丹麦职业接触电磁场者的癌症发病率。

P Guénel, P Raskmark, J B Andersen, E Lynge
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引用次数: 118

摘要

几项研究表明,电气行业的工作与癌症风险增加有关,主要是白血病和脑肿瘤。然而,如果存在主要报道阳性结果的发表偏倚,这些研究可能不具有代表性。为了研究一个未选择的人群,对1970年年龄在20-64岁的280万丹麦人进行了为期17年(1970-87年)的癌症发病率随访。1970年,每个人都按照他或她的行业和职业分类。在对癌症发病率数据进行制表之前,每个行业职业组对高于0.3微t阈值的磁场的潜在暴露进行了编码。约15.4万名男性被认为是间歇性暴露,1.8万名男性被认为是持续暴露。女性分别为7.9万和4000人。间歇性暴露与白血病、脑肿瘤或黑色素瘤的风险增加无关。然而,持续接触的男性患白血病的风险过高(观察值(obs) 39,预期值(exp) 23.80, obs/exp 1.64, 95% CI 1.20-2.24),急性白血病和其他白血病的贡献相同。这些人没有患脑瘤或黑色素瘤的额外风险。研究表明,受辐射的男性有患乳腺癌的风险,但女性没有。持续暴露人群白血病风险主要集中在安装工程电工和铸铁工人。除电磁场外,其他暴露也应视为可能的致病因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Incidence of cancer in persons with occupational exposure to electromagnetic fields in Denmark.

Several studies suggest that work in electrical occupations is associated with an increased risk of cancer, mainly leukaemia and brain tumours. These studies may, however, not be representative if there is a publication bias where mainly positive results are reported. To study an unselected population the incidence of cancer was followed up over a 17 year period (1970-87) in a cohort of 2.8 million Danes aged 20-64 years in 1970. Each person was classified by his or her industry and occupation in 1970. Before tabulation of the data on incidence of cancer, each industry-occupation group was coded for potential exposure to magnetic fields above the threshold 0.3 microT. Some 154,000 men were considered intermittently exposed and 18,000 continuously exposed. The numbers for women were 79,000 and 4000 respectively. Intermittent exposure was not associated with an increased risk of leukaemia, brain tumours, or melanoma. Men with continuous exposure, however, had an excess risk of leukaemia (observed (obs) 39, expected (exp) 23.80, obs/exp 1.64, 95% CI 1.20-2.24) with equal contributions from acute and other leukaemias. These men had no excess risk of brain tumours or melanoma. A risk for breast cancer was suggested in exposed men but not in women. The risk for leukaemia in continuously exposed men was mainly in electricians in installation works and iron foundry workers. Besides electromagnetic fields other exposures should be considered as possible aetiological agents.

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