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一家丁二烯工厂工人的死亡率。

Mortality among workers at a butadiene facility.

作者信息

Downs T D, Crane M M, Kim K W

机构信息

University of Texas School of Public Health, Houston 77025.

出版信息

Am J Ind Med. 1987;12(3):311-29. doi: 10.1002/ajim.4700120307.

Abstract

Several studies of styrene-butadiene rubber (SBR) workers have reported excess cancers at various sites; however, little could be concluded concerning specific etiologic agents because of the multiple exposures encountered by these groups. The current study examined cause-specific mortality in a cohort of 2,586 male workers employed for at least 6 months between 1943 and 1979 in a butadiene manufacturing plant that supplied butadiene to two SBR plants. Standardized mortality ratios were calculated using national (NSMR) and local (LSMR) comparison populations. The all-cause NSMR was 80 (p less than 0.05) and the all-cancer NSMR was 84; the corresponding LSMRs were 96 and 76 (p less than 0.05). No significant excesses were observed for any cause of death except lymphosarcoma and reticulum cell sarcoma (NSMR = 235). When the cohort was subdivided into routine, nonroutine, and low-exposure groups, the SMRs were consistently elevated for this cause of death in all three groups. However, direct comparisons between each of the two exposure groups and the low-exposure group were inconsistent. This suggests butadiene may not be responsible for the excess, but the association deserves close attention in future studies.

摘要

多项针对丁苯橡胶(SBR)工人的研究报告了不同部位的癌症超额发生情况;然而,由于这些工人接触多种物质,关于具体病因几乎无法得出结论。本研究调查了1943年至1979年间在一家向两家SBR工厂供应丁二烯的丁二烯制造厂工作至少6个月的2586名男性工人的死因特异性死亡率。使用全国(NSMR)和当地(LSMR)比较人群计算标准化死亡率。全因NSMR为80(p<0.05),全癌NSMR为84;相应的LSMR分别为96和76(p<0.05)。除淋巴肉瘤和网状细胞肉瘤(NSMR = 235)外,未观察到任何死因的显著超额情况。当队列分为常规、非常规和低暴露组时,三组中该死因的SMR均持续升高。然而,两个暴露组与低暴露组之间的直接比较并不一致。这表明丁二烯可能并非超额发生的原因,但这种关联在未来研究中值得密切关注。

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