Pollán M, López-Abente G
Cancer Epidemiology Unit, Carlos III Institute of Health, Madrid, Spain.
Cancer Detect Prev. 1995;19(3):250-7.
A case-control study was carried out among male residents in Madrid from 1982 through 1985 to ascertain occupational risk for laryngeal cancer. The study covered 50 histologically confirmed cases, 43 hospital, and 46 population controls. Occupational history and lifetime consumption patterns for cigarettes and alcohol were obtained by interview. Risk estimates, adjusted for tobacco and alcohol consumption, were calculated using nonconditional logistic regression. The highest odds ratio (OR) corresponded to woodworkers. For them, the risk increased with duration of exposure and decreased with the number of years elapsed since leaving it. The OR for woodworkers exposed over 20 years was 5.63, 95% confidence interval (CI) 1.15 to 26.64, being even greater in the furniture workers subgroup, OR 6.67 (95% CI 1.05 to 42.57). Other occupational categories with high OR were transport drivers (OR 3.31, 95% CI 0.98 to 11.22) and bricklayers and masons (OR 2.31, 95% CI 0.85 to 6.33). Wood dust or chemical compounds used in the treatment of the wood could underlie the strongest association found.
1982年至1985年期间,在马德里的男性居民中开展了一项病例对照研究,以确定喉癌的职业风险。该研究涵盖了50例经组织学确诊的病例、43例医院对照和46例人群对照。通过访谈获取职业史以及香烟和酒精的终生消费模式。使用非条件逻辑回归计算了针对烟草和酒精消费进行调整后的风险估计值。最高的比值比(OR)对应木工。对他们而言,风险随着接触时长增加而上升,随着离开该职业后所经历的年数增加而下降。接触超过20年的木工的OR为5.63,95%置信区间(CI)为1.15至26.64,在家具工人亚组中甚至更高,OR为6.67(95%CI为1.05至42.57)。其他具有高OR的职业类别包括运输司机(OR为3.31,95%CI为0.98至11.22)以及瓦工和石匠(OR为2.31,95%CI为0.85至6.33)。木材粉尘或用于木材处理的化学化合物可能是所发现的最强关联的潜在原因。