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Occupation and Risk of Lung Cancer in Central and Eastern Europe: The IARC Multi-Center Case-Control Study
Alicja Bardin-Mikolajczak, Jolanta Lissowska, David Zaridze, Neonila Szeszenia-Dabrowska, Peter Rudnai, Eleonora Fabianova, Dana Mates, Marie Navratilova, Vladimir Bencko, Vladimir Janout, Joelle Fevotte, Tony Fletcher, Andrea't Mannetje, Paul Brennan and Paolo Boffetta
Cancer Causes & Control
Vol. 18, No. 6 (Aug., 2007), pp. 645-654
Published by: Springer
Stable URL: http://www.jstor.org/stable/29736667
Page Count: 10
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Objective We sought to evaluate the role of occupation and industry in lung carcinogenesis in six countries in Central and Eastern Europe. Methods This multi-center case-control study included 2,056 male and 576 female lung cancer incidence cases diagnosed from 1998 to 2001 and 2,144 male and 727 female controls frequency-matched for sex and age. Unconditional regression models were applied to calculate the odds ratios after controlling for potential confounders including age (5-year groups), study center (15 centers), and tobacco pack-years. Results Elevated odds ratios (ORs) were found for men employed as production workers (OR 1.45, 95% CI 1.22-1.72), bookkeepers and cashiers (1.81, 1.03-3.24), general farmers (1.67, 1.08-2.60), livestock workers (2.54, 1.09-5.88), miners (2.17, 1.47-3.23), toolmakers and metal patternmakers (2.56, 1.34-4.94), glass formers (2.55, 1.18-5.50), dockworkers, and freight handlers (1.49, 1.04-2.12). Industries with elevated risk among men included mining (1.75, 1.20-2.57), manufacture of cement, lime, or plaster (3.62, 1.11-12.00), casting of metals (2.00, 1.17-3.45), manufacture of electric motors (2.18, 1.24-3.86). For women, elevated ORs were found for medical, dental, veterinary doctors (2.54, 1.01-6.31), librarians and curators (7.03, 1.80-27.80), sewers 3.63 (1.12-10.23). Conclusions This study identifies new areas for further, explanatory analyses, especially in production work, and indicates new possible sources of exposure to cancer risk for women.
Cancer Causes & Control © 2007 Springer