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首页> 外文期刊>Occupational and environmental medicine >Cancer at sea: a case-control study among male Finnish seafarers.
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Cancer at sea: a case-control study among male Finnish seafarers.

机译：海上癌症：芬兰男性海员的病例对照研究。

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AIMS: To study the possible work related reasons for the increased incidence of many cancers among seafarers. METHODS: A case-control study, nested in a cohort of all male seafarers (n = 30 940) who, according to the files of the Seamen's Pension Fund, had worked on board Finnish ships for any time during the period 1960-80. Cases of cancer of the lung, nervous system, kidney, and pancreas, leukaemia, lymphoma, and all cases histologically defined as mesotheliomas were identified from the Finnish Cancer Registry in 1967-92. The preceding numbers of years at sea in various occupational categories were collected according to the type of ship (dry cargo ship, tanker, passenger vessel, icebreaker, other vessel). RESULTS: The incidence for lung cancer among engine crew increased with the increase in employment time, the odds ratio (OR) after three years being 1.68 (95% CI 1.17 to 2.41). The OR of lung cancer for deck officers was 0.42 (95% CI 0.29 to 0.61). Deck personnel on icebreakers had a significantly increased risk of lung cancer >/=20 years after first employment (OR 3.41, 95% CI 1.23 to 9.49). The OR for mesothelioma among engine crew with a latency of 20 years was 9.75 (95% CI 1.88 to 50.6). The OR for renal cancer among deck officers after three years employment was 2.15 (95% CI 1.14 to 4.08), but there was no increase by employment time or by latency. A rise of OR for lymphoma was detected among deck personnel on tankers, if the employment had lasted over three years (OR 2.78, 95% CI 0.98 to 7.92). The risk pattern for leukaemia was similar to that of lymphoma, the OR among deck personnel on tankers varying from 2.26 (95% CI 1.01 to 5.06) to 6.86 (95% CI 1.62 to 28.8) depending on the length of employment. CONCLUSIONS: Results indicate that occupational exposures of deck crews on tankers add to their risk of renal cancer, leukaemia, and possibly lymphoma. Engine crews have an asbestos related risk of mesothelioma, and the engine room conditions also seem to increase risk of lung cancer.
机译：目的：研究可能与工作有关的原因，使海员中许多癌症的发生率增加。方法：一项病例对照研究，嵌套在所有男性海员的队列中（n = 30 940），根据海员退休基金的资料，他们在1960-80年期间的任何时间都在芬兰船上工作。在1967-92年间，从芬兰癌症登记处确定了肺癌，神经系统，肾脏和胰腺癌，白血病，淋巴瘤以及所有在组织学上定义为间皮瘤的病例。根据船只类型（干货船，油轮，客船，破冰船，其他船），收集了各个职业类别中以前的海上工作年限。结果：发动机机组中肺癌的发生率随工作时间的增加而增加，三年后的优势比（OR）为1.68（95％CI为1.17至2.41）。甲板人员的肺癌OR值为0.42（95％CI为0.29至0.61）。第一次使用破冰船的甲板人员罹患肺癌的风险显着增加（≥20年）（OR 3.41，95％CI 1.23至9.49）。潜伏期为20年的发动机机组中间皮瘤的OR为9.75（95％CI为1.88至50.6）。三年工作的甲板人员中肾癌的OR为2.15（95％CI为1.14至4.08），但就业时间或潜伏期没有增加。如果雇佣期限超过三年，则在油轮甲板人员中发现淋巴瘤的OR升高（OR 2.78，95％CI 0.98至7.92）。白血病的风险模式与淋巴瘤的风险模式相似，油轮甲板人员的OR取决于工作时间的长短，从2.26（95％CI 1.01至5.06）到6.86（95％CI 1.62至28.8）。结论：结果表明，甲板乘务员在油轮上的职业接触增加了他们患肾癌，白血病和淋巴瘤的风险。发动机人员有与石棉有关的间皮瘤风险，并且发动机室条件似乎也增加了患肺癌的风险。

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