Wang J D, Wegman D H, Smith T J
Br J Ind Med. 1983 May;40(2):177-81. doi: 10.1136/oem.40.2.177.
A mortality odds ratio (MOR) study has been conducted to explore the cancer risks of exposures experienced in the production of optical lenses and metal spectacle frames. Male death certificates were obtained from a Massachusetts town where a large optical industry is located. Craftsmen, foremen, and operatives of non-optical industries, such as woollen textile workers and workers in the optical company with short-term or no exposure, were chosen as reference workers their incomes were similar to those of the exposed workers. Cardiovascular disease (total 714) is chosen as the reference disease to explore cancers (total 232). An excess risk of total cancers observed = 70, expected = 48) has formed among lens workers. The excess may be accounted for mainly by the excess risk of gastrointestinal cancers; the standardised MORs (sMOR) for medium and long-term exposure were 2.2 and 2.5. The excess was especially evident for colorectal cancers; the sMORs for medium and long-term exposures were 3.2 and 2.6. Excess risks of gastrointestinal cancers (sMOR = 2.9) and colorectal cancers (sMOR = 3.4) were found among metal frame workers with long-term (employed for more than 29 years) exposure, but the number of exposed cases was small (9 and 6 respectively). These results suggest that exposure to abrasives or cutting oil mists or both, possibly by ingestion, might increase the risk of gastrointestinal (especially colorectal) cancers among lens and metal spectacle frame manufacturers.
已开展一项死亡率比值比(MOR)研究,以探索光学镜片和金属眼镜架生产过程中所接触物质的癌症风险。男性死亡证明取自马萨诸塞州一个有大型光学产业的城镇。非光学行业的工匠、工头和工人,如毛纺织工人以及光学公司中短期接触或无接触的工人,被选为对照工人,他们的收入与接触组工人相似。选择心血管疾病(共714例)作为对照疾病,以探究癌症(共232例)。镜片工人中观察到总癌症的超额风险(观察值 = 70,预期值 = 48)。该超额风险可能主要由胃肠道癌症的超额风险导致;中长期接触的标准化MOR分别为2.2和2.5。结直肠癌的超额风险尤为明显;中长期接触的标准化MOR分别为3.2和2.6。在长期(工作超过29年)接触的金属镜架工人中发现了胃肠道癌症(标准化MOR = 2.9)和结直肠癌(标准化MOR = 3.4)的超额风险,但接触病例数较少(分别为9例和6例)。这些结果表明,接触磨料或切削油雾或两者,可能通过摄入,可能会增加镜片和金属眼镜架制造商患胃肠道(尤其是结直肠)癌的风险。