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职业性暴露于高频(射频和微波)电磁辐射的人群中的癌症发病率。

Cancer morbidity in subjects occupationally exposed to high frequency (radiofrequency and microwave) electromagnetic radiation.

作者信息

Szmigielski S

机构信息

Department of Biological Effect of Non-Ionizing Radiations, Center for Radiobiology and Radiation Safety at the Military Institute of Hygiene and Epidemiology, Warsaw, Poland.

出版信息

Sci Total Environ. 1996 Feb 2;180(1):9-17. doi: 10.1016/0048-9697(95)04915-0.

Abstract

Cancer morbidity was registered in the whole population of military career personnel in Poland during a period of 15 years (1971-1985). Subjects exposed occupationally to radiofrequencies (RF) and microwaves (MW) were selected from the population on the basis of their service records and documented exposures at service posts. The population size varied slightly from year to year with a mean count of about 128,000 persons each year; each year about 3700 of them (2.98%) were considered as occupationally exposed to RF/MW. All subjects (exposed and non-exposed to RF/MW) were divided into age groups (20-29, 30-39, 40-49 and 50-59). All newly registered cases of cancer were divided into 12 types based on localisation of the malignancy; for neoplasms of the haemopoietic system and lymphatic organs an additional analysis based on diagnosis was performed. Morbidity rates (per 100,000 subjects annually) were calculated for all of the above localisations and types of malignancies both for the whole population and for the age groups. The mean value of 15 annual rates during 1971-1985 represented the respective morbidity rate for the whole period. Morbidity rates in the non-exposed groups of personnel were used as 'expected' (E) rates for the exposed subjects, while the real morbidity rates counted in the RF/MW-exposed personnel served as 'observed' (O) rates. This allowed the calculation of the observed/expected ratio (OER) representing the odds ratio for the exposed groups. The cancer morbidity rate for RF/MW-exposed personnel for all age groups (20-59 years) reached 119.1 per 100,000 annually (57.6 in non-exposed) with an OER of 2.07, significant at P < 0.05. The difference between observed and expected values results from higher morbidity rates due to neoplasms of the alimentary tract (OER = 3.19-3.24), brain tumours (OER = 1.91) and malignancies of the haemopoietic system and lymphatic organs (OER = 6.31). Among malignancies of the haemopoietic/lymphatic systems, the largest differences in morbidity rates between exposed and non-exposed personnel were found for chronic myelocytic leukaemia (OER = 13.9), acute myeloblastic leukaemia (OER = 8.62) and non-Hodgkin lymphomas (OER = 5.82).

摘要

在15年期间(1971 - 1985年),对波兰全体军事职业人员的癌症发病率进行了登记。根据他们的服役记录和在服役岗位上记录的暴露情况,从该人群中挑选出职业性暴露于射频(RF)和微波(MW)的受试者。每年的人群规模略有不同,平均每年约有128,000人;每年约有3700人(2.98%)被认为职业性暴露于射频/微波。所有受试者(暴露于和未暴露于射频/微波)被分为年龄组(20 - 29岁、30 - 39岁、40 - 49岁和50 - 59岁)。所有新登记的癌症病例根据恶性肿瘤的部位分为12种类型;对于造血系统和淋巴器官的肿瘤,基于诊断进行了额外分析。计算了全人群以及各年龄组上述所有部位和类型恶性肿瘤的发病率(每年每10万人)。1971 - 1985年期间15年发病率的平均值代表了整个时期各自的发病率。未暴露人员组的发病率用作暴露受试者的“预期”(E)率,而在射频/微波暴露人员中计算的实际发病率用作“观察”(O)率。这使得能够计算代表暴露组优势比的观察/预期比值(OER)。所有年龄组(20 - 59岁)的射频/微波暴露人员的癌症发病率达到每年每10万人119.1例(未暴露者为57.6例),OER为2.07,在P < 0.05时具有显著性。观察值与预期值之间的差异源于消化道肿瘤(OER = 3.19 - 3.24)、脑肿瘤(OER = 1.91)以及造血系统和淋巴器官恶性肿瘤(OER = 6.3)导致的较高发病率。在造血/淋巴系统恶性肿瘤中,暴露人员与未暴露人员发病率差异最大的是慢性粒细胞白血病(OER = 13.9)、急性髓细胞白血病(OER = 8.62)和非霍奇金淋巴瘤(OER = 5.82)。

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