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. 2014 Jan 27;11(2):1312–1340. doi: 10.3390/ijerph110201312

Table 3.

Case-control studies on diesel exhaust exposure and lung cancer.

Author Design Population Exposure assessment Confounder controlled Statistical method Job title/exposure OR Quantification of exposure doses
(95% CI)
Benhamou et al. (1988) [59] Population based case-control study 1,625 cases and 3,091 controls Ever employed as professional driver Age, smoking Conditional logistic regression Motor vehicle driver 1.42
(1.07–1.89)
Impossible (exposure level and duration not available)
Transport equipment operator 1.35
(1.05–1.75)
Miner 2.14
(1.07–4.31)
Farmers 1.24
(0.94–1.62)
Boffetta et al. (1990) [60] Population based case-control study 2,584 cases and 5,099 controls Self reported exposure (yes/no) Age, race, smoking, education and asbestos Logistic regression Probable DE exposure 1,49
(0,72–3,11)
Impossible (exposure level not available)
(≥30 years)
Truck driver 1,83
(0,31–10,73)
(1–15 years)
Truck driver 0,94
(0,41–2,15)
(16–30 years)
Truck driver 1,17
(0,40–3,41)
(>30 years)
Brüske-Hohlfeld et al. (1999) [61] Population based case-control study 3,498 cases and 3,541 controls Interview on work history Age, smoking and Asbestos Conditional logistic regression DE exposed 1,43
(1,23–1,67)
Impossible (exposure level and duration not available)
Buiatti et al. (1985) [62] Population based case-control study 376 cases and 892 controls Ever employed job transportation Age and smoking Logistic regression Transportation 1.1 (0.7–1.6) Impossible (exposure level and duration not available)
Taxi driving 1.8 (1.0–3.4)
Train conductor 1.4 (0.5–3.9)
Burns (1991) [63] Population based case-control study 5,935 cases and 3,956 controls with colon cancer Telephone interview on work history, job title Age and smoking Logistic regression Automobile repair 1.56
(0.85–2.87)
Impossible (exposure level and duration not available)
Railroad 1.37
(0.70–2.66)
Bus and truck transport 1.20
(0.82–1.75)
Coggon et al. (1984) [64] Population based case-control study 598 cases and 1,180 controls Job in death certificate DME (yes/no) Age, sex and residence Logistic regression High DE jobs 1.1 (0.7–1.8) Impossible (exposure level and duration not available)
Damber and Larsson (1987) [65] Population based case-control study 589 cases and 1,035 controls Self reported work history Age and smoking Logistic regression Professional driver 1.36
(0.97–1.91)
Impossible (exposure level not available)
(>1 years)
Professional driver 1.47
(0.97–2.20)
(>10 years)
Professional driver 1.61
(1.01–2.57)
(>20 years)
Decoufle et al. (1977) [66] Hospital based case-control study Cases and controls were selected among 13,949 patients Job title Age and smoking unclear Bus driver 1.81 (p < 0.05) Impossible (exposure level and duration not available)
Taxi driver 0.82 (p < 0.05)
Truck driver 1.07 (p < 0.05)
Elci et al. (2003) [67] Hospital based case-control study 1,354 cases and 1,519 controls Job title Age and smoking Logistic regression Driver 1.4 (1.1–2.0) Impossible (exposure level and duration not available)
Highway construction 1.5 (1.1–2.5)
Emmelin (1993) [55] Industry based case-referent study 50 cases and 154 controls (dock workers) Job as dock worker. Index for DME exposure Age and smoking Conditional logistic regression Low DE reference Impossible (exposure level and duration not available)
Medium DE 1.6
(0.5–5.1)
High DE 2.9
(0.8–10.7)
Garshick et al. (1987) [68] Nested case-control study Deceased railroad workers. 1,256 cases and 2,385 controls Expert evaluation for jobs, exposure duration Age, smoking and asbestos Logistic regression Railroad 1.55
(1.09–2.21)
Impossible (exposure level not available)
(>20 years)
DE exposed 1.41
(1.06–1.88)
(>20 years)
Gustavsson et al. (1990) [56] Nested case-control study 20 cases and 120 controls Index for exposure level, exposure duration Age and asbestos Conditional logistic regression Index value 1 Reference Impossible (exposure level and duration not available)
(0–10)
Index value 2 1.34
(1.09–1.64)
(10–20)
Index value 3 1.81
(1.20–2.71)
(20–30)
Index value 4 (>30) 2.43
(1.32–4.47)
Gustavsson et al. (2000) [57] Population based case-referent study 1,042 cases and 1,274 controls historical measurement of NO2 Age, smoking, radon Logistic regression 0–0.53 0.67
(0.42–1.08)
DME was calculated as cumulative NO2 exposure (mg/m3-year)
0.54–1.41 1.14
(0.77–1.67)
1.42–2.37 1.01
(0.67–1.53)
≥2.38 1.62
(1.13–2.31)
Hall et al. (1984) [69] Hospital based case-control study 502 cases and 502 controls Interview on job title Age, smoking and social status Mantel-Haenszel Bus driver 5.5
(0.8–36.0)
Impossible (exposure level and duration not available)
Truck driver 1.4
(0.7–2.6)
Railroad worker 2.6
(0.5–12.8)
Heavy equipment 3.5
(1.0–11.8)
Hansen et al. (1998) [70] Population based case-control study 37,597 cases and 37,597 controls Job title documented in National Bureau of Statistics Age and sex Conditional logistic regression Taxi driver 1.6
(1.2–2.2)
Impossible (exposure level and duration are not available)
Bus and truck driver 1.3
(1.2–1.5)
Hayes et al. (1989) [71] Population based case-control study 1,444 cases and 1,893 controls Interview, motor exhaust-related jobs, employment duration Age, smoking and study area Logistic regression Truck driver 1.5
(1.1–1.9)
Impossible (exposure level not available)
(≥10 years)
Bus driver 1.6
(0.9–2.8)
(≥10 years)
Mechanics 1.7
(0.9–3.4)
(≥10 years)
Heavy equipment 1.3
(0.6–3.1)
(≥10 years)
Kauppinen (1993) [72] Nested case-control study 136 cases and 408 controls JEM for job title, DME (yes/no) Age, smoking Conditional logistic regression DE exposed 1.70
(0.55–5.20)
Impossible (exposure level and duration not available)
Lerchen et al. (1987) [73] Population based case-control study 506 cases and 771 controls High risk jobs ever exposed? Age, sex, race and smoking Logistic regression Engineer and fireman 0.6
(0.1–3.3)
Impossible (exposure level and duration not available)
Diesel engine mechanic 0.6
(0.2–2.0)
ME exposure 0.6
(0.2–1.6)
Milne et al. (1983) [74] Population based case-control study 925 cases and 6,420 cancer controls Job title in death certificates Age and sex Logistic regression Transportation 1.1 Impossible (exposure level and duration not available)
Möhner et al. (2013) [51] Nested case-control study 68 cases and 340 controls 255 measurement of TC value in 1992 Age, smoking, external employment Conditional logistic regression 1st quartile reference Yes (unit: μg/m3-year)
2nd quartile 0.90
3rd quartile 1.16
4th quartile 0.78
Olsson et al. (2011) [75] Pooled analysis of 11 case-control studies 13,304 population cases and 16,282 controls Logistic regression Exposure index > 34.5 1.31
(1.19–1.43)
Impossible (exposure level not available)
Parent et al. (2007) [76] Population based case-control study 857 cases and 1,882 controls Logistic regression DE exposure 1.2
(0.8–1.8)
Impossible (exposure level not available)
Pfluger and Minder (1994) [77] Population based case-control study Deceased chauffeurs Job title in death certificates Age and smoking Poisson regression Chauffeur 1.48
(1.30–1.68)
Impossible (exposure level and duration not available)
Richiardi et al. (2006) [78] Population based case-control study 595 cases and 845 controls Job title, DME (yes/no) Age, sex, smoking and other occupational exposures Logistic regression DE exposure 1.04
(0.79–1.37)
Impossible (exposure level and duration not available)
Siemiatycki et al. (1988) [79] Hospital based case-control study 857 cases and 1,523 controls Interview on work history, expert judgement on DE exposure Age, race, social status, smoking and blue/white collar job Mantel-Haenszel DE exposed 1.2
(0.8–1.5)
Impossible (exposure level and duration not available)
Silverman et al. (2012) [52] Nested case-control study 198 cases and 562 controls from 8 mining companies 1,156 measurement of EC value during 1998–2001 Age, sex, race, smokig and history of respiratory disease Conditional logistic regression DE exposure Reference Yes (unit: μg/m3-year)
(0–19)
DE exposure 0.87
(0.48–1.59)
(19–246)
DE exposure 1.50
(0.67–3.36)
(246–964)
DE exposure 1.75
(0.77–3.97)
(≥964)
Soll-Johanning et al. (2003) [80] Nested case-control study 153 cases and 606 controls Job as bus driver Age and smoking Conditional logistic regression 20+ years of employment 0.63
(0.32–1.14)
Impossible (exposure level not available)
Steenland et al. (1990) [81] Population based case-control study 996 cases and 1,085 controls Interview next of kin, longest job as truck driver Age, smoking and asbestos Multivariate analysis Truck driver 1.55
(0.97–2.47)
Impossible (exposure level not available)
(≥18 year)
Truck mechanic 1.50
(0.59–3.40)
(≥18 year)
Swanson et al. (1993) [82] Population based case-control study 3,797 cases and 1,966 controls (colon cancer) Interview relatives, last job title, employment duration Age, race and smoking Logistic regression Industrial maintenance
(20+ years)
1.5
(0.8–2.9)
Impossible (exposure level not available)
Automobile mechanics
(20+ years)
1.5
(0.7–3.0)
Machine operators
(20+ years)
1.9
(1.0–3.9)
Heavy truck driver
(20+ years)
2.5
(1.4–4.4)
Light truck driver
(20+ years)
2.1
(0.9–4.6)
Villeneuve et al. (2011) [58] Population based case-control study 1,681 cases and 2,053 controls Expert evaluation for jobs Age, smoking, location, silica and asbestos Logistic regression Cumul. expo. 1. tertile 0.93
(0.75–1.17)
Impossible (exposure level and duration not available)
Cumul. expo. 2. tertile 1.03
(0.83–1.29)
Cumul. expo. 3. tertile 1.12
(0.89–1.40)
Wegman and Peters (1978) [83] Population based case-control study 100 cases and 100 controls of CNS cancer Tele. Interview relatives on job title No Logistic regression Transportation equipment operator 1.26
(0.28–5.84)
Impossible (exposure level and duration not available)