Skip to main content
Occupational and Environmental Medicine logoLink to Occupational and Environmental Medicine
. 1997 Sep;54(9):686–691. doi: 10.1136/oem.54.9.686

Cancer incidence of workers in the Swedish petroleum industry.

B Järvholm 1, B Mellblom 1, R Norrman 1, R Nilsson 1, R Nordlinder 1
PMCID: PMC1128845  PMID: 9423584

Abstract

OBJECTIVES: To estimate the risk of cancer due to occupational exposure to petroleum products in the Swedish transport and refinery industries. METHODS: In a retrospective cohort study the cancer incidence in 4128 men and 191 women, who had worked for at least one year in the petroleum industry, was compared with the incidence in the general population. The job titles and employment times for each person were found in personal files in the industries. The men had on average worked in jobs exposed to petroleum for 11.6 years at the end of the observation period. The cases of cancer were identified by record linkage with the Swedish cancer register. RESULTS: In total there were 146 cases of cancer v 157.6 expected (standardised mortality ratio (SMR) 0.93 90% confidence interval (90% CI) 0.80 to 1.1). Operators at refineries had an increased risk of leukaemia (6 cases v 1.7 expected, 90% CI of relative risk (RR) 1.5 to 7.0). Five of the six cases had started to work at the refineries in the 1950s or later. No other significantly increased risk of cancer was found. Distribution workers had a decreased incidence of lung cancer (no cases, 90% CI of RR 0 to 0.4). CONCLUSIONS: Operators at Swedish refineries had an increased risk of leukaemia. A possible cause is exposure to benzene. There was no increased risk of leukaemia in distribution workers. Distribution workers had a decreased risk of lung cancer.

Full text

PDF
686

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aksoy M., Erdem S., Dinçol G. Types of leukemia in chronic benzene poisoning. A study in thirty-four patients. Acta Haematol. 1976;55(2):65–72. doi: 10.1159/000207996. [DOI] [PubMed] [Google Scholar]
  2. Berry G. The analysis of mortality by the subject-years method. Biometrics. 1983 Mar;39(1):173–184. [PubMed] [Google Scholar]
  3. Brandt L., Nilsson P. G., Mitelman F. Occupational exposure to petroleum products in men with acute non-lymphocytic leukaemia. Br Med J. 1978 Mar 4;1(6112):553–553. doi: 10.1136/bmj.1.6112.553. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Christie D., Robinson K., Gordon I., Bisby J. A prospective study in the Australian petroleum industry. II. Incidence of cancer. Br J Ind Med. 1991 Aug;48(8):511–514. doi: 10.1136/oem.48.8.511. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fox A. J., Collier P. F. Low mortality rates in industrial cohort studies due to selection for work and survival in the industry. Br J Prev Soc Med. 1976 Dec;30(4):225–230. doi: 10.1136/jech.30.4.225. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Hakkola M., Saarinen L. Exposure of tanker drivers to gasoline and some of its components. Ann Occup Hyg. 1996 Feb;40(1):1–10. doi: 10.1016/0003-4878(95)00053-4. [DOI] [PubMed] [Google Scholar]
  7. Infante P. F., Rinsky R. A., Wagoner J. K., Young R. J. Leukaemia in benzene workers. Lancet. 1977 Jul 9;2(8028):76–78. doi: 10.1016/s0140-6736(77)90074-5. [DOI] [PubMed] [Google Scholar]
  8. Kromhout H., Symanski E., Rappaport S. M. A comprehensive evaluation of within- and between-worker components of occupational exposure to chemical agents. Ann Occup Hyg. 1993 Jun;37(3):253–270. doi: 10.1093/annhyg/37.3.253. [DOI] [PubMed] [Google Scholar]
  9. Lillienberg L., Högstedt B., Järvholm B., Nilson L. Health effects of tank cleaners. Am Ind Hyg Assoc J. 1992 Jun;53(6):375–380. doi: 10.1080/15298669291359807. [DOI] [PubMed] [Google Scholar]
  10. McMichael A. J. Standardized mortality ratios and the "healthy worker effect": Scratching beneath the surface. J Occup Med. 1976 Mar;18(3):165–168. doi: 10.1097/00043764-197603000-00009. [DOI] [PubMed] [Google Scholar]
  11. Monson R. R. Observations on the healthy worker effect. J Occup Med. 1986 Jun;28(6):425–433. doi: 10.1097/00043764-198606000-00009. [DOI] [PubMed] [Google Scholar]
  12. Nordlinder R., Ramnäs O. Exposure to benzene at different work places in Sweden. Ann Occup Hyg. 1987;31(3):345–355. doi: 10.1093/annhyg/31.3.345. [DOI] [PubMed] [Google Scholar]
  13. Paxton M. B., Chinchilli V. M., Brett S. M., Rodricks J. V. Leukemia risk associated with benzene exposure in the pliofilm cohort: I. Mortality update and exposure distribution. Risk Anal. 1994 Apr;14(2):147–154. doi: 10.1111/j.1539-6924.1994.tb00039.x. [DOI] [PubMed] [Google Scholar]
  14. Rappaport S. M., Kromhout H., Symanski E. Variation of exposure between workers in homogeneous exposure groups. Am Ind Hyg Assoc J. 1993 Nov;54(11):654–662. doi: 10.1080/15298669391355198. [DOI] [PubMed] [Google Scholar]
  15. Rinsky R. A., Smith A. B., Hornung R., Filloon T. G., Young R. J., Okun A. H., Landrigan P. J. Benzene and leukemia. An epidemiologic risk assessment. N Engl J Med. 1987 Apr 23;316(17):1044–1050. doi: 10.1056/NEJM198704233161702. [DOI] [PubMed] [Google Scholar]
  16. Rushton L. A 39-year follow-up of the U.K. oil refinery and distribution center studies: results for kidney cancer and leukemia. Environ Health Perspect. 1993 Dec;101 (Suppl 6):77–84. doi: 10.1289/ehp.93101s677. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Rushton L. Further follow up of mortality in a United Kingdom oil distribution centre cohort. Br J Ind Med. 1993 Jun;50(6):561–569. doi: 10.1136/oem.50.6.561. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Savitz D. A., Andrews K. W. Risk of myelogenous leukaemia and multiple myeloma in workers exposed to benzene. Occup Environ Med. 1996 May;53(5):357–358. [PMC free article] [PubMed] [Google Scholar]
  19. Savitz D. A., Andrews K. W. Risk of myelogenous leukaemia and multiple myeloma in workers exposed to benzene. Occup Environ Med. 1996 May;53(5):357–358. [PMC free article] [PubMed] [Google Scholar]
  20. Schnatter A. R., Katz A. M., Nicolich M. J., Thériault G. A retrospective mortality study among Canadian petroleum marketing and distribution workers. Environ Health Perspect. 1993 Dec;101 (Suppl 6):85–99. doi: 10.1289/ehp.93101s685. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Wong O., Harris F., Smith T. J. Health effects of gasoline exposure. II. Mortality patterns of distribution workers in the United States. Environ Health Perspect. 1993 Dec;101 (Suppl 6):63–76. doi: 10.1289/ehp.93101s663. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Wong O., Raabe G. K. Critical review of cancer epidemiology in petroleum industry employees, with a quantitative meta-analysis by cancer site. Am J Ind Med. 1989;15(3):283–310. doi: 10.1002/ajim.4700150305. [DOI] [PubMed] [Google Scholar]
  23. Wong O. Risk of acute myeloid leukaemia and multiple myeloma in workers exposed to benzene. Occup Environ Med. 1995 Jun;52(6):380–384. doi: 10.1136/oem.52.6.380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Yin S. N., Hayes R. B., Linet M. S., Li G. L., Dosemeci M., Travis L. B., Li C. Y., Zhang Z. N., Li D. G., Chow W. H. A cohort study of cancer among benzene-exposed workers in China: overall results. Am J Ind Med. 1996 Mar;29(3):227–235. doi: 10.1002/(SICI)1097-0274(199603)29:3<227::AID-AJIM2>3.0.CO;2-N. [DOI] [PubMed] [Google Scholar]

Articles from Occupational and Environmental Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES