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职业接触1,2 - 二溴 - 3 - 氯丙烷(DBCP)员工死亡率经验的更新。

Update of the mortality experience of employees with occupational exposure to 1,2-dibromo-3-chloropropane (DBCP).

作者信息

Olsen G W, Bodner K M, Stafford B A, Cartmill J B, Gondek M R

机构信息

Department of Epidemiology, Dow Chemical Co., Midland, MI 48674, USA.

出版信息

Am J Ind Med. 1995 Sep;28(3):399-410. doi: 10.1002/ajim.4700280309.

Abstract

DBCP (1,2-dibromo-3-chloropropane), a nematocide, was used in the United States from the mid-1950s until 1977. The U.S. Environmental Protection Agency (EPA) restricted and eventually banned its use after the 1977 discovery of DBCP-induced sterility in production workers. The present study is an update of the mortality (1957-1989) experience of a cohort of 548 male employees who had potential for exposure in the production and formulation of DBCP. While adjusting for age, calendar-year, and pay status of all other Midland-area Dow Chemical male employees, there were 68 total observed deaths in the cohort compared to 72.1 expected (Mantel Haenszel Relative Risk 0.9, 95% Confidence Interval 0.7-1.2) and 19 deaths from all malignancies compared to 19.0 expected (RR 1.0, 95% CI 0.6-1.6). Of the a priori anatomic cancer sites of interest, there were no deaths from stomach, liver, kidney, testes, or nasal cavity cancers. Altogether, there were 7 deaths from lung cancer compared to 6.6 expected (RR 1.1, 95% CI 0.5-2.3). Among the 81 employees with exposure categorized as direct for 1 or more years, there were 3 observed lung cancer deaths compared to 0.9 expected (RR 3.3, 95% CI 1.1-9.6). Smoking was a confounding factor in the interpretation of this observation. Although the present analysis nearly doubled the number of person-years from the original study, the conclusions remain limited by the cohort's size and duration of follow-up.

摘要

二溴氯丙烷(DBCP)是一种杀线虫剂,20世纪50年代中期至1977年期间在美国使用。1977年生产工人中发现DBCP导致不育后,美国环境保护局(EPA)对其使用进行了限制并最终禁止。本研究是对一组548名男性员工(他们有可能在DBCP的生产和配制过程中接触该物质)1957年至1989年死亡率情况的更新。在对米德兰地区陶氏化学公司所有其他男性员工的年龄、日历年份和薪资状况进行调整后,该队列中共有68例观察到的死亡病例,而预期死亡数为72.1例(曼特尔-亨塞尔相对风险0.9,95%置信区间0.7 - 1.2);所有恶性肿瘤导致的死亡有19例,预期死亡数为19.0例(相对风险1.0,95%置信区间0.6 - 1.6)。在预先设定的感兴趣的解剖学癌症部位中,没有因胃癌、肝癌、肾癌、睾丸癌或鼻腔癌死亡的病例。总的来说,肺癌导致7例死亡,预期死亡数为6.6例(相对风险1.1,95%置信区间0.5 - 2.3)。在81名被归类为直接接触1年或1年以上的员工中,观察到3例肺癌死亡病例,预期死亡数为0.9例(相对风险3.3,95%置信区间1.1 - 9.6)。吸烟是解释这一观察结果时的一个混杂因素。尽管目前的分析使原始研究中的人年数几乎增加了一倍,但结论仍受队列规模和随访时间的限制。

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