Decouflé P, Walrath J
Am J Ind Med. 1983;4(4):523-32. doi: 10.1002/ajim.4700040406.
Proportionate mortality for various causes was examined among 3,754 decedents (2,144 men, 1,610 women) who had worked in shoe manufacturing plants represented by either of two labor unions in the US. None of the shoeworker deaths were attributed to nasal cancer, whereas 2.2 were expected on the basis of general population data. Mortality from leukemia and cancer of the urinary bladder was not unusual in either sex or either union. However, deaths from cancers of the liver and gallbladder combined were significantly increased among male and female members of one union. Three deaths from mesothelioma were seen among members of this same union. Rectal cancer mortality was higher than expected among men and women in both unions. The findings are at variance with previous reports of high risks of certain cancer sites among shoeworkers. However, results for liver and gallbladder cancer and mesothelioma suggest the possibility that other previously unsuspected hazards may have been present in certain areas of the US shoe industry.
在美国，对由两个工会之一代表的制鞋厂工作的3754名死者（2144名男性，1610名女性）的各种死因的比例死亡率进行了调查。没有一名鞋厂工人的死亡归因于鼻癌，而根据一般人群数据预计会有2.2例。白血病和膀胱癌的死亡率在男性和女性以及两个工会中均无异常。然而，在一个工会的男性和女性成员中，肝癌和胆囊癌合并的死亡人数显著增加。在同一工会的成员中发现了3例间皮瘤死亡病例。两个工会的男性和女性直肠癌死亡率均高于预期。这些发现与之前关于鞋厂工人某些癌症部位高风险的报告不一致。然而，肝癌和胆囊癌以及间皮瘤的结果表明，在美国制鞋行业的某些领域可能存在其他以前未被怀疑的危害。
