Hayes R B, Dosemeci M, Riscigno M, Blair A
Environmental Epidemiology Branch, National Cancer Institute, Bethesda, MD 20892.
Am J Ind Med. 1993 Dec;24(6):743-51. doi: 10.1002/ajim.4700240611.
Mortality was investigated for the years 1950-1980 for 1,009 male members of a New York jewelry workers union, and for the years 1984-1989 among 919 men and 605 women identified as jewelry workers on death certificates from 24 states. Malignant neoplasms were excessive for male union members (proportional mortality ratio [PMR] = 1.17; 95% confidence interval [CI]: 1.02-1.33) and female jeweler deaths from the 24 states (PMR = 1.24; 95% CI: 1.07-1.42). Deaths due to nonmalignant causes were not unusual, except for excesses, in union males, of the circulatory system (PMR = 1.10; 95% CI: 1.02-1.19), including arteriosclerotic heart disease (PMR = 1.25; 95% CI: 1.14-1.37) and rheumatic heart disease (PMR = 3.02; 95% CI: 1.94-4.50). Cancers of the digestive tract were proportionally elevated among union males (proportional cancer mortality rate [PMR] = 1.13; 95% CI: 0.89-1.41) and among deaths from the 24 states (PCMR = 1.22; 95% CI: 1.01-1.47). For the 24 states, excesses for digestive cancer were found for both males (PCMR = 1.19; 95% CI: 0.90-1.54) and females (PCMR = 1.26; 95% CI: 0.96-1.62). Regarding specific sites in the digestive tract, colon cancer excesses were found in union males (PCMR = 1.53: 95% CI: 1.05-2.15), and for men (PCMR = 1.27; 95% CI: 0.82-1.88) and women (PCMR = 1.36; 95% CI: 0.92-3.27) in 24 states.(ABSTRACT TRUNCATED AT 250 WORDS)
对纽约珠宝工人工会的1009名男性成员在1950年至1980年期间的死亡率进行了调查,并对来自24个州的死亡证明上被认定为珠宝工人的919名男性和605名女性在1984年至1989年期间的死亡率进行了调查。男性工会成员的恶性肿瘤死亡率过高(比例死亡率[PMR]=1.17;95%置信区间[CI]:1.02 - 1.33),24个州的女性珠宝工人死亡情况也是如此(PMR = 1.24;95% CI:1.07 - 1.42)。非恶性原因导致的死亡并无异常,但工会男性中循环系统疾病死亡人数过多(PMR = 1.10;95% CI:1.02 - 1.19),包括动脉硬化性心脏病(PMR = 1.25;95% CI:1.14 - 1.37)和风湿性心脏病(PMR = 3.02;95% CI:1.94 - 4.50)。工会男性(比例癌症死亡率[PMR]=1.13;95% CI:0.89 - 1.41)以及24个州的死亡案例中(PCMR = 1.22;95% CI:1.01 - 1.47),消化道癌症比例有所升高。对于24个州而言,男性(PCMR = 1.19;95% CI:0.90 - 1.54)和女性(PCMR = 1.26;95% CI:0.96 - 1.62)的消化道癌症死亡人数均过多。关于消化道的特定部位,工会男性中结肠癌死亡人数过多(PCMR = 1.53:95% CI:1.05 - 2.15),24个州的男性(PCMR = 1.27;95% CI:0.82 - 1.88)和女性(PCMR = 1.36;95% CI:0.92 - 3.27)也是如此。(摘要截选至250词)