Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries
Objectives The Nordic Occupational Cancer (NOCCA, http://astra.cancer.fi/NOCCA ) study covers all 15 million working-aged persons who participated in population censuses between 1960 and 1990 in Denmark, Finland, Iceland, Norway and Sweden, and the subsequent 2.8 million incident cancer cases diagno...
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fthighwire:oai:open-archive.highwire.org:oemed:68/Suppl_1/A18-c 2023-05-15T16:51:44+02:00 Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries Pukkala, Eero Martinsen, Jan Ivar Weiderpass, Elisabete Sparén, Pär Gunnarsdottir, Holmfridur Tryggvadottir, Laufey Lynge, Elsebeth Kjærheim, Kristina 2011-09-01 00:00:00.0 text/html http://oem.bmj.com/cgi/content/short/68/Suppl_1/A18-c https://doi.org/10.1136/oemed-2011-100382.57 en eng BMJ Publishing Group Ltd http://oem.bmj.com/cgi/content/short/68/Suppl_1/A18-c http://dx.doi.org/10.1136/oemed-2011-100382.57 Copyright (C) 2011, BMJ Publishing Group Ltd Oral presentations: Day 1: Wednesday September 7 2011 TEXT 2011 fthighwire https://doi.org/10.1136/oemed-2011-100382.57 2015-02-28T11:54:17Z Objectives The Nordic Occupational Cancer (NOCCA, http://astra.cancer.fi/NOCCA ) study covers all 15 million working-aged persons who participated in population censuses between 1960 and 1990 in Denmark, Finland, Iceland, Norway and Sweden, and the subsequent 2.8 million incident cancer cases diagnosed in these people in a follow-up until 2005. Methods The observed number of cancer cases in 70 diagnostic categories in each occupation was compared with the expected number calculated from the respective incidence rates for the national population. The result was presented as a standardised incidence ratio, SIR, defined as the observed number of cases divided by the expected number. Results For all cancers combined, there was a wide variation among men from an SIR of 0.79 (95% CI 0.66 to 0.95) in domestic assistants to 1.48 (1.43 to 1.54) in waiters. The occupations with the highest SIRs also included workers producing beverage and tobacco, seamen and chimney sweeps (E1) . Among women, the SIRs varied from 0.58 (0.37 to 0.87) in seafarers to 1.27 (1.19 to 1.35) in tobacco workers. Low SIRs were found for farmers, gardeners and forestry workers in both genders. The variation in relative risk across occupational categories varied considerably between cancer types. For mesothelioma, there was a 20-fold variation in risk among plumbers as compared to farmers, while the variation between the lowest and highest occupation-specific incidence of cancers of colon or brain was not even twofold. Conclusions The present study shows that the risk of cancer is highly dependent on the person's occupation, reflecting the position in the society. Text Iceland HighWire Press (Stanford University) Norway Occupational and Environmental Medicine 68 Suppl_1 A18 A19 |
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HighWire Press (Stanford University) |
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English |
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Oral presentations: Day 1: Wednesday September 7 2011 |
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Oral presentations: Day 1: Wednesday September 7 2011 Pukkala, Eero Martinsen, Jan Ivar Weiderpass, Elisabete Sparén, Pär Gunnarsdottir, Holmfridur Tryggvadottir, Laufey Lynge, Elsebeth Kjærheim, Kristina Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries |
topic_facet |
Oral presentations: Day 1: Wednesday September 7 2011 |
description |
Objectives The Nordic Occupational Cancer (NOCCA, http://astra.cancer.fi/NOCCA ) study covers all 15 million working-aged persons who participated in population censuses between 1960 and 1990 in Denmark, Finland, Iceland, Norway and Sweden, and the subsequent 2.8 million incident cancer cases diagnosed in these people in a follow-up until 2005. Methods The observed number of cancer cases in 70 diagnostic categories in each occupation was compared with the expected number calculated from the respective incidence rates for the national population. The result was presented as a standardised incidence ratio, SIR, defined as the observed number of cases divided by the expected number. Results For all cancers combined, there was a wide variation among men from an SIR of 0.79 (95% CI 0.66 to 0.95) in domestic assistants to 1.48 (1.43 to 1.54) in waiters. The occupations with the highest SIRs also included workers producing beverage and tobacco, seamen and chimney sweeps (E1) . Among women, the SIRs varied from 0.58 (0.37 to 0.87) in seafarers to 1.27 (1.19 to 1.35) in tobacco workers. Low SIRs were found for farmers, gardeners and forestry workers in both genders. The variation in relative risk across occupational categories varied considerably between cancer types. For mesothelioma, there was a 20-fold variation in risk among plumbers as compared to farmers, while the variation between the lowest and highest occupation-specific incidence of cancers of colon or brain was not even twofold. Conclusions The present study shows that the risk of cancer is highly dependent on the person's occupation, reflecting the position in the society. |
format |
Text |
author |
Pukkala, Eero Martinsen, Jan Ivar Weiderpass, Elisabete Sparén, Pär Gunnarsdottir, Holmfridur Tryggvadottir, Laufey Lynge, Elsebeth Kjærheim, Kristina |
author_facet |
Pukkala, Eero Martinsen, Jan Ivar Weiderpass, Elisabete Sparén, Pär Gunnarsdottir, Holmfridur Tryggvadottir, Laufey Lynge, Elsebeth Kjærheim, Kristina |
author_sort |
Pukkala, Eero |
title |
Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries |
title_short |
Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries |
title_full |
Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries |
title_fullStr |
Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries |
title_full_unstemmed |
Occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the Nordic countries |
title_sort |
occupational variation in cancer incidence: a 45 year follow-up of five whole-population cohorts in the nordic countries |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2011 |
url |
http://oem.bmj.com/cgi/content/short/68/Suppl_1/A18-c https://doi.org/10.1136/oemed-2011-100382.57 |
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Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
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http://oem.bmj.com/cgi/content/short/68/Suppl_1/A18-c http://dx.doi.org/10.1136/oemed-2011-100382.57 |
op_rights |
Copyright (C) 2011, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/oemed-2011-100382.57 |
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Occupational and Environmental Medicine |
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68 |
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Suppl_1 |
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A18 |
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A19 |
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1766041845661433856 |