London S J, Bowman J D, Sobel E, Thomas D C, Garabrant D H, Pearce N, Bernstein L, Peters J M
Department of Preventive Medicine, University of Southern California School of Medicine, Los Angeles 90033.
Am J Ind Med. 1994 Jul;26(1):47-60. doi: 10.1002/ajim.4700260105.
To address the hypotheses that electrical workers are exposed to higher magnetic fields and are at higher risk of leukemia than nonelectrical workers, we performed a registry-based case-control study among men aged 20-64 years with known occupation who were diagnosed with cancer in Los Angeles County between 1972 and 1990. Controls were men with cancers other than those of the central nervous system or leukemia. Magnetic field measurements on workers in each electrical occupation and in a random sample of occupations presumed to be nonelectrical were used to estimate magnetic field exposures for each occupation. Among men in electrical occupations, 121 leukemias were diagnosed. With the exception of electrical engineers, magnetic field exposures were higher among workers in electrical occupations than in nonelectrical occupations. A weakly positive trend in leukemia risk across average occupational magnetic field exposure was observed (odds ratio [OR] per 10 milligauss increase in average magnetic field = 1.2, 95% confidence interval [CI] 1.0-1.5). A slightly stronger association was observed for chronic myloid leukemia, although only 28 cases occurred among electrical workers (OR 10 milligauss increase = 1.6, 95% CI = 1.2-2.0). The results were not materially altered by adjustment for exposure to several agents known or suspected to cause leukemia. Although not conclusive, these results are consistent with findings from studies based on job title alone that electrical workers may be at slightly increased risk of leukemia.
电气工人比非电气工人暴露于更强的磁场中,患白血病的风险更高,我们在1972年至1990年间于洛杉矶县被诊断患有癌症的年龄段在20 - 64岁且职业已知的男性中开展了一项基于登记处的病例对照研究。对照组为患有除中枢神经系统癌症或白血病以外其他癌症的男性。对每个电气职业的工人以及假定为非电气职业的随机抽样职业的工人进行磁场测量,以估计每个职业的磁场暴露情况。在从事电气职业的男性中,有121例被诊断为白血病。除电气工程师外,电气职业的工人比非电气职业的工人磁场暴露更高。观察到白血病风险随平均职业磁场暴露呈微弱的正相关趋势(平均磁场每增加10毫高斯的比值比[OR] = 1.2,95%置信区间[CI]为1.0 - 1.5)。对于慢性粒细胞白血病观察到稍强的关联,尽管电气工人中仅出现28例(平均磁场增加10毫高斯的OR = 1.6,95% CI = 1.2 - 2.0)。对已知或疑似导致白血病的几种因素的暴露进行调整后,结果没有实质性改变。尽管并非结论性的,但这些结果与仅基于职位名称的研究结果一致,即电气工人患白血病的风险可能略有增加。