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非霍奇金淋巴瘤与接触苯氧基除草剂、氯酚、从事围栏工作及肉类加工工作:一项病例对照研究。

Non-Hodgkin's lymphoma and exposure to phenoxyherbicides, chlorophenols, fencing work, and meat works employment: a case-control study.

作者信息

Pearce N E, Smith A H, Howard J K, Sheppard R A, Giles H J, Teague C A

出版信息

Br J Ind Med. 1986 Feb;43(2):75-83. doi: 10.1136/oem.43.2.75.

Abstract

A previous case-control study which used the occupational information available on the New Zealand Cancer Registry found that agricultural workers were at increased risk of developing non-Hodgkin's lymphoma. The findings are now presented for the second phase of the study which entailed interviewing 83 cases of non-Hodgkin's lymphoma registered under code 202 of the International Classification of Diseases together with 168 controls with other types of cancer and 228 general population controls. The findings for the two control groups were similar, and there were no significant differences between cases and controls regarding potential exposure to phenoxy-herbicides (odds ratio = 1.4, 90% confidence limits 0.7-2.5, p = 0.26) or chlorophenols (odds ratio = 1.3, 90% confidence limits 0.6-2.7, p = 0.39). The odds ratio for fencing work, necessitating exposure to several potential risk factors including arsenic and sodium pentachlorophenate was 2.0 (90% confidence limits 1.3-3.0, p = 0.01). The odds ratio for employment in a meat works, necessitating potential exposure to 2, 4, 6-trichlorophenol and zoonotic viruses, was 1.8 (90% confidence limits 1.1-3.1, p = 0.04). There was a significant statistical interaction between the risks associated with these two activities, the odds ratio for involvement in both activities compared with involvement in neither being 5.7 (90% confidence limits 2.3-14.3, p = 0.03).

摘要

之前一项利用新西兰癌症登记处可得职业信息的病例对照研究发现,农业工人患非霍奇金淋巴瘤的风险增加。现在呈现该研究第二阶段的结果,此阶段涉及对83例根据国际疾病分类代码202登记的非霍奇金淋巴瘤病例、168例其他类型癌症对照以及228例普通人群对照进行访谈。两个对照组的结果相似,病例组和对照组在潜在接触苯氧基除草剂(比值比=1.4,90%置信区间0.7 - 2.5,p = 0.26)或氯酚(比值比=1.3,90%置信区间0.6 - 2.7,p = 0.39)方面无显著差异。从事围栏工作(需要接触包括砷和五氯酚钠在内的多种潜在风险因素)的比值比为2.0(90%置信区间1.3 - 3.0,p = 0.01)。在肉类加工厂工作(需要潜在接触2,4,6 - 三氯酚和人畜共患病毒)的比值比为1.8(90%置信区间1.1 - 3.1,p = 0.04)。与这两项活动相关的风险之间存在显著的统计学交互作用,同时参与这两项活动与两项活动都不参与相比的比值比为5.7(90%置信区间2.3 - 14.3,p = 0.03)。

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