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农业科研机构中脑肿瘤及其他恶性肿瘤的调查。

An investigation of brain tumours and other malignancies in an agricultural research institute.

作者信息

Daly L, Herity B, Bourke G J

机构信息

Department of Public Health Medicine and Epidemiology, University College Dublin, Ireland.

出版信息

Occup Environ Med. 1994 May;51(5):295-8. doi: 10.1136/oem.51.5.295.

Abstract

A historical cohort study was carried out in an agricultural research institute in the Republic of Ireland to investigate a perceived excess of cancer deaths among employees. The objectives of the study were (a) to confirm whether or not total or cause specific death rates among selected employees were higher than expected based on national figures, and to quantify any excess, and (b) to identify centres and employee grades associated with any excess risk. The cohort comprised all administrative, research, and technical staff employed for at least two years between 1960 and 1980, giving a final total for analysis of 1323 employees. Employment history was categorised by place of work and employment grade. Deaths among the cohort were identified and causes of deaths verified. Overall the cohort had a lower than expected mortality compared with national rates (O/E = 0.67). Female deaths were too few for analysis but, among the male employees, there was an excess of all cancers (O/E = 1.24; 95% confidence interval (95% CI) 0.8-1.9), in particular brain cancer (O/E = 4.69; 95% CI 1.2-11.4) and bladder cancer (O/E = 9.31, 95% CI 1.9-27.2). The pattern of brain tumour deaths was consistent with an occupational aetiology but it was not possible to identify specific exposures associated with the excess. All four cases occurred among research workers in the plant and soil science area. The pattern of bladder cancers was difficult to interpret. The authors are at present participating in a multicentre study to further investigate cancer risk in laboratory workers.

摘要

在爱尔兰共和国的一个农业研究机构开展了一项历史性队列研究,以调查员工中被认为过高的癌症死亡人数。该研究的目的是:(a)确认选定员工的总死亡率或特定病因死亡率是否高于基于全国数据的预期,并对任何超额部分进行量化;(b)确定与任何超额风险相关的中心和员工级别。该队列包括1960年至1980年期间受雇至少两年的所有行政、研究和技术人员,最终用于分析的共有1323名员工。就业历史按工作地点和就业级别进行分类。确定了队列中的死亡情况并核实了死亡原因。总体而言,与全国死亡率相比,该队列的死亡率低于预期(观察值/预期值=0.67)。女性死亡人数过少无法进行分析,但在男性员工中,所有癌症的死亡率都过高(观察值/预期值=1.24;95%置信区间(95%CI)0.8-1.9),尤其是脑癌(观察值/预期值=4.69;95%CI 1.2-11.4)和膀胱癌(观察值/预期值=9.31,95%CI 1.9-27.2)。脑肿瘤死亡模式与职业病因一致,但无法确定与超额死亡率相关的具体暴露因素。所有4例均发生在植物和土壤科学领域的研究人员中。膀胱癌的模式难以解释。作者目前正在参与一项多中心研究,以进一步调查实验室工作人员的癌症风险。

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