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Exposure to carbon black and lung cancer risk in a multicentre case-control study in Central and Eastern Europe and the United Kingdom

Identifieur interne : 006268 ( Main/Exploration ); précédent : 006267; suivant : 006269

Exposure to carbon black and lung cancer risk in a multicentre case-control study in Central and Eastern Europe and the United Kingdom

Auteurs : Nualnong Wongtongkam [Australie] ; Ann Olsson [France] ; Maria Leon Roux [France] ; Anush Mukeriya [Russie] ; Neonila Szeszenia-Dabrowska [Pologne] ; Peter Rudnai [Hongrie] ; Jolanta Lissowska [Pologne] ; Eleonora Fabianova [Slovaquie] ; Adrian Cassidy [Royaume-Uni] ; Dana Mates [Roumanie] ; Vladimir Bencko [République tchèque] ; Lenka Foretova [République tchèque] ; Vladimir Janout [République tchèque] ; Joelle Fevotte [France] ; Tony Fletcher [Royaume-Uni] ; Andrea Mannetje [Nouvelle-Zélande] ; Paul Brennan [France] ; Paolo Boffetta [États-Unis] ; Kurt Straif [France]

Source :

RBID : ISTEX:D0C198B66B3F2C8C83C1F6B45E401DC1B2BAFB1E

Descripteurs français

English descriptors

Abstract

Objectives We estimated the lung cancer risk following occupational exposure to carbon black while adjusting for smoking, and explored the effect of time-windows of carbon black exposure since recent studies have hypothesised that recent exposure is the most important time-window for carbon black exposure. Methods The multicenter case-control study on lung cancer was conducted from 1998 to 2002 in seven European countries; 2861 cases and 2936 controls were recruited. Occupational and socio-demographic information was collected through interviews. Industrial hygiene experts in each country evaluated exposure to 70 occupational agents, including carbon black. Unconditional logistic regression models were applied to calculate ORs and 95% CIs adjusting for centre, sex, other occupational exposures and tobacco smoking. Results The OR for ever exposure to carbon black was 1.64 (95% CI 1.09 to 2.46). We observed a significant dose-response trend for maximum intensity (p-value, 0.02) and average intensity (p-value, 0.03). The OR for the highest exposure category of cumulative exposure in the last 15-years was OR 3.32 (95% CI 1.22 to 9.03). Conclusions The results show an association between occupational exposure to carbon black and lung cancer risk, and a significant dose-response relationship with increasing intensity. The most recent 15 years appear to be the most relevant time of exposure.

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DOI: 10.1136/oemed-2011-100382.48


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<div type="abstract">Objectives We estimated the lung cancer risk following occupational exposure to carbon black while adjusting for smoking, and explored the effect of time-windows of carbon black exposure since recent studies have hypothesised that recent exposure is the most important time-window for carbon black exposure. Methods The multicenter case-control study on lung cancer was conducted from 1998 to 2002 in seven European countries; 2861 cases and 2936 controls were recruited. Occupational and socio-demographic information was collected through interviews. Industrial hygiene experts in each country evaluated exposure to 70 occupational agents, including carbon black. Unconditional logistic regression models were applied to calculate ORs and 95% CIs adjusting for centre, sex, other occupational exposures and tobacco smoking. Results The OR for ever exposure to carbon black was 1.64 (95% CI 1.09 to 2.46). We observed a significant dose-response trend for maximum intensity (p-value, 0.02) and average intensity (p-value, 0.03). The OR for the highest exposure category of cumulative exposure in the last 15-years was OR 3.32 (95% CI 1.22 to 9.03). Conclusions The results show an association between occupational exposure to carbon black and lung cancer risk, and a significant dose-response relationship with increasing intensity. The most recent 15 years appear to be the most relevant time of exposure.</div>
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<li>Moravie</li>
<li>Rhône-Alpes</li>
<li>État de New York</li>
</region>
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<li>Brno</li>
<li>Budapest</li>
<li>Londres</li>
<li>Lyon</li>
<li>Moscou</li>
<li>Prague</li>
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<name sortKey="Wongtongkam, Nualnong" sort="Wongtongkam, Nualnong" uniqKey="Wongtongkam N" first="Nualnong" last="Wongtongkam">Nualnong Wongtongkam</name>
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<country name="France">
<region name="Auvergne-Rhône-Alpes">
<name sortKey="Olsson, Ann" sort="Olsson, Ann" uniqKey="Olsson A" first="Ann" last="Olsson">Ann Olsson</name>
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<name sortKey="Brennan, Paul" sort="Brennan, Paul" uniqKey="Brennan P" first="Paul" last="Brennan">Paul Brennan</name>
<name sortKey="Fevotte, Joelle" sort="Fevotte, Joelle" uniqKey="Fevotte J" first="Joelle" last="Fevotte">Joelle Fevotte</name>
<name sortKey="Roux, Maria Leon" sort="Roux, Maria Leon" uniqKey="Roux M" first="Maria Leon" last="Roux">Maria Leon Roux</name>
<name sortKey="Straif, Kurt" sort="Straif, Kurt" uniqKey="Straif K" first="Kurt" last="Straif">Kurt Straif</name>
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<country name="Russie">
<region name="District fédéral central">
<name sortKey="Mukeriya, Anush" sort="Mukeriya, Anush" uniqKey="Mukeriya A" first="Anush" last="Mukeriya">Anush Mukeriya</name>
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<country name="Pologne">
<noRegion>
<name sortKey="Szeszenia Dabrowska, Neonila" sort="Szeszenia Dabrowska, Neonila" uniqKey="Szeszenia Dabrowska N" first="Neonila" last="Szeszenia-Dabrowska">Neonila Szeszenia-Dabrowska</name>
</noRegion>
<name sortKey="Lissowska, Jolanta" sort="Lissowska, Jolanta" uniqKey="Lissowska J" first="Jolanta" last="Lissowska">Jolanta Lissowska</name>
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<country name="Hongrie">
<region name="Hongrie centrale">
<name sortKey="Rudnai, Peter" sort="Rudnai, Peter" uniqKey="Rudnai P" first="Peter" last="Rudnai">Peter Rudnai</name>
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</country>
<country name="Slovaquie">
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<name sortKey="Fabianova, Eleonora" sort="Fabianova, Eleonora" uniqKey="Fabianova E" first="Eleonora" last="Fabianova">Eleonora Fabianova</name>
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<country name="Royaume-Uni">
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<name sortKey="Cassidy, Adrian" sort="Cassidy, Adrian" uniqKey="Cassidy A" first="Adrian" last="Cassidy">Adrian Cassidy</name>
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<name sortKey="Fletcher, Tony" sort="Fletcher, Tony" uniqKey="Fletcher T" first="Tony" last="Fletcher">Tony Fletcher</name>
</country>
<country name="Roumanie">
<noRegion>
<name sortKey="Mates, Dana" sort="Mates, Dana" uniqKey="Mates D" first="Dana" last="Mates">Dana Mates</name>
</noRegion>
</country>
<country name="République tchèque">
<region name="Bohême centrale">
<name sortKey="Bencko, Vladimir" sort="Bencko, Vladimir" uniqKey="Bencko V" first="Vladimir" last="Bencko">Vladimir Bencko</name>
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<name sortKey="Foretova, Lenka" sort="Foretova, Lenka" uniqKey="Foretova L" first="Lenka" last="Foretova">Lenka Foretova</name>
<name sortKey="Janout, Vladimir" sort="Janout, Vladimir" uniqKey="Janout V" first="Vladimir" last="Janout">Vladimir Janout</name>
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<country name="Nouvelle-Zélande">
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<name sortKey="Mannetje, Andrea" sort="Mannetje, Andrea" uniqKey="Mannetje A" first="Andrea" last="Mannetje">Andrea Mannetje</name>
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</country>
<country name="États-Unis">
<region name="État de New York">
<name sortKey="Boffetta, Paolo" sort="Boffetta, Paolo" uniqKey="Boffetta P" first="Paolo" last="Boffetta">Paolo Boffetta</name>
</region>
</country>
</tree>
</affiliations>
</record>

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