Department of Preventive Medicine, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Institute for Research and Education, Barretos Cancer Hospital, Barretos, Brazil.
Environ Res. 2024 Mar 1;244:117942. doi: 10.1016/j.envres.2023.117942. Epub 2023 Dec 17.
UNLABELLED: Hairdresser is an occupation classified by the International Agency for Research on Cancer as probably carcinogenic (Group 2A) for lung and bladder cancer, but evidence is accumulating on its association with other cancer types. To our knowledge, this is the first study aimed to compare the cancer mortality and premature mortality between hairdressers and other workers in Brazil. METHODS: In this exploratory study, information on deaths by selected cancers that occurred in Brazil, from 1996 to 2020, among workers aged 20-70y, with identified occupation was gathered from the Brazilian Mortality Information System. Sociodemographic characteristics, sex-specific mortality ratio, and Years of Potential Life Lost (YPLL) were compared between hairdressers, service workers, and general workers. We used logistic regression models to estimate crude (OR) and adjusted (OR) odds ratios. Models were adjusted by age, educational level, and ethnicity. We also used Poisson regression models to compare the YPLL rates across the occupational groups. RESULTS: From 1996 to 2020, 23 557 deaths occurred among hairdressers, 576 428 among service workers, and 13 332 996 among general workers in Brazil. Higher mortality ORs and YPLL were observed for several types of cancer among hairdressers, compared to service and general workers, especially for women. Hairdressers' mortality was significantly higher among whites, women, younger workers, and those who completed high school. Female hairdressers had significantly higher odds of dying from cancer of the digestive, respiratory, reproductive, urinary, and hematological systems, both in crude and adjusted models. For male hairdressers, higher odds were found only for urinary tract and bladder cancer, while other significant associations indicated lower mortality than the comparison groups. YPLL analyses revealed significant premature deaths among Brazilian hairdressers. In women, this was more evident among those who died of neoplasms of salivary glands, bones and articular cartilages, and acute lymphoid leukemia; in men, tongue, pharynx, and thyroid. CONCLUSIONS: Our results suggest that Brazilian female hairdressers are more likely to die from several cancers, with potential consequences on premature deaths. Causal associations to occupational risks, such as exposure to chemicals, should be investigated by observational epidemiologic studies. Meanwhile, it is important to promote public policies, regulations, and Occupational Safety and Health (OSH) strategies to protect hairdressers' health, mitigate occupational risks, and ensure safe workplaces.
未加说明:国际癌症研究机构将理发师列为可能致癌的职业(2A 组),可导致肺癌和膀胱癌,但越来越多的证据表明其与其他癌症类型有关。据我们所知,这是第一项旨在比较巴西理发师和其他工人的癌症死亡率和过早死亡率的研究。
方法:在这项探索性研究中,从巴西 1996 年至 2020 年期间,从巴西死亡率信息系统中收集了年龄在 20-70 岁之间、有特定职业的工人中发生的特定癌症死亡信息。比较了理发师、服务人员和一般工人之间的社会人口特征、性别特异性死亡率比和潜在寿命损失年数(YPLL)。我们使用逻辑回归模型估计了粗(OR)和调整(OR)比值比。模型通过年龄、教育水平和种族进行了调整。我们还使用泊松回归模型比较了职业群体之间的 YPLL 率。
结果:1996 年至 2020 年间,巴西有 23557 名理发师、576428 名服务人员和 13332996 名一般工人死亡。与服务和一般工人相比,理发师的几种癌症死亡率和 YPLL 更高,尤其是女性。与服务和一般工人相比,白人、女性、年轻工人和完成高中学业的工人的死亡率更高。女性理发师患消化系统、呼吸系统、生殖系统、泌尿系统和血液系统癌症的死亡风险明显更高,无论是在粗模型还是调整模型中。对于男性理发师,仅发现膀胱癌和下尿路癌症的比值比更高,而其他显著关联则表明死亡率低于对照组。YPLL 分析显示巴西理发师过早死亡的人数显著。在女性中,死于唾液腺、骨和关节软骨以及急性淋巴细胞白血病的可能性更大;在男性中,可能性更大的是舌、咽和甲状腺。
结论:我们的结果表明,巴西女性理发师更有可能死于多种癌症,这可能对过早死亡产生影响。需要通过观察性流行病学研究来调查与职业风险(如接触化学物质)相关的因果关联。同时,重要的是要促进公共政策、法规和职业安全与健康(OSH)战略,以保护理发师的健康,减轻职业风险,并确保安全的工作场所。
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