Cancer and noncancer mortality among American seafood workers.
Cancer and noncancer mortality among American seafood workers.
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DOI：
10.2188/jea.je20100147
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发表时间：
2011
影响因子：
4.7
通讯作者：
Choi KM
中科院分区：
文献类型：
--
作者：
Johnson ES;Faramawi MF;Sall M;Choi KM
很少有研究调查全球海鲜工人的死亡率，美国也没有进行过这样的研究。本研究的目的是调查美国海鲜工人的死亡率。研究人群来自4个州，包括4116名主要在海鲜加工厂工作的受试者。随访时间为1966年至2003年。估计标准化死亡率（SMR）和比例死亡率（PMR），使用美国一般人群进行比较。大约45%的人出生于1949年以后。共记录了788例死亡; 53%的死者为女性，88%为白色。整个队列中胃癌和甲状腺疾病的SMR分别为2.1（95%置信区间[CI]，1.1-3.8）和6.1（95% CI 1.3-18.0）。整个队列中乳腺癌和脑前动脉/脑动脉闭塞/狭窄的SMR分别为0.5（95% CI，0.3-0.9）和0.5（95% CI，0.2-0.8）。白色女性中缺血性心脏病的SMR为0.8（95% CI，0.6-0.9）。这一队列中，胃癌和甲状腺疾病的死亡人数过多，而乳腺癌、中风和缺血性心脏病的死亡人数不足。这些发现的意义尚不清楚，特别是因为不到20%的队列死亡。尽管如此，这一队列是独特和重要的，进一步的随访可能会更清楚地了解这一职业群体的死亡率模式。
Few studies have investigated mortality in seafood workers worldwide, and no such study has been conducted in the United States. The objective of this study was to investigate mortality in American seafood workers. The study population was derived from 4 states and consisted of 4116 subjects who worked mainly in seafood processing plants. They were followed up from 1966 to 2003. Standardized mortality ratios (SMRs) and proportional mortality ratios (PMRs) were estimated, using the US general population for comparison. About 45% of the cohort was born after 1949. A total of 788 deaths were recorded; 53% of the decedents were female, and 88% were white. The SMRs for stomach cancer and disorders of the thyroid gland in the cohort as a whole were 2.1 (95% confidence interval [CI], 1.1–3.8) and 6.1 (95% CI 1.3–18.0), respectively. The SMRs for breast cancer, and occlusion/stenosis of the pre-cerebral/cerebral arteries in the cohort as a whole were 0.5 (95% CI, 0.3–0.9) and 0.5 (95% CI, 0.2–0.8), respectively. The SMR for ischemic heart disease in white females was 0.8 (95% CI, 0.6–0.9). This cohort had excess deaths from stomach cancer and disorders of the thyroid gland, and deficit of deaths from breast cancer, stroke and ischemic heart disease. The significance of these findings is unknown, especially as less than 20% of the cohort were deceased. Nevertheless, the cohort is unique and important, and further follow-up may shed more light on mortality patterns in this occupational group.
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