年至1979年期间,美国海军中有超过80种职业的白人男性应征人员约有230万人年处于发病风险中。在此期间,共确诊了88例发病病例。海军霍奇金淋巴瘤的年龄调整发病率与美国总体发病率无显著差异。随着海军服役时间的延长,发病率略有上升,但不显著。其中一个职业,机械师助手,患霍奇金淋巴瘤的风险约为整个海军群体(标准化发病比=2.3,p=0.004)以及美国总体人群(标准化发病比=1.8,无显著性差异)的两倍。机械师助手可能接触的物质包括:挥发性溶剂、金属粉尘以及可能的电离辐射。然而,还需要进一步研究来阐明这种关联。