Miller F D, Reed D M, Banta J
Department of Public Health Sciences, School of Public Health, University of Hawaii, Honolulu 96822.
Hawaii Med J. 1993 Nov;52(11):300-3, 306.
Sugarcane is, after pineapple, the largest agricultural industry in Hawaii. There have been reports that this industry poses certain health hazards. To investigate this possible hazard in Hawaii, the relationship of employment on a sugarcane plantation to total mortality, the development of definite coronary heart disease (CHD), stroke, cancer, lung cancer and certain risk factors were examined in men of Japanese ancestry participating in the Honolulu Heart Program. After 18 years of follow-up, those men who indicated one or more years working on sugarcane plantations had no significant difference in age-adjusted mortality, nor incidence of CHD, stroke, cancer, or lung cancer. There were no differences in risk factors compared to participants who were never employed on sugarcane plantations, nor were there differences in lung function as measured by FEV1. These findings were unchanged after adjusting for several potential confounding variables. No cases of mesothelioma were observed among those with a history of defined exposure. These findings were not due to a "healthy worker bias" and indicate that employment on a sugarcane plantation in Hawaii is not associated with elevated rates of chronic diseases.
甘蔗是继菠萝之后夏威夷最大的农业产业。有报道称该产业存在某些健康危害。为了调查夏威夷这种可能的危害，在参与檀香山心脏项目的日裔男性中，研究了甘蔗种植园就业与总死亡率、确诊冠心病（CHD）、中风、癌症、肺癌及某些风险因素之间的关系。经过18年的随访，那些表示在甘蔗种植园工作过一年或以上的男性，在年龄调整后的死亡率以及冠心病、中风、癌症或肺癌的发病率方面没有显著差异。与从未在甘蔗种植园工作过的参与者相比，风险因素没有差异，通过第一秒用力呼气量（FEV1）测量的肺功能也没有差异。在对几个潜在的混杂变量进行调整后，这些结果没有变化。在有明确接触史的人群中未观察到间皮瘤病例。这些结果并非由于“健康工人偏差”，表明在夏威夷甘蔗种植园工作与慢性病发病率升高无关。
