Occupational exposure to chemicals and risk of thyroid cancer in Sweden

Internationales Archiv für Arbeitsmedizin - Tập 82 - Trang 267-274 - 2008
Virginia Lope1,2, Beatriz Pérez-Gómez1,2, Nuria Aragonés1,2, Gonzalo López-Abente1,2, Per Gustavsson3,4, Nils Plato3,4, Agustín Silva-Mato5, Marina Pollán1,2
1CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
2Cancer and Environmental Epidemiology Area, National Center for Epidemiology, Carlos III Institute of Health, Madrid, Spain
3Department of Occupational and Environmental Health, Stockholm Centre for Public Health, Stockholm, Sweden
4Division of Occupational Health, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden
5Department of Health and Medical-Social Sciences, Faculty of Medicine, Alcalá University, Madrid, Spain

Tóm tắt

To explore thyroid cancer (TC) risk in the Swedish population, associated with occupational exposure to certain chemicals. National cancer and death registries were used to follow-up (1971–1989) all Swedish workers employed in the 1970 census. Each combination of occupation and industry was linked to a Swedish job-exposure matrix (JEM), with exposure to 13 chemicals classified as “possible exposure”, “probable exposure” or “unexposed”. Relative risks were obtained using Poisson models adjusted for age, period and geographical area. A second analysis was performed, in which adjustment was additionally made for simultaneous exposure to other matrix chemicals and ionising radiations. Probable exposure to solvents among women displayed an increased risk (RR = 1.91; 95%CI:1.05–3.45), mainly due to a higher risk observed among shoe-cutters, lasters and sewers engaged in shoe-making. Exposure to solvents, used mainly in the shoe and leather industry, seems to be associated with excess TC among women.

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