Wilcosky T C, Checkoway H, Marshall E G, Tyroler H A
Am Ind Hyg Assoc J. 1984 Dec;45(12):809-11. doi: 10.1080/15298668491400683.
Some evidence suggests that solvent exposures to rubber industry workers may be associated with excess cancer mortality, but most studies of rubber workers lack information about specific chemical exposures. In one large rubber and tire-manufacturing plant, however, historical documents allowed a classification of jobs based on potential exposures to all solvents that were authorized for use in the plant. A case-control analysis of a 6678 member cohort compared the solvent exposure histories of a 20% age-stratified random sample of the cohort with those of cohort members who died during 1964-1973 from stomach cancer, respiratory system cancer, prostate cancer, lymphosarcoma, or lymphatic leukemia. Of these cancers, only lymphosarcoma and lymphatic leukemia showed significant positive associations with any of the potential solvent exposures. Lymphatic leukemia was especially strongly related to carbon tetrachloride (OR = 15.3, p less than .0001) and carbon disulfide (OR = 8.9, p = .0003). Lymphosarcoma showed similar, but weaker, associations with these two solvents. Benzene, a suspected carcinogen, was not significantly associated with any of the cancers.
一些证据表明,橡胶行业工人接触溶剂可能与癌症死亡率过高有关,但大多数针对橡胶工人的研究缺乏有关具体化学物质接触情况的信息。然而,在一家大型橡胶和轮胎制造工厂,历史文件允许根据对工厂中所有获准使用的溶剂的潜在接触情况对工作进行分类。对一个6678名成员的队列进行病例对照分析,将该队列中按年龄分层的20%随机样本的溶剂接触史与1964年至1973年期间死于胃癌、呼吸系统癌症、前列腺癌、淋巴肉瘤或淋巴白血病的队列成员的接触史进行了比较。在这些癌症中,只有淋巴肉瘤和淋巴白血病与任何潜在的溶剂接触显示出显著的正相关。淋巴白血病与四氯化碳(比值比=15.3,p小于0.0001)和二硫化碳(比值比=8.9,p=0.0003)的关系尤为密切。淋巴肉瘤与这两种溶剂的关联相似,但较弱。苯,一种疑似致癌物,与任何一种癌症均无显著关联。