Sorahan T
Department of Social Medicine, University of Birmingham, Edgbaston, UK.
Br J Ind Med. 1987 Dec;44(12):803-9. doi: 10.1136/oem.44.12.803.
The lung cancer mortality experienced by a cohort of 3025 workers from a nickel cadmium battery factory during the period 1946-84 has been investigated. Occupational histories were described in terms of 75 jobs: eight with "high," 14 with "moderate" or slight, and 53 with minimal or zero exposure to cadmium oxide (hydroxide) dust. The Mantel-Haenszel technique applied to prospective (or historical prospective) studies was used to compare the estimated cadmium exposures (durations of exposed employment) of those dying from lung cancer with those of matching survivors in the same year of follow up, while controlling for sex and year, and age of starting employment. Among workers first employed in the period 1923-46, there was some evidence of an association between the risk of dying from lung cancer and duration of employment in "high or moderate" exposure jobs, although the evidence relied heavily on the findings for the single highest exposure category. Among workers first employed in the period 1947-75, there was no evidence whatsoever of such an association.
对1946年至1984年间一家镍镉电池厂的3025名工人队列的肺癌死亡率进行了调查。职业经历按照75种工作进行描述:8种为“高”暴露工作,14种为“中度”或轻度暴露工作,53种为极少或零接触氧化镉(氢氧化镉)粉尘的工作。应用于前瞻性(或历史性前瞻性)研究的Mantel-Haenszel技术,用于比较死于肺癌者与同年随访的匹配幸存者的估计镉暴露量(暴露工作时长),同时控制性别、年份以及开始工作时的年龄。在1923年至1946年期间首次就业的工人中,有一些证据表明死于肺癌的风险与“高或中度”暴露工作的就业时长之间存在关联,尽管该证据在很大程度上依赖于单一最高暴露类别中的发现。在1947年至1975年期间首次就业的工人中,没有任何证据表明存在这种关联。