The role of modifiable risk factors in incident cancer in transport, rescue, and security industries.

Autor: Herttua K; Center of Maritime Health and Society, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark. Electronic address: kherttua@health.sdu.dk., Thapa S; Research Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark., Ahrenfeldt LJ; Unit for Epidemiology, Biostatistics and Biodemography, Department of Public Health, University of Southern Denmark, Odense, Denmark., Paljarvi T; Niuvanniemi Hospital, Kuopio, Finland.
Jazyk: angličtina
Zdroj: Annals of epidemiology [Ann Epidemiol] 2023 Jul; Vol. 83, pp. 71-77.e1. Date of Electronic Publication: 2023 Apr 25.
DOI: 10.1016/j.annepidem.2023.04.013
Abstrakt: Purpose: Examine the risk for site-specific incident cancer across representative transport, rescue, and security industries.
Methods: This Danish nationwide register-based study included all 302,789 workers from transport, rescue and security industries in 2001-2015 and 2,230,877 individuals aged 18-64 years from a total sample of the economically active population for comparison. We used Cox models to estimate the hazard ratios (HRs) of incident cancers. We categorized site-specific cancers by using population-attributable fraction (PAF) estimates from the previous literature.
Results: During an average follow-up of 13.4 years, 22,116 incident cancer cases were recorded in these industries. Compared with the reference population, the age-adjusted cancer incidence with a high PAF was higher among men in seafaring (HR 1.28; 95% CI 1.14-1.43), and land transport (HR 1.32; 95% CI: 1.26-1.37), and among women in seafaring (HR 1.26; 95% CI: 1.01-1.57), land transport (HR 1.21; 95% CI: 1.12-1.32), aviation (HR 1.22; 95% CI: 1.05-1.41), and police force (HR 1.21; 95% CI: 1.04-1.40). Overall, tobacco and physical inactivity were the most significant risk factors of cancer.
Conclusions: Regardless of considerable disparities in incident cancer attributable to modifiable risk factors across industries, the total incident cancer rate was elevated in all industries in both sexes.
Competing Interests: Declaration of Competing Interest The authors declare no competing interests.
(Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: