Workplace Diesel Exhausts and Gasoline Exposure and Risk of Colorectal Cancer in Four Nordic Countries

Autor: Kristina Kjærheim, Jan Ivar Martinsen, Jorma Sormunen, Per Sparen, Madar Talibov, Elisabete Weiderpass, Laufey Tryggvadottir, Eero Pukkala, Johnni Hansen
Přispěvatelé: Yhteiskuntatieteiden tiedekunta - Faculty of Social Sciences, Tampere University, Læknadeild (HÍ), Faculty of Medicine (UI), Heilbrigðisvísindasvið (HÍ), School of Health Sciences (UI), Háskóli Íslands, University of Iceland, Department of Medical and Clinical Genetics, Faculty of Medicine, University of Helsinki
Rok vydání: 2019
Předmět:
Diesel exhaust
Occupational cancer
Kansanterveystiede
ympäristö ja työterveys - Public health care science
environmental and occupational health

Case–control study
Colorectal cancer
Vinnustaðir
complex mixtures
OCCUPATIONAL-CANCER
RATS
Odds
03 medical and health sciences
Diesel fuel
0302 clinical medicine
COLON
Syöpätaudit - Cancers
Environmental health
medicine
COHORT
030212 general & internal medicine
Workplace
Safety
Risk
Reliability and Quality

RECTAL-CANCER
WORK
Chemical Health and Safety
Ristilkrabbamein
VDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin
sosialmedisin: 801

business.industry
lcsh:Public aspects of medicine
Public Health
Environmental and Occupational Health

Case-control study
lcsh:RA1-1270
medicine.disease
030210 environmental & occupational health
3142 Public health care science
environmental and occupational health

Olíumengun
Confidence interval
3. Good health
13. Climate action
Cohort
Original Article
HEALTH
VDP::Medical disciplines: 700::Health sciences: 800::Community medicine
Social medicine: 801

business
human activities
Safety Research
Gasoline
Zdroj: Safety and Health at Work, Vol 10, Iss 2, Pp 141-150 (2019)
ISSN: 2093-7911
Popis: Publisher's version (útgefin grein)
Background: Evidence on associations between occupational diesel exhaust and gasoline exposure and colorectal cancer is limited. We aimed to assess the effect of workplace exposure to diesel exhaust and gasoline on the risk of colorectal cancer. Methods: This case–control study included 181,709 colon cancer and 109,227 rectal cancer cases diagnosed between 1961 and 2005 in Finland, Iceland, Norway, and Sweden. Cases and controls were identified from the Nordic Occupational Cancer Study cohort and matched for country, birth year, and sex. Diesel exhaust and gasoline exposure values were assigned by country-specific job-exposure matrices. Odds ratios and 95% confidence intervals were calculated by using conditional logistic regression models. The results were adjusted for physical strain at work and occupational exposure to benzene, formaldehyde, ionizing radiation, chlorinated hydrocarbons, chromium, and wood dust. Results: Diesel exhaust exposure was associated with a small increase in the risk of rectal cancer (odds ratio = 1.05, 95% confidence interval 1.02-1.08). Gasoline exposure was not associated with colorectal cancer risk. Conclusion: This study showed a small risk increase for rectal cancer after workplace diesel exhaust exposure. However, this finding could be due to chance, given the limitations of the study.
The authors thank the Nordic Occupational Cancer Studies (NOCCA) project members for the development of NOCCA cohort data and job-exposure matrix.
Databáze: OpenAIRE