Milham S
Am J Ind Med. 1996 Dec;30(6):702-4. doi: 10.1002/(SICI)1097-0274(199612)30:6<702::AID-AJIM6>3.0.CO;2-S.
A small cohort of 410 office workers (263 men and 147 women, ever employed) exposed to strong magnetic fields by three 12 kV transformers located beneath their first-floor office developed eight incident cancers over a 15 year exposure period. Only one cancer was ascertained in the 254 workers employed for less than 2 years, compared to seven cancer cases ascertained in the 156 workers employed for 2 years or more (p = 0.0057; Fisher's exact test). An analysis of linear trend of cancer incidence using average years employed as an exposure score was positive (p = 0.00337) with an odds ratio of 15.1 in workers employed over 5 years. A positive trend of cancer cases with duration of employment is seen for males and females separately and together (p < 0.05). For workers employed more than 2 years, the standardized cancer incidence ratio was 389 (95% confidence interval 156-801). Cumulative magnetic field exposure may be of etiologic importance in explaining the cancer incidence pattern in this cohort.
一个由410名办公室职员(263名男性和147名女性,均有工作经历)组成的小队列,他们位于一楼的办公室下方有三台12千伏变压器,使其暴露于强磁场中。在15年的暴露期内,该队列中出现了8例新发癌症。在工作不到2年的254名工人中,仅确诊1例癌症,而在工作2年或更长时间的156名工人中确诊了7例癌症(p = 0.0057;Fisher精确检验)。以平均工作年限作为暴露分数对癌症发病率进行线性趋势分析呈阳性(p = 0.00337),工作超过5年的工人的优势比为15.1。男性和女性单独以及综合来看,癌症病例数随就业时长均呈上升趋势(p < 0.05)。对于工作超过2年的工人,标准化癌症发病率为389(95%置信区间156 - 801)。累积磁场暴露在解释该队列中的癌症发病模式方面可能具有病因学重要性。