Rushton L, Alderson M R
Br J Cancer. 1981 Jan;43(1):77-84. doi: 10.1038/bjc.1981.11.
All deaths with a mention of leukaemia on the death certificate, in men employed over a period of 25 years of 8 oil refineries in the U.K. were identified. The potential benzene exposure of these cases was compared with that of two sets of controls selected from the total refinery population. One set of controls was matched for refinery and year of birth, the other set was matched for refinery, year of birth nd length of service. No information was available on measurement of benzene in the work environment but a job history was obtained from refinery personnel records for all cases and controls. This was used to allocate each man to a benzene exposure level of "low", "medium", or "high". There was no overall excess of deaths from leukaemia when compared with the expectation from national rates. There was also no excess of cytological types of leukaemia which have been shown to be particularly associated with benzene exposure. However, the risk for those men with medium or high exposure relative to the risk for those with low benzene exposure approached a significance (P=0.05) when length of service was taken into account. If there were an increased risk of leukaemia due to benzene exposure, it could have only been one that affected a very small proportion of men within the refinery workforce.
在英国8家炼油厂工作超过25年的男性中,确定了所有在死亡证明上提及白血病的死亡病例。将这些病例的潜在苯暴露情况与从炼油厂全体员工中挑选出的两组对照的暴露情况进行了比较。一组对照在炼油厂和出生年份上进行了匹配,另一组对照在炼油厂、出生年份和服务年限上进行了匹配。工作环境中的苯测量信息不可用,但从炼油厂人员记录中获取了所有病例和对照的工作经历。这被用于将每个人分配到“低”、“中”或“高”的苯暴露水平。与全国发病率预期相比,白血病死亡没有总体超额情况。与苯暴露特别相关的白血病细胞学类型也没有超额情况。然而,考虑到服务年限时,中度或高度暴露男性相对于低苯暴露男性的风险接近显著水平(P = 0.05)。如果苯暴露导致白血病风险增加,那也只会影响炼油厂劳动力中非常小比例的男性。