Williams R R, Stegens N L, Goldsmith J R
J Natl Cancer Inst. 1977 Oct;59(4):1147-85. doi: 10.1093/jnci/59.4.1147.
From the Third National Cancer Survey (TNCS) Interview Study of 7,518 incident cases, lifetime histories of occupations and industries were studied for associations with specific cancer sites and types while controlling for age, sex, race, education, use of cigarettes or alcohol, and geographic location. Lung cancer patients were found more often than expected among several categories including trucking, air transportation, wholesaling, painting, building construction, building maintenance, and manufacturing (furniture, transportation equipment, and food products). Controlling for cigarette smoking did not change these associations. Leukemia and multiple myeloma were associated with sales personnel of both sexes, whereas lymphomas and Hodgkin's disease were excessive among women working in the medical industry. Other associations included rectal cancer with several retail industries; prostate cancer with ministers, farmers, plumbers, and coal miners; malignant melanoma with school teachers; and invasive cervical cancer with women working in hotels and restaurants. Breast cancer patients were more common among women who were teachers or other professionals and who worked in business and finance (even after controlling for education). Many other findings are presented in detailed tables. Results are reported mainly as a research resource for use by other investigators doing work in this field. Suggestions are given for future studies.
在对7518例新发病例进行的第三次全国癌症调查(TNCS)访谈研究中,研究了职业和行业的终生经历与特定癌症部位和类型之间的关联,同时控制了年龄、性别、种族、教育程度、吸烟或饮酒情况以及地理位置。在包括货运、航空运输、批发、油漆、建筑施工、建筑维护和制造业(家具、运输设备和食品)等几类职业中,肺癌患者的比例高于预期。控制吸烟情况并未改变这些关联。白血病和多发性骨髓瘤与男女销售人员有关,而淋巴瘤和霍奇金病在医疗行业工作的女性中更为常见。其他关联包括直肠癌与几个零售行业;前列腺癌与牧师、农民、水管工和煤矿工人;恶性黑色素瘤与学校教师;浸润性宫颈癌与在酒店和餐馆工作的女性。乳腺癌患者在教师或其他专业人员以及从事商业和金融工作的女性中更为常见(即使在控制教育程度之后)。详细表格中列出了许多其他研究结果。这些结果主要作为一种研究资源供该领域的其他研究人员使用。同时给出了对未来研究的建议。