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丹麦公用事业工人的癌症风险——一项全国性队列研究。

Risk of cancer among Danish utility workers--a nationwide cohort study.

作者信息

Johansen C, Olsen J H

机构信息

Danish Cancer Society, Division for Cancer Epidemiology, Copenhagen.

出版信息

Am J Epidemiol. 1998 Mar 15;147(6):548-55. doi: 10.1093/oxfordjournals.aje.a009486.

Abstract

The authors report the incidence of cancer in a large cohort of employees identified from all 99 Danish utility companies. Personal data and information on employment and exposure to magnetic fields and asbestos were obtained from manual files at the companies, the Danish Supplementary Pension Fund, and the public payroll administration. A total of 32,006 individuals with more than 3 months of employment were linked with the files of the Danish Cancer Registry. The period of follow-up for cancer occurrence among the employees was from April 1968 through December 1993 in the study conducted from 1994 to 1997. Overall, 3,008 cancers were observed, with 2,825 expected, yielding a small but significantly increased risk of 1.06 (95% confidence interval 1.03-1.10) among the utility workers in comparison with the general population. No excess was observed for all leukemias or for cancers of the brain or breast among men or women. There was no association of electromagnetic field exposure with risk of these cancers, even when the level and length of exposure to magnetic fields were taken into account. Increased risks for cancers of the lung and pleural cavity were seen mainly for workers whose jobs involved exposure to asbestos. The results from this study do not support the hypothesis of an association between occupational exposures to magnetic fields in the electric utility industry and the risk for cancer.

摘要

作者报告了从丹麦所有99家公用事业公司中确定的一大群员工的癌症发病率。个人数据以及就业、磁场暴露和石棉暴露信息来自各公司、丹麦补充养老基金和公共工资管理部门的手工档案。共有32006名工作超过3个月的个人与丹麦癌症登记处的档案建立了关联。在1994年至1997年进行的这项研究中,员工中癌症发生情况的随访期为1968年4月至1993年12月。总体而言,观察到3008例癌症,预期为2825例,与普通人群相比,公用事业工人的风险略有增加但显著增加,风险比为1.06(95%置信区间1.03 - 1.10)。在男性或女性中,所有白血病、脑癌或乳腺癌均未观察到超额发病情况。即使考虑了磁场暴露的水平和时长,电磁场暴露与这些癌症的风险也没有关联。肺癌和胸膜腔癌风险增加主要见于工作中接触石棉且涉石棉暴露的工人。本研究结果不支持电力行业职业性磁场暴露与癌症风险之间存在关联的假设。

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