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李克, 俞顺章. 橡胶职业暴露与肠癌和胰腺癌关系的病例-队列研究[J]. 中国公共卫生, 1998, 14(6): 330-332.
引用本文: 李克, 俞顺章. 橡胶职业暴露与肠癌和胰腺癌关系的病例-队列研究[J]. 中国公共卫生, 1998, 14(6): 330-332.
Li Ke, . Case-Cohort Study of the Occupational Exposure to Rubber Association with Intestinal and Pancreative Cancer[J]. Chinese Journal of Public Health, 1998, 14(6): 330-332.
Citation: Li Ke, . Case-Cohort Study of the Occupational Exposure to Rubber Association with Intestinal and Pancreative Cancer[J]. Chinese Journal of Public Health, 1998, 14(6): 330-332.

橡胶职业暴露与肠癌和胰腺癌关系的病例-队列研究

Case-Cohort Study of the Occupational Exposure to Rubber Association with Intestinal and Pancreative Cancer

  • 摘要: 对上海某橡胶厂轮胎和胶鞋制造工人进行了23年(1973~1995年)的随访调查。应用病例-队列方法,对橡胶职业暴露与肠癌和胰腺癌之间的关系进行了研究。准似然多因素分析表明,除内胎工种外,其它五类工种的肠癌相对危险度均升高,胶鞋和机修工种尤为明显,这种作用独立于与肠癌可能的非职业危险因素,如年龄、性别、饮茶、吸烟、饮酒、经济状况等。认为橡胶化合物中的亚硝胺(RR=2.43,95%CI=0.65~9.12)和碳黑(RR=2.30,95%CI=0.64~8.26)暴露可能与肠癌有关。与胰腺癌有关的橡胶化合物可能是溶剂(RR=3.84,95%CI=0.46~32.20)和亚硝胺(RR=2.71,95%CI=0.62~11.91)。结论认为,虽然本次研究的病例数较少,与职业相关变量的相对危险度增高未有统计学显著性,但所揭示的橡胶职业与这两种疾病的关系值得注意和进一步研究。

     

    Abstract: A cohort of 1598 employees(934men,664women)in a rubber factory in Shanghai have been followed up from 1973 to 1995 and their 23 years mortality experience is presented.We found elevated RR for the five working groups of rubber footwear,maintenance milling,vuring and building under controlling non-occupational factors.These data suggest that the occupational exposures to nitrosoamine(RR=2.43,95% CI=0.65~9.12)and carbon blacks(RR=2.30,95% CI=0.64~8.26)were the likely causal agent of the intestinal cacer excess observed among workers in the rubber factory under study.Also,the occupational exposures to solvent(RR=3.84,95% CI=0.46~32.20)and nitrosoamine(RR=2.71,95% CI=0.62~11.91)were the likely causal agent of the pancreatic cancer.

     

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