Malker H S, McLaughlin J K, Malker B K, Stone B J, Weiner J A, Erickson J L, Blot W J
J Natl Cancer Inst. 1985 Jan;74(1):61-6.
From national population-based registries linking cancer incidence from 1961 to 1979 with 1960 census data on industry and occupation for all employed individuals in Sweden, a systematic assessment was made of pleural mesothelioma occurrence according to occupational and industrial classifications. There were 318 cases of pleural mesothelioma recorded during the 19-year follow-up period among males employed in 1960, with significant variation by industrial and occupational categorizations. The observed number of pleural mesotheliomas for men employed in the sugar refining, cellulose, wood and pulp, shipbuilding, and railroad equipment manufacturing industries was more than three times the number expected. Occupations with at least twofold excess of mesotheliomas included the craftsman categories of plumbers, mechanics and repairmen, electricians, painters, tire makers, and stationary equipment operators. Our findings are consistent with available data relating mesothelioma to occupational asbestos exposure in other countries, although unexpected associations were found that deserve further epidemiologic study.
从瑞典基于全国人口的登记处获取的数据来看，这些登记处将1961年至1979年的癌症发病率与1960年瑞典所有就业人员的行业和职业普查数据相联系，据此按照职业和行业分类对胸膜间皮瘤的发病情况进行了系统评估。在1960年就业的男性中，19年随访期内共记录到318例胸膜间皮瘤病例，按行业和职业分类存在显著差异。在制糖、纤维素、木材和纸浆、造船以及铁路设备制造行业就业的男性中，观察到的胸膜间皮瘤病例数超过预期病例数的三倍多。间皮瘤病例至少高出两倍的职业包括水管工、机械师和修理工、电工、油漆工、轮胎制造工以及固定设备操作员等工匠类别。我们的研究结果与其他国家关于间皮瘤与职业性石棉暴露相关的现有数据一致，不过也发现了一些意外的关联，值得进一步开展流行病学研究。
