Aupérin A, Benhamou S, Ory-Paoletti C, Flamant R
Unité de Recherches en Epidémiologie des Cancers (Inserm U351), Villejuif, France.
Occup Environ Med. 1994 Jun;51(6):426-8. doi: 10.1136/oem.51.6.426.
A case-control study of 196 histologically proved cases of renal cell carcinoma and 347 controls matched for age at interview, sex, hospital, and interviewer was conducted in France between 1987 and 1991. A complete occupational history was recorded for each patient and occupations were coded blindly according to the International Standard Classification of Occupations. In women, none of the risks were significant. Among men, after adjustment for the educational level, cigarette smoking, and Quetelet index before diagnosis, significantly increased matched odds ratios (ORs) were found for sales workers (OR = 2.1, 95% confidence interval (95% CI) 1.2-4.0), managers (OR = 3.3, 95% CI 1.2-8.9), and textile workers and tailors (OR = 6.2, 95% CI 1.1-33.7). For this last occupational group, an increase in risk was found with an increased duration of exposure.
1987年至1991年间,在法国开展了一项病例对照研究,研究对象为196例经组织学证实的肾细胞癌病例以及347名对照者,这些对照者在访谈时的年龄、性别、医院和访谈者方面与病例进行了匹配。为每位患者记录了完整的职业史,并根据《国际职业分类标准》对职业进行了盲法编码。在女性中,没有发现任何风险具有统计学意义。在男性中,在对诊断前的教育水平、吸烟情况和体重指数进行调整后,发现销售人员(比值比=2.1,95%置信区间为1.2至4.0)、管理人员(比值比=3.3,95%置信区间为1.2至8.9)以及纺织工人和裁缝(比值比=6.2,95%置信区间为1.1至33.7)的匹配比值比显著升高。对于最后一个职业群体,发现随着暴露时间的增加,风险也会增加。