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1974 - 1978年新西兰的职业、社会阶层与男性癌症死亡率

Occupation, social class and male cancer mortality in New Zealand, 1974-78.

作者信息

Pearce N E, Howard J K

出版信息

Int J Epidemiol. 1986 Dec;15(4):456-62. doi: 10.1093/ije/15.4.456.

Abstract

Occupational and social class differences in cancer mortality among New Zealand males aged 15-64 are examined for the period 1974-78. Age-standardized cancer mortality rates are presented for the Registrar General's social classes as well as for each of six occupational orders and 79 occupational groups. The rates for specific cancer sites are also presented for each social class and for those occupational groups with significantly elevated relative risks. The findings of the social class analyses were generally consistent with those of recent British studies with mortality from cancer of the liver, larynx, lung, buccal cavity and stomach being particularly high in the lower social classes and mortality from multiple myeloma, malignant melanoma and lymphatic leukaemia being particularly high in the upper social classes. The findings of the occupational group analyses were also generally in line with those of recent British studies and those associations which have been found in British studies and were also present in the New Zealand data are discussed. It is concluded that there are a number of associations which warrant further investigation including: large bowel cancer in woodworkers and printers; bladder cancer in hairdressers and beauticians; and malignant lymphoma in farmers.

摘要

本文研究了1974 - 1978年间,新西兰15 - 64岁男性癌症死亡率的职业和社会阶层差异。文中给出了按总登记官社会阶层以及六个职业类别和79个职业群体划分的年龄标准化癌症死亡率。还列出了每个社会阶层以及相对风险显著升高的职业群体中特定癌症部位的死亡率。社会阶层分析的结果总体上与英国近期研究一致,即下层社会阶层中肝癌、喉癌、肺癌、口腔癌和胃癌的死亡率特别高,而上层社会阶层中多发性骨髓瘤、恶性黑色素瘤和淋巴白血病的死亡率特别高。职业群体分析的结果总体上也与英国近期研究一致,并讨论了在英国研究中发现且新西兰数据中也存在的那些关联。研究得出结论,有许多关联值得进一步调查,包括:木工和印刷工中的大肠癌;美发师和美容师中的膀胱癌;以及农民中的恶性淋巴瘤。

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