Brain and Central Nervous System Cancer and Benign Brain Tumors Among Chemical Plant Workers in Texas

S. Haidar, C. Burns, Kay Birdsong, K. Bodner, Eugenio Salazar, J. Collins
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引用次数: 2

Abstract

In the early 1980's, a clustering of brain and central nervous system cancers was observed among workers at a Texas City, Texas chemical plant. A series of studies with follow-up from 1941 to 1983 failed to identify an occupational cause. We added women and newly hired workers to these studies and expanded the follow-up from 1940 to 2001 using a retrospective cohort mortality design. The SMR for brain and central nervous system cancers was slightly less than ex- pected (SMR=0.93, 95% CI 0.60-1.38) whereas the SMR for benign brain tumors was slightly greater than expected (SMR=1.50, 95% CI 0.72-2.76) during the entire observation period. SMRs were close to expected levels when examin- ing sex, wage type, year of hire, years of latency, and duration of employment for these causes. We observed high rates of brain and central nervous system cancers from 1970 to 1984 but lower rates in the other periods. We conclude that the ex- cess cancer and tumor mortality reported in the earlier studies may be a random cluster and unrelated to workplace expo- sures.
德克萨斯州化工厂工人的脑部和中枢神经系统癌症和良性脑肿瘤
在20世纪80年代早期,在德克萨斯州德克萨斯市一家化工厂的工人中观察到大脑和中枢神经系统癌症的聚集。从1941年到1983年的一系列后续研究未能确定职业原因。我们在这些研究中加入了女性和新雇佣的工人,并使用回顾性队列死亡率设计扩大了从1940年到2001年的随访。在整个观察期内,脑和中枢神经系统癌症的SMR略低于预期(SMR=0.93, 95% CI 0.60-1.38),而良性脑肿瘤的SMR略高于预期(SMR=1.50, 95% CI 0.72-2.76)。当检查这些原因的性别、工资类型、雇佣年份、延迟年份和雇佣持续时间时,smr接近预期水平。我们观察到1970年到1984年间脑部和中枢神经系统癌症的发病率很高,但其他时期的发病率较低。我们的结论是,早期研究中报告的癌症和肿瘤死亡率可能是随机集群,与工作场所无关。
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