Axelson O
Department of Occupational and Environmental Medicine, University Hospital, Linköping, Sweden.
Environ Health Perspect. 1995 Mar;103 Suppl 2(Suppl 2):37-43. doi: 10.1289/ehp.95103s237.
Exposure to radon and its decay products in mines is a well recognized risk of lung cancer in miners. A large number of epidemiologic studies from various countries are quite consistent in this respect even it the magnitude of the risk differs according to exposure levels. Indoor radon became a concern in the 1970s and about a dozen studies have been conducted since 1979, mainly of the case-control design. From first being of a simple pilot character, the designs have become increasingly sophisticated, especially with regard to exposure assessment. Crude exposure estimates based on type of house, building material and geological features have been supplemented or replaced by quite extensive measurements. Still, exposure assessment remains a difficult and uncertain issue in these studies, most of which indicate a lung cancer risk from indoor radon. Also a recent large scale study has confirmed a lung cancer risk from indoor radon. More recently there are also some studies, mainly of the correlation type, suggesting other cancers also to be related to indoor radon, especially leukemia, kidney cancer, and malignant melanoma, and some other cancers as well. The data are less consistent and much more uncertain than for indoor radon and lung cancer, however; and there is no clear support from studies of miners in this respect.
在矿井中接触氡及其衰变产物是矿工患肺癌的一个公认风险。来自各国的大量流行病学研究在这方面相当一致,尽管风险程度因接触水平而异。室内氡在20世纪70年代成为一个受关注的问题,自1979年以来已经进行了大约十几项研究,主要是病例对照研究。从最初简单的试点性质开始,研究设计变得越来越复杂,特别是在接触评估方面。基于房屋类型、建筑材料和地质特征的粗略接触估计已经被相当广泛的测量所补充或取代。然而,在这些研究中,接触评估仍然是一个困难且不确定的问题,其中大多数研究表明室内氡会导致肺癌风险。最近一项大规模研究也证实了室内氡会导致肺癌风险。最近也有一些研究,主要是相关性研究,表明其他癌症也与室内氡有关,特别是白血病、肾癌和恶性黑色素瘤,以及其他一些癌症。然而,与室内氡和肺癌的数据相比,这些数据的一致性较差且不确定性更大;在这方面,矿工的研究没有提供明确的支持。