No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s

Disclaimer: Where authors are identified as personnel of the International Agency for Research on Cancer/World Health Organization, the authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policy, or views of the International Age...

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Published in:Cancers
Main Authors: Laakso, Laura, Jokelainen, Pikka, Houe, Hans, Skjerve, Eystein, Hansen, Johnni, Lynge, Elsebeth, Martinsen, Jan-Ivar, Mehlum, Ingrid Sivesind, Selander, Jenny, Torfadóttir, Jóhanna Eyrún, Weiderpass, Elisabete, Heikkinen, Sanna, Pukkala, Eero
Other Authors: Tampere University, Health Sciences
Format: Article in Journal/Newspaper
Language:English
Published: 2023
Subjects:
Online Access:https://trepo.tuni.fi/handle/10024/151318
https://doi.org/10.3390/cancers15164079
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spelling ftunivtampere:oai:trepo.tuni.fi:10024/151318 2024-01-07T09:44:11+01:00 No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s Laakso, Laura Jokelainen, Pikka Houe, Hans Skjerve, Eystein Hansen, Johnni Lynge, Elsebeth Martinsen, Jan-Ivar Mehlum, Ingrid Sivesind Selander, Jenny Torfadóttir, Jóhanna Eyrún Weiderpass, Elisabete Heikkinen, Sanna Pukkala, Eero Tampere University Health Sciences 2023-08 7 236561 fulltext https://trepo.tuni.fi/handle/10024/151318 https://doi.org/10.3390/cancers15164079 en eng 4079 16 15 2072-6694 https://trepo.tuni.fi/handle/10024/151318 URN:NBN:fi:tuni-202309198295 doi:10.3390/cancers15164079 cc by 4.0 openAccess 3142 Public health care science environmental and occupational health 3122 Cancers article 2023 ftunivtampere https://doi.org/10.3390/cancers15164079 2023-12-14T00:09:28Z Disclaimer: Where authors are identified as personnel of the International Agency for Research on Cancer/World Health Organization, the authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policy, or views of the International Agency for Research on Cancer/World Health Organization. The cancer profile of veterinarians has received little research attention, despite the profession potentially being exposed to a wide range of known and suspected carcinogens. In this large-scale cohort study, we assessed cancer incidence in veterinarians in Denmark, Finland, Iceland, Norway, and Sweden, across more than 40 years (1961–2005). The cohort comprised 4708 veterinarians and 119,503 person-years at follow-up. The overall cancer incidence in veterinarians was close to the incidence in the total population in all countries and in all age groups. In male veterinarians, the standardized incidence ratios (SIR) in 1961–1990 were elevated for colon cancer (1.86, 95% confidence interval (CI) 1.39–2.44), prostate cancer (1.35, 95% CI 1.07–1.67), and especially skin melanoma (3.62, 95% CI 2.78–2.84), while there was no longer any statistically significant excess in the more recent follow-up period. Decreased SIRs were observed for lip cancer (0.11, 95% CI 0.00–0.62), laryngeal cancer (0.38, 95% CI 0.12–0.89), lung cancer (0.59, 95% CI 0.47–0.74), and stomach cancer (0.58, 95% CI 0.38–0.86), without a marked change in SIR over time. Non-significant excesses among male veterinarians were also observed in Hodgkin lymphoma (1961–1990 only), and leukaemia. This multi-country study indicates that there was an elevated incidence of several cancer types among male veterinarians before the 1990s but not after that. Some of the findings might rather be attributed to lifestyle factors and not directly to work conditions, but the excess risk of cancers of kidney and bladder, for example, might be related to work exposures. Peer reviewed Article in Journal/Newspaper Iceland Tampere University: Trepo Norway Cancers 15 16 4079
institution Open Polar
collection Tampere University: Trepo
op_collection_id ftunivtampere
language English
topic 3142 Public health care science
environmental and occupational health
3122 Cancers
spellingShingle 3142 Public health care science
environmental and occupational health
3122 Cancers
Laakso, Laura
Jokelainen, Pikka
Houe, Hans
Skjerve, Eystein
Hansen, Johnni
Lynge, Elsebeth
Martinsen, Jan-Ivar
Mehlum, Ingrid Sivesind
Selander, Jenny
Torfadóttir, Jóhanna Eyrún
Weiderpass, Elisabete
Heikkinen, Sanna
Pukkala, Eero
No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s
topic_facet 3142 Public health care science
environmental and occupational health
3122 Cancers
description Disclaimer: Where authors are identified as personnel of the International Agency for Research on Cancer/World Health Organization, the authors alone are responsible for the views expressed in this article and they do not necessarily represent the decisions, policy, or views of the International Agency for Research on Cancer/World Health Organization. The cancer profile of veterinarians has received little research attention, despite the profession potentially being exposed to a wide range of known and suspected carcinogens. In this large-scale cohort study, we assessed cancer incidence in veterinarians in Denmark, Finland, Iceland, Norway, and Sweden, across more than 40 years (1961–2005). The cohort comprised 4708 veterinarians and 119,503 person-years at follow-up. The overall cancer incidence in veterinarians was close to the incidence in the total population in all countries and in all age groups. In male veterinarians, the standardized incidence ratios (SIR) in 1961–1990 were elevated for colon cancer (1.86, 95% confidence interval (CI) 1.39–2.44), prostate cancer (1.35, 95% CI 1.07–1.67), and especially skin melanoma (3.62, 95% CI 2.78–2.84), while there was no longer any statistically significant excess in the more recent follow-up period. Decreased SIRs were observed for lip cancer (0.11, 95% CI 0.00–0.62), laryngeal cancer (0.38, 95% CI 0.12–0.89), lung cancer (0.59, 95% CI 0.47–0.74), and stomach cancer (0.58, 95% CI 0.38–0.86), without a marked change in SIR over time. Non-significant excesses among male veterinarians were also observed in Hodgkin lymphoma (1961–1990 only), and leukaemia. This multi-country study indicates that there was an elevated incidence of several cancer types among male veterinarians before the 1990s but not after that. Some of the findings might rather be attributed to lifestyle factors and not directly to work conditions, but the excess risk of cancers of kidney and bladder, for example, might be related to work exposures. Peer reviewed
author2 Tampere University
Health Sciences
format Article in Journal/Newspaper
author Laakso, Laura
Jokelainen, Pikka
Houe, Hans
Skjerve, Eystein
Hansen, Johnni
Lynge, Elsebeth
Martinsen, Jan-Ivar
Mehlum, Ingrid Sivesind
Selander, Jenny
Torfadóttir, Jóhanna Eyrún
Weiderpass, Elisabete
Heikkinen, Sanna
Pukkala, Eero
author_facet Laakso, Laura
Jokelainen, Pikka
Houe, Hans
Skjerve, Eystein
Hansen, Johnni
Lynge, Elsebeth
Martinsen, Jan-Ivar
Mehlum, Ingrid Sivesind
Selander, Jenny
Torfadóttir, Jóhanna Eyrún
Weiderpass, Elisabete
Heikkinen, Sanna
Pukkala, Eero
author_sort Laakso, Laura
title No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s
title_short No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s
title_full No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s
title_fullStr No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s
title_full_unstemmed No Excess Cancer Risk among Veterinarians in Denmark, Finland, Iceland, Norway, and Sweden after the 1980s
title_sort no excess cancer risk among veterinarians in denmark, finland, iceland, norway, and sweden after the 1980s
publishDate 2023
url https://trepo.tuni.fi/handle/10024/151318
https://doi.org/10.3390/cancers15164079
geographic Norway
geographic_facet Norway
genre Iceland
genre_facet Iceland
op_relation 4079
16
15
2072-6694
https://trepo.tuni.fi/handle/10024/151318
URN:NBN:fi:tuni-202309198295
doi:10.3390/cancers15164079
op_rights cc by 4.0
openAccess
op_doi https://doi.org/10.3390/cancers15164079
container_title Cancers
container_volume 15
container_issue 16
container_start_page 4079
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