Whiteman D, Green A
Epidemiology and Population Health Unit, Queensland Institute of Medical Research, PO Royal Brisbane Hospital, Australia.
Melanoma Res. 1998 Feb;8(1):63-6. doi: 10.1097/00008390-199802000-00011.
A population-based case-control study was undertaken to determine whether cutaneous melanoma is associated with past military service in tropical locations. The participants were 150 male residents of southern Queensland aged 50 or over with a first diagnosis of cutaneous melanoma notified to the Queensland Cancer Registry between 1 July 1993 and 30 June 1994; 150 age-matched controls were randomly selected from the Queensland electoral roll. Data were collected from participants using a structured questionnaire. Overall, 82 (55%) cases and 80 (53%) controls reported a period of military service. Of these, 42% of both cases and controls spent part of their military service in tropical locations, with little difference in the distribution of duration of tropical service between the two groups. Compared with those who had no tropical military service, the risk of melanoma among those who had served more than 3 years in the tropics was 0.9 (0.3-2.7). Against a background level of very high risk of melanoma among Queensland men, there was no evidence that tropical military service materially increased the risk.
开展了一项基于人群的病例对照研究，以确定皮肤黑色素瘤是否与过去在热带地区的服役经历有关。研究对象为昆士兰州南部150名年龄在50岁及以上的男性居民，他们于1993年7月1日至1994年6月30日期间首次被确诊为皮肤黑色素瘤并上报至昆士兰癌症登记处；另外从昆士兰选民名单中随机选取了150名年龄匹配的对照。通过结构化问卷从研究对象处收集数据。总体而言，82例（55%）病例和80名（53%）对照报告有过服役经历。其中，病例组和对照组均有42%的人在热带地区服过役，两组在热带服役时长的分布上差异不大。与没有在热带地区服役的人相比，在热带地区服役超过3年的人患黑色素瘤的风险为0.9（0.3 - 2.7）。在昆士兰州男性黑色素瘤风险非常高的背景下，没有证据表明在热带地区服役会实质性增加风险。
