Abstract
OBJECTIVES--A hospital based case-control study was conducted between 1992 and 1993 in the province of Brescia, a highly industrialised area in northern Italy, to evaluate occupational risk factors of bladder cancer. METHODS--The study evaluated 355 histologically confirmed cases of bladder cancer (275 men, 80 women) and 579 controls affected by urological non-neoplastic diseases (397 men, 182 women). Lifetime occupational history, smoking and drinking habits, and sociodemographic characteristics were recorded by means of a structured questionnaire. Odds ratios (ORs) were computed with adjustment for age, smoking, alcohol and coffee consumption, education, and place of residence. RESULTS--A significant (P < 0.05) increase of risk of bladder cancer were found in men for labourers in the construction industry (OR 2.1, 95% confidence interval (95% CI) 1.1-3.9) and for recreational and cultural services (OR 5.0, 95% CI 1.3-18.9). Increased risks, although not significant, were found for various other occupations and industries such as machinery mechanics, metal processers and polishers, blacksmiths, gunsmiths, painters; for transport workers, an increased risk with increasing duration of employment was found. CONCLUSIONS--Occupational exposures seem to contribute to bladder cancer risk in the area under study.
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Selected References
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- Becherini R., Seniori Costantini A., Benelli R., Calistri S., Gasperini M. M., Gavazzi M., Masala G., Merler E., Monechi V., Nannini R. Tumori delle vie urinarie escretrici negli addetti all'industria tessile nell'area pratese. Med Lav. 1991 Nov-Dec;82(6):492–503. [PubMed] [Google Scholar]
- Bonassi S., Merlo F., Pearce N., Puntoni R. Bladder cancer and occupational exposure to polycyclic aromatic hydrocarbons. Int J Cancer. 1989 Oct 15;44(4):648–651. doi: 10.1002/ijc.2910440415. [DOI] [PubMed] [Google Scholar]
- Burkhart G., Schulte P. A., Robinson C., Sieber W. K., Vossenas P., Ringen K. Job tasks, potential exposures, and health risks of laborers employed in the construction industry. Am J Ind Med. 1993 Oct;24(4):413–425. doi: 10.1002/ajim.4700240407. [DOI] [PubMed] [Google Scholar]
- Claude J. C., Frentzel-Beyme R. R., Kunze E. Occupation and risk of cancer of the lower urinary tract among men. A case-control study. Int J Cancer. 1988 Mar 15;41(3):371–379. doi: 10.1002/ijc.2910410309. [DOI] [PubMed] [Google Scholar]
- Cordier S., Clavel J., Limasset J. C., Boccon-Gibod L., Le Moual N., Mandereau L., Hemon D. Occupational risks of bladder cancer in France: a multicentre case-control study. Int J Epidemiol. 1993 Jun;22(3):403–411. doi: 10.1093/ije/22.3.403. [DOI] [PubMed] [Google Scholar]
- Decarli A., La Vecchia C. Cancer mortality in Italy, 1991. Tumori. 1994 Dec 31;80(6):405–415. doi: 10.1177/030089169408000601. [DOI] [PubMed] [Google Scholar]
- Dolin P. J. A descriptive study of occupation and bladder cancer in England and Wales. Br J Cancer. 1992 Mar;65(3):476–478. doi: 10.1038/bjc.1992.96. [DOI] [PMC free article] [PubMed] [Google Scholar]
- González C. A., López-Abente G., Errezola M., Escolar A., Riboli E., Izarzugaza I., Nebot M. Occupation and bladder cancer in Spain: a multi-centre case-control study. Int J Epidemiol. 1989 Sep;18(3):569–577. doi: 10.1093/ije/18.3.569. [DOI] [PubMed] [Google Scholar]
- Jensen O. M., Wahrendorf J., Knudsen J. B., Sørensen B. L. The Copenhagen case-referent study on bladder cancer. Risks among drivers, painters and certain other occupations. Scand J Work Environ Health. 1987 Apr;13(2):129–134. doi: 10.5271/sjweh.2070. [DOI] [PubMed] [Google Scholar]
- Keller J. E., Howe H. L. Cancer in Illinois construction workers: a study. Am J Ind Med. 1993 Aug;24(2):223–230. doi: 10.1002/ajim.4700240208. [DOI] [PubMed] [Google Scholar]
- Malker H. S., McLaughlin J. K., Silverman D. T., Ericsson J. L., Stone B. J., Weiner J. A., Malker B. K., Blot W. J. Occupational risks for bladder cancer among men in Sweden. Cancer Res. 1987 Dec 15;47(24 Pt 1):6763–6766. [PubMed] [Google Scholar]
- Myslak Z. W., Bolt H. M., Brockmann W. Tumors of the urinary bladder in painters: a case-control study. Am J Ind Med. 1991;19(6):705–713. doi: 10.1002/ajim.4700190604. [DOI] [PubMed] [Google Scholar]
- Risch H. A., Burch J. D., Miller A. B., Hill G. B., Steele R., Howe G. R. Occupational factors and the incidence of cancer of the bladder in Canada. Br J Ind Med. 1988 Jun;45(6):361–367. doi: 10.1136/oem.45.6.361. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Schifflers E., Jamart J., Renard V. Tobacco and occupation as risk factors in bladder cancer: a case-control study in southern Belgium. Int J Cancer. 1987 Mar 15;39(3):287–292. doi: 10.1002/ijc.2910390304. [DOI] [PubMed] [Google Scholar]
- Schumacher M. C., Slattery M. L., West D. W. Occupation and bladder cancer in Utah. Am J Ind Med. 1989;16(1):89–102. doi: 10.1002/ajim.4700160110. [DOI] [PubMed] [Google Scholar]
- Silverman D. T., Hartge P., Morrison A. S., Devesa S. S. Epidemiology of bladder cancer. Hematol Oncol Clin North Am. 1992 Feb;6(1):1–30. [PubMed] [Google Scholar]
- Silverman D. T., Hoover R. N., Mason T. J., Swanson G. M. Motor exhaust-related occupations and bladder cancer. Cancer Res. 1986 Apr;46(4 Pt 2):2113–2116. [PubMed] [Google Scholar]
- Silverman D. T., Levin L. I., Hoover R. N., Hartge P. Occupational risks of bladder cancer in the United States: I. White men. J Natl Cancer Inst. 1989 Oct 4;81(19):1472–1480. doi: 10.1093/jnci/81.19.1472. [DOI] [PubMed] [Google Scholar]
- Steineck G., Plato N., Norell S. E., Hogstedt C. Urothelial cancer and some industry-related chemicals: an evaluation of the epidemiologic literature. Am J Ind Med. 1990;17(3):371–391. doi: 10.1002/ajim.4700170310. [DOI] [PubMed] [Google Scholar]
- Vineis P., Magnani C. Occupation and bladder cancer in males: a case-control study. Int J Cancer. 1985 May 15;35(5):599–606. doi: 10.1002/ijc.2910350506. [DOI] [PubMed] [Google Scholar]
- Vineis P., Simonato L. Estimates of the proportion of bladder cancers attributable to occupation. Scand J Work Environ Health. 1986 Feb;12(1):55–60. doi: 10.5271/sjweh.2174. [DOI] [PubMed] [Google Scholar]
- Vineis P., Simonato L. Proportion of lung and bladder cancers in males resulting from occupation: a systematic approach. Arch Environ Health. 1991 Jan-Feb;46(1):6–15. doi: 10.1080/00039896.1991.9937423. [DOI] [PubMed] [Google Scholar]
- Wacholder S., McLaughlin J. K., Silverman D. T., Mandel J. S. Selection of controls in case-control studies. I. Principles. Am J Epidemiol. 1992 May 1;135(9):1019–1028. doi: 10.1093/oxfordjournals.aje.a116396. [DOI] [PubMed] [Google Scholar]
- Wacholder S., Silverman D. T., McLaughlin J. K., Mandel J. S. Selection of controls in case-control studies. II. Types of controls. Am J Epidemiol. 1992 May 1;135(9):1029–1041. doi: 10.1093/oxfordjournals.aje.a116397. [DOI] [PubMed] [Google Scholar]
- Wortley P., Vaughan T. L., Davis S., Morgan M. S., Thomas D. B. A case-control study of occupational risk factors for laryngeal cancer. Br J Ind Med. 1992 Dec;49(12):837–844. doi: 10.1136/oem.49.12.837. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zheng W., McLaughlin J. K., Gao Y. T., Silverman D. T., Gao R. N., Blot W. J. Bladder cancer and occupation in Shanghai, 1980-1984. Am J Ind Med. 1992;21(6):877–885. doi: 10.1002/ajim.4700210611. [DOI] [PubMed] [Google Scholar]