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喉癌的职业危险因素:康涅狄格州,1975 - 1980年

Occupational risk factors for laryngeal carcinoma: Connecticut, 1975-1980.

作者信息

Zagraniski R T, Kelsey J L, Walter S D

出版信息

Am J Epidemiol. 1986 Jul;124(1):67-76. doi: 10.1093/oxfordjournals.aje.a114371.

Abstract

A case-control study of possible occupational risk factors for laryngeal carcinoma in white males in the New Haven, Connecticut, area included 92 cases diagnosed between 1975 and 1980 and 181 hospital controls individually matched to the cases on age, year and hospital of admission, county of residence, smoking status (current vs. ex-smoker), and type of tobacco used at the time of admission. Only cases and controls who were alive at the time of the study were included. With the effects of tobacco and alcohol controlled in a conditional linear logistic model, elevated odds ratios were found for men who had ever worked in rubber products manufacturing or transportation equipment manufacturing other than shipbuilding, and for men who had ever been machinists, bartenders, farmers, masons, or metal grinders. However, only one occupation, machinists, had a statistically significant odds ratio (2.5, 95% confidence interval = 1.2-5.2) in these multivariate analyses. Asbestos and nickel were not found to be risk factors for laryngeal carcinoma. Amount of tobacco smoked and alcohol consumed were positively associated with risk for laryngeal cancer.

摘要

一项针对康涅狄格州纽黑文地区白人男性喉癌潜在职业风险因素的病例对照研究,纳入了1975年至1980年间确诊的92例病例,以及181名医院对照者,这些对照者在年龄、入院年份和医院、居住县、吸烟状况(当前吸烟者与既往吸烟者)以及入院时使用的烟草类型等方面与病例进行了个体匹配。仅纳入了研究时仍存活的病例和对照者。在条件线性逻辑模型中对烟草和酒精的影响进行控制后,发现曾从事橡胶制品制造或除造船业以外的运输设备制造的男性,以及曾是机械师、酒保、农民、泥瓦匠或金属研磨工的男性,其比值比升高。然而,在这些多变量分析中,只有一个职业,即机械师,其比值比具有统计学意义(2.5,95%置信区间 = 1.2 - 5.2)。未发现石棉和镍是喉癌的风险因素。吸烟量和饮酒量与喉癌风险呈正相关。

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