SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma
Identifieur interne : 000787 ( Istex/Corpus ); précédent : 000786; suivant : 000788SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma
Auteurs : T. Behrens ; E. Lynge ; I. Cree ; J M Lutz ; M. Eriksson ; P. Guenel ; F. Merletti ; M. Morales-Suarez-Varela ; N. Afonso ; A. Stengrevics ; J. Fevotte ; S. Sabroe ; A. Llopis-Gonzalez ; G. Gorini ; L. Hardell ; S. Andreas ; W. AhrensSource :
- Journal of Epidemiology and Community Health [ 0143-005X ] ; 2011-08.
Abstract
Introduction Since pesticides are disputed risk factors for uveal melanoma, we studied the association between occupational pesticide exposure and uveal melanoma risk in a case-control study from nine European countries. Methods Incident cases of uveal melanoma and population as well as hospital controls were included and frequency-matched by country, 5-year age groups and sex. Self-reported exposure was quantified with respect to duration of exposure and pesticide application method. We calculated the exposure intensity level based on application method and use of personal protective equipment. ORs and 95% CIs were estimated by unconditional logistic regression analyses and adjusted for several potential confounders. Results 293 case and 3198 control subjects were interviewed. We did not identify positive associations with activities in farming or forestry, pesticide application or pesticide mixing. No consistent positive associations were seen with exposure intensity level scores either. The only statistically significantly raised association in this study was for exposure to chemical fertilisers in forestry (OR 8.93; 95% CI 1.73 to 42.13), but this observation was based on only six exposed subjects. Results did not change when we restricted analyses to morphologically verified cases and excluded proxy interviews as well as cancer controls. We did not observe effect modification by sex or eye colour. Conclusion Risk estimates for pesticide exposures and occupational activities in agriculture and forestry were not increased and did not indicate a hormonal mechanism due to these exposures. The possible risk increase associated with exposure to chemical fertilisers should be reinvestigated in future studies.
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DOI: 10.1136/jech.2011.142976m.84
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Gorini</name><affiliation><mods:affiliation>Epidemiology and Public Health; Environmental and Occupational Epidemiology Unit—ISPO Cancer Prevention and Research Institute, Florence, Italy</mods:affiliation></affiliation></author><author><name sortKey="Hardell, L" sort="Hardell, L" uniqKey="Hardell L" first="L" last="Hardell">L. Hardell</name><affiliation><mods:affiliation>Department of Oncology, Lund University Hospital, Lund, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Andreas, S" sort="Andreas, S" uniqKey="Andreas S" first="S" last="Andreas">S. 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Behrens</name><affiliation><mods:affiliation>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Lynge, E" sort="Lynge, E" uniqKey="Lynge E" first="E" last="Lynge">E. Lynge</name><affiliation><mods:affiliation>Institute of Public Health, University of Copenhagen, Copenhagen, Denmark</mods:affiliation></affiliation></author><author><name sortKey="Cree, I" sort="Cree, I" uniqKey="Cree I" first="I" last="Cree">I. Cree</name><affiliation><mods:affiliation>Institute of Ophthalmology, University College London, London, UK</mods:affiliation></affiliation></author><author><name sortKey="Lutz, J M" sort="Lutz, J M" uniqKey="Lutz J" first="J M" last="Lutz">J M Lutz</name><affiliation><mods:affiliation>Department of Chronic Disease Epidemiology, National Institute for Cancer Epidemiology and Registration (NICER), ISPM Zürich, Zürich, Switzerland</mods:affiliation></affiliation></author><author><name sortKey="Eriksson, M" sort="Eriksson, M" uniqKey="Eriksson M" first="M" last="Eriksson">M. Eriksson</name><affiliation><mods:affiliation>Department of Oncology, University Hospital, Lund, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Guenel, P" sort="Guenel, P" uniqKey="Guenel P" first="P" last="Guenel">P. Guenel</name><affiliation><mods:affiliation>Inserm, CESP Center for Epidemiology and Population Health, U1018, Environmental Epidemiology of Cancer, Villejuif, France</mods:affiliation></affiliation><affiliation><mods:affiliation>University Paris-Sud, UMRS 1018, Villejuif, France</mods:affiliation></affiliation></author><author><name sortKey="Merletti, F" sort="Merletti, F" uniqKey="Merletti F" first="F" last="Merletti">F. Merletti</name><affiliation><mods:affiliation>Unit of Cancer Epidemiology, University of Turin, CERMS and CPO, Piemonte, Italy</mods:affiliation></affiliation></author><author><name sortKey="Morales Suarez Varela, M" sort="Morales Suarez Varela, M" uniqKey="Morales Suarez Varela M" first="M" last="Morales-Suarez-Varela">M. Morales-Suarez-Varela</name><affiliation><mods:affiliation>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</mods:affiliation></affiliation><affiliation><mods:affiliation>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</mods:affiliation></affiliation></author><author><name sortKey="Afonso, N" sort="Afonso, N" uniqKey="Afonso N" first="N" last="Afonso">N. Afonso</name><affiliation><mods:affiliation>Serviço de Oncologia Médica, Instituto Portugues de Oncologia, Porto, Portugal</mods:affiliation></affiliation></author><author><name sortKey="Stengrevics, A" sort="Stengrevics, A" uniqKey="Stengrevics A" first="A" last="Stengrevics">A. Stengrevics</name><affiliation><mods:affiliation>Latvia Cancer Registry, Riga, Latvia</mods:affiliation></affiliation></author><author><name sortKey="Fevotte, J" sort="Fevotte, J" uniqKey="Fevotte J" first="J" last="Fevotte">J. Fevotte</name><affiliation><mods:affiliation>Institut de Veille Sanitaire (InVS), Département, Santé-Travail (DST), S. Maurice, France</mods:affiliation></affiliation></author><author><name sortKey="Sabroe, S" sort="Sabroe, S" uniqKey="Sabroe S" first="S" last="Sabroe">S. Sabroe</name><affiliation><mods:affiliation>Department of Epidemiology, University of Aarhus, Aarhus, Denmark</mods:affiliation></affiliation></author><author><name sortKey="Llopis Gonzalez, A" sort="Llopis Gonzalez, A" uniqKey="Llopis Gonzalez A" first="A" last="Llopis-Gonzalez">A. Llopis-Gonzalez</name><affiliation><mods:affiliation>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</mods:affiliation></affiliation><affiliation><mods:affiliation>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</mods:affiliation></affiliation></author><author><name sortKey="Gorini, G" sort="Gorini, G" uniqKey="Gorini G" first="G" last="Gorini">G. Gorini</name><affiliation><mods:affiliation>Epidemiology and Public Health; Environmental and Occupational Epidemiology Unit—ISPO Cancer Prevention and Research Institute, Florence, Italy</mods:affiliation></affiliation></author><author><name sortKey="Hardell, L" sort="Hardell, L" uniqKey="Hardell L" first="L" last="Hardell">L. Hardell</name><affiliation><mods:affiliation>Department of Oncology, Lund University Hospital, Lund, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Andreas, S" sort="Andreas, S" uniqKey="Andreas S" first="S" last="Andreas">S. Andreas</name><affiliation><mods:affiliation>Institute of Clinical Epidemiology, University of Halle–Wittenberg, Halle, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</mods:affiliation></affiliation></author><author><name sortKey="Ahrens, W" sort="Ahrens, W" uniqKey="Ahrens W" first="W" last="Ahrens">W. Ahrens</name><affiliation><mods:affiliation>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</mods:affiliation></affiliation><affiliation><mods:affiliation>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="ISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2011-08">2011-08</date><biblScope unit="volume">65</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A375">A375</biblScope></imprint><idno type="ISSN">0143-005X</idno></series><idno type="istex">144696AB4DAF61B54AB63680285D5B6BBD6A620C</idno><idno type="DOI">10.1136/jech.2011.142976m.84</idno><idno type="href">jech-65-A375-3.pdf</idno><idno type="ArticleID">jech142976m.84</idno><idno type="local">jech;65/Suppl_1/A375-c</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0143-005X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Introduction Since pesticides are disputed risk factors for uveal melanoma, we studied the association between occupational pesticide exposure and uveal melanoma risk in a case-control study from nine European countries. Methods Incident cases of uveal melanoma and population as well as hospital controls were included and frequency-matched by country, 5-year age groups and sex. Self-reported exposure was quantified with respect to duration of exposure and pesticide application method. We calculated the exposure intensity level based on application method and use of personal protective equipment. ORs and 95% CIs were estimated by unconditional logistic regression analyses and adjusted for several potential confounders. Results 293 case and 3198 control subjects were interviewed. We did not identify positive associations with activities in farming or forestry, pesticide application or pesticide mixing. No consistent positive associations were seen with exposure intensity level scores either. The only statistically significantly raised association in this study was for exposure to chemical fertilisers in forestry (OR 8.93; 95% CI 1.73 to 42.13), but this observation was based on only six exposed subjects. Results did not change when we restricted analyses to morphologically verified cases and excluded proxy interviews as well as cancer controls. We did not observe effect modification by sex or eye colour. Conclusion Risk estimates for pesticide exposures and occupational activities in agriculture and forestry were not increased and did not indicate a hormonal mechanism due to these exposures. The possible risk increase associated with exposure to chemical fertilisers should be reinvestigated in future studies.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>T Behrens</name><affiliations><json:string>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</json:string></affiliations></json:item><json:item><name>E Lynge</name><affiliations><json:string>Institute of Public Health, University of Copenhagen, Copenhagen, Denmark</json:string></affiliations></json:item><json:item><name>I Cree</name><affiliations><json:string>Institute of Ophthalmology, University College London, London, UK</json:string></affiliations></json:item><json:item><name>J M Lutz</name><affiliations><json:string>Department of Chronic Disease Epidemiology, National Institute for Cancer Epidemiology and Registration (NICER), ISPM Zürich, Zürich, Switzerland</json:string></affiliations></json:item><json:item><name>M Eriksson</name><affiliations><json:string>Department of Oncology, University Hospital, Lund, Sweden</json:string></affiliations></json:item><json:item><name>P Guenel</name><affiliations><json:string>Inserm, CESP Center for Epidemiology and Population Health, U1018, Environmental Epidemiology of Cancer, Villejuif, France</json:string><json:string>University Paris-Sud, UMRS 1018, Villejuif, France</json:string></affiliations></json:item><json:item><name>F Merletti</name><affiliations><json:string>Unit of Cancer Epidemiology, University of Turin, CERMS and CPO, Piemonte, Italy</json:string></affiliations></json:item><json:item><name>M Morales-Suarez-Varela</name><affiliations><json:string>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</json:string><json:string>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</json:string></affiliations></json:item><json:item><name>N Afonso</name><affiliations><json:string>Serviço de Oncologia Médica, Instituto Portugues de Oncologia, Porto, Portugal</json:string></affiliations></json:item><json:item><name>A Stengrevics</name><affiliations><json:string>Latvia Cancer Registry, Riga, Latvia</json:string></affiliations></json:item><json:item><name>J Fevotte</name><affiliations><json:string>Institut de Veille Sanitaire (InVS), Département, Santé-Travail (DST), S. Maurice, France</json:string></affiliations></json:item><json:item><name>S Sabroe</name><affiliations><json:string>Department of Epidemiology, University of Aarhus, Aarhus, Denmark</json:string></affiliations></json:item><json:item><name>A Llopis-Gonzalez</name><affiliations><json:string>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</json:string><json:string>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</json:string></affiliations></json:item><json:item><name>G Gorini</name><affiliations><json:string>Epidemiology and Public Health; Environmental and Occupational Epidemiology Unit—ISPO Cancer Prevention and Research Institute, Florence, Italy</json:string></affiliations></json:item><json:item><name>L Hardell</name><affiliations><json:string>Department of Oncology, Lund University Hospital, Lund, Sweden</json:string></affiliations></json:item><json:item><name>S Andreas</name><affiliations><json:string>Institute of Clinical Epidemiology, University of Halle–Wittenberg, Halle, Germany</json:string><json:string>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</json:string></affiliations></json:item><json:item><name>W Ahrens</name><affiliations><json:string>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</json:string><json:string>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</json:string></affiliations></json:item></author><articleId><json:string>jech142976m.84</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>abstract</json:string></originalGenre><abstract>Introduction Since pesticides are disputed risk factors for uveal melanoma, we studied the association between occupational pesticide exposure and uveal melanoma risk in a case-control study from nine European countries. Methods Incident cases of uveal melanoma and population as well as hospital controls were included and frequency-matched by country, 5-year age groups and sex. Self-reported exposure was quantified with respect to duration of exposure and pesticide application method. We calculated the exposure intensity level based on application method and use of personal protective equipment. ORs and 95% CIs were estimated by unconditional logistic regression analyses and adjusted for several potential confounders. Results 293 case and 3198 control subjects were interviewed. We did not identify positive associations with activities in farming or forestry, pesticide application or pesticide mixing. No consistent positive associations were seen with exposure intensity level scores either. The only statistically significantly raised association in this study was for exposure to chemical fertilisers in forestry (OR 8.93; 95% CI 1.73 to 42.13), but this observation was based on only six exposed subjects. Results did not change when we restricted analyses to morphologically verified cases and excluded proxy interviews as well as cancer controls. We did not observe effect modification by sex or eye colour. Conclusion Risk estimates for pesticide exposures and occupational activities in agriculture and forestry were not increased and did not indicate a hormonal mechanism due to these exposures. The possible risk increase associated with exposure to chemical fertilisers should be reinvestigated in future studies.</abstract><qualityIndicators><score>6.968</score><pdfVersion>1.6</pdfVersion><pdfPageSize>595.276 x 793.701 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>0</keywordCount><abstractCharCount>1736</abstractCharCount><pdfWordCount>1992</pdfWordCount><pdfCharCount>13517</pdfCharCount><pdfPageCount>2</pdfPageCount><abstractWordCount>248</abstractWordCount></qualityIndicators><title>SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma</title><genre><json:string>abstract</json:string></genre><host><volume>65</volume><publisherId><json:string>jech</json:string></publisherId><pages><first>A375</first></pages><issn><json:string>0143-005X</json:string></issn><issue>Suppl 1</issue><genre><json:string>journal</json:string></genre><language><json:string>unknown</json:string></language><eissn><json:string>1470-2738</json:string></eissn><title>Journal of Epidemiology and Community Health</title></host><categories><wos><json:string>social science</json:string><json:string>public, environmental & occupational health</json:string></wos><scienceMetrix><json:string>health sciences</json:string><json:string>public health & health services</json:string><json:string>epidemiology</json:string></scienceMetrix></categories><publicationDate>2011</publicationDate><copyrightDate>2011</copyrightDate><doi><json:string>10.1136/jech.2011.142976m.84</json:string></doi><id>144696AB4DAF61B54AB63680285D5B6BBD6A620C</id><score>0.045196883</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/144696AB4DAF61B54AB63680285D5B6BBD6A620C/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/144696AB4DAF61B54AB63680285D5B6BBD6A620C/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/144696AB4DAF61B54AB63680285D5B6BBD6A620C/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma</title><respStmt><resp>Références bibliographiques récupérées via GROBID</resp><name resp="ISTEX-API">ISTEX-API (INIST-CNRS)</name></respStmt></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd</publisher><availability><p>© 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</p></availability><date>2011</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma</title><author xml:id="author-1" corresp="yes"><persName><forename type="first">T</forename><surname>Behrens</surname></persName><affiliation>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</affiliation></author><author xml:id="author-2"><persName><forename type="first">E</forename><surname>Lynge</surname></persName><affiliation>Institute of Public Health, University of Copenhagen, Copenhagen, Denmark</affiliation></author><author xml:id="author-3"><persName><forename type="first">I</forename><surname>Cree</surname></persName><affiliation>Institute of Ophthalmology, University College London, London, UK</affiliation></author><author xml:id="author-4"><persName><forename type="first">J M</forename><surname>Lutz</surname></persName><affiliation>Department of Chronic Disease Epidemiology, National Institute for Cancer Epidemiology and Registration (NICER), ISPM Zürich, Zürich, Switzerland</affiliation></author><author xml:id="author-5"><persName><forename type="first">M</forename><surname>Eriksson</surname></persName><affiliation>Department of Oncology, University Hospital, Lund, Sweden</affiliation></author><author xml:id="author-6"><persName><forename type="first">P</forename><surname>Guenel</surname></persName><affiliation>Inserm, CESP Center for Epidemiology and Population Health, U1018, Environmental Epidemiology of Cancer, Villejuif, France</affiliation><affiliation>University Paris-Sud, UMRS 1018, Villejuif, France</affiliation></author><author xml:id="author-7"><persName><forename type="first">F</forename><surname>Merletti</surname></persName><affiliation>Unit of Cancer Epidemiology, University of Turin, CERMS and CPO, Piemonte, Italy</affiliation></author><author xml:id="author-8"><persName><forename type="first">M</forename><surname>Morales-Suarez-Varela</surname></persName><affiliation>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</affiliation><affiliation>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</affiliation></author><author xml:id="author-9"><persName><forename type="first">N</forename><surname>Afonso</surname></persName><affiliation>Serviço de Oncologia Médica, Instituto Portugues de Oncologia, Porto, Portugal</affiliation></author><author xml:id="author-10"><persName><forename type="first">A</forename><surname>Stengrevics</surname></persName><affiliation>Latvia Cancer Registry, Riga, Latvia</affiliation></author><author xml:id="author-11"><persName><forename type="first">J</forename><surname>Fevotte</surname></persName><affiliation>Institut de Veille Sanitaire (InVS), Département, Santé-Travail (DST), S. Maurice, France</affiliation></author><author xml:id="author-12"><persName><forename type="first">S</forename><surname>Sabroe</surname></persName><affiliation>Department of Epidemiology, University of Aarhus, Aarhus, Denmark</affiliation></author><author xml:id="author-13"><persName><forename type="first">A</forename><surname>Llopis-Gonzalez</surname></persName><affiliation>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</affiliation><affiliation>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</affiliation></author><author xml:id="author-14"><persName><forename type="first">G</forename><surname>Gorini</surname></persName><affiliation>Epidemiology and Public Health; Environmental and Occupational Epidemiology Unit—ISPO Cancer Prevention and Research Institute, Florence, Italy</affiliation></author><author xml:id="author-15"><persName><forename type="first">L</forename><surname>Hardell</surname></persName><affiliation>Department of Oncology, Lund University Hospital, Lund, Sweden</affiliation></author><author xml:id="author-16"><persName><forename type="first">S</forename><surname>Andreas</surname></persName><affiliation>Institute of Clinical Epidemiology, University of Halle–Wittenberg, Halle, Germany</affiliation><affiliation>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</affiliation></author><author xml:id="author-17"><persName><forename type="first">W</forename><surname>Ahrens</surname></persName><affiliation>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</affiliation><affiliation>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</affiliation></author></analytic><monogr><title level="j">Journal of Epidemiology and Community Health</title><title level="j" type="abbrev">J Epidemiol Community Health</title><idno type="pISSN">0143-005X</idno><idno type="eISSN">1470-2738</idno><imprint><publisher>BMJ Publishing Group Ltd</publisher><date type="published" when="2011-08"></date><biblScope unit="volume">65</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A375">A375</biblScope></imprint></monogr><idno type="istex">144696AB4DAF61B54AB63680285D5B6BBD6A620C</idno><idno type="DOI">10.1136/jech.2011.142976m.84</idno><idno type="href">jech-65-A375-3.pdf</idno><idno type="ArticleID">jech142976m.84</idno><idno type="local">jech;65/Suppl_1/A375-c</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2011</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Introduction Since pesticides are disputed risk factors for uveal melanoma, we studied the association between occupational pesticide exposure and uveal melanoma risk in a case-control study from nine European countries. Methods Incident cases of uveal melanoma and population as well as hospital controls were included and frequency-matched by country, 5-year age groups and sex. Self-reported exposure was quantified with respect to duration of exposure and pesticide application method. We calculated the exposure intensity level based on application method and use of personal protective equipment. ORs and 95% CIs were estimated by unconditional logistic regression analyses and adjusted for several potential confounders. Results 293 case and 3198 control subjects were interviewed. We did not identify positive associations with activities in farming or forestry, pesticide application or pesticide mixing. No consistent positive associations were seen with exposure intensity level scores either. The only statistically significantly raised association in this study was for exposure to chemical fertilisers in forestry (OR 8.93; 95% CI 1.73 to 42.13), but this observation was based on only six exposed subjects. Results did not change when we restricted analyses to morphologically verified cases and excluded proxy interviews as well as cancer controls. We did not observe effect modification by sex or eye colour. Conclusion Risk estimates for pesticide exposures and occupational activities in agriculture and forestry were not increased and did not indicate a hormonal mechanism due to these exposures. The possible risk increase associated with exposure to chemical fertilisers should be reinvestigated in future studies.</p></abstract></profileDesc><revisionDesc><change when="2011-08">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-01-19">References added</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/144696AB4DAF61B54AB63680285D5B6BBD6A620C/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="abstract"><front><journal-meta><journal-id journal-id-type="hwp">jech</journal-id><journal-id journal-id-type="nlm-ta">J Epidemiol Community Health</journal-id><journal-id journal-id-type="publisher-id">jech</journal-id><journal-title>Journal of Epidemiology and Community Health</journal-title><abbrev-journal-title abbrev-type="publisher">J Epidemiol Community Health</abbrev-journal-title><abbrev-journal-title>J Epidemiol Community Health</abbrev-journal-title><issn pub-type="ppub">0143-005X</issn><issn pub-type="epub">1470-2738</issn><publisher><publisher-name>BMJ Publishing Group Ltd</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">jech142976m.84</article-id><article-id pub-id-type="doi">10.1136/jech.2011.142976m.84</article-id><article-id pub-id-type="other">jech;65/Suppl_1/A375-c</article-id><article-id pub-id-type="other">jech;jech.2011.142976m.84</article-id><article-id pub-id-type="other">A375.3</article-id><article-id pub-id-type="other">jech.2011.142976m.84</article-id><article-categories><subj-group subj-group-type="heading"><subject>Publication only</subject></subj-group><series-title>Chronic disease</series-title></article-categories><title-group><article-title>SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Behrens</surname><given-names>T</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lynge</surname><given-names>E</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Cree</surname><given-names>I</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Lutz</surname><given-names>J M</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Eriksson</surname><given-names>M</given-names></name><xref ref-type="aff" rid="aff5">5</xref></contrib><contrib contrib-type="author"><name><surname>Guenel</surname><given-names>P</given-names></name><xref ref-type="aff" rid="aff6">6</xref><xref ref-type="aff" rid="aff7">7</xref></contrib><contrib contrib-type="author"><name><surname>Merletti</surname><given-names>F</given-names></name><xref ref-type="aff" rid="aff8">8</xref></contrib><contrib contrib-type="author"><name><surname>Morales-Suarez-Varela</surname><given-names>M</given-names></name><xref ref-type="aff" rid="aff9">9</xref><xref ref-type="aff" rid="aff10">10</xref></contrib><contrib contrib-type="author"><name><surname>Afonso</surname><given-names>N</given-names></name><xref ref-type="aff" rid="aff11">11</xref></contrib><contrib contrib-type="author"><name><surname>Stengrevics</surname><given-names>A</given-names></name><xref ref-type="aff" rid="aff12">12</xref></contrib><contrib contrib-type="author"><name><surname>Fevotte</surname><given-names>J</given-names></name><xref ref-type="aff" rid="aff13">13</xref></contrib><contrib contrib-type="author"><name><surname>Sabroe</surname><given-names>S</given-names></name><xref ref-type="aff" rid="aff14">14</xref></contrib><contrib contrib-type="author"><name><surname>Llopis-Gonzalez</surname><given-names>A</given-names></name><xref ref-type="aff" rid="aff9">9</xref><xref ref-type="aff" rid="aff10">10</xref></contrib><contrib contrib-type="author"><name><surname>Gorini</surname><given-names>G</given-names></name><xref ref-type="aff" rid="aff15">15</xref></contrib><contrib contrib-type="author"><name><surname>Hardell</surname><given-names>L</given-names></name><xref ref-type="aff" rid="aff16">16</xref></contrib><contrib contrib-type="author"><name><surname>Andreas</surname><given-names>S</given-names></name><xref ref-type="aff" rid="aff17">17</xref><xref ref-type="aff" rid="aff18">18</xref></contrib><contrib contrib-type="author"><name><surname>Ahrens</surname><given-names>W</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="aff" rid="aff18">18</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</aff><aff id="aff2"><label>2</label>Institute of Public Health, University of Copenhagen, Copenhagen, Denmark</aff><aff id="aff3"><label>3</label>Institute of Ophthalmology, University College London, London, UK</aff><aff id="aff4"><label>4</label>Department of Chronic Disease Epidemiology, National Institute for Cancer Epidemiology and Registration (NICER), ISPM Zürich, Zürich, Switzerland</aff><aff id="aff5"><label>5</label>Department of Oncology, University Hospital, Lund, Sweden</aff><aff id="aff6"><label>6</label>Inserm, CESP Center for Epidemiology and Population Health, U1018, Environmental Epidemiology of Cancer, Villejuif, France</aff><aff id="aff7"><label>7</label>University Paris-Sud, UMRS 1018, Villejuif, France</aff><aff id="aff8"><label>8</label>Unit of Cancer Epidemiology, University of Turin, CERMS and CPO, Piemonte, Italy</aff><aff id="aff9"><label>9</label>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</aff><aff id="aff10"><label>10</label>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</aff><aff id="aff11"><label>11</label>Serviço de Oncologia Médica, Instituto Portugues de Oncologia, Porto, Portugal</aff><aff id="aff12"><label>12</label>Latvia Cancer Registry, Riga, Latvia</aff><aff id="aff13"><label>13</label>Institut de Veille Sanitaire (InVS), Département, Santé-Travail (DST), S. Maurice, France</aff><aff id="aff14"><label>14</label>Department of Epidemiology, University of Aarhus, Aarhus, Denmark</aff><aff id="aff15"><label>15</label>Epidemiology and Public Health; Environmental and Occupational Epidemiology Unit—ISPO Cancer Prevention and Research Institute, Florence, Italy</aff><aff id="aff16"><label>16</label>Department of Oncology, Lund University Hospital, Lund, Sweden</aff><aff id="aff17"><label>17</label>Institute of Clinical Epidemiology, University of Halle–Wittenberg, Halle, Germany</aff><aff id="aff18"><label>18</label>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</aff><pub-date pub-type="ppub"><month>8</month><year>2011</year></pub-date><volume>65</volume><volume-id pub-id-type="other">65</volume-id><volume-id pub-id-type="other">65</volume-id><issue>Suppl 1</issue><issue-id pub-id-type="other">jech;65/Suppl_1</issue-id><issue-id pub-id-type="other" content-type="supplement">Suppl_1</issue-id><issue-id pub-id-type="other">65/Suppl_1</issue-id><issue-title>IEA World Congress of Epidemiology, 7–11 August 2011, Edinburgh International Conference Centre, Edinburgh, Scotland Programme and abstracts</issue-title><fpage seq="3">A375</fpage><permissions><copyright-statement>© 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</copyright-statement><copyright-year>2011</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="jech-65-A375-3.pdf"></self-uri><abstract><sec><title>Introduction</title><p>Since pesticides are disputed risk factors for uveal melanoma, we studied the association between occupational pesticide exposure and uveal melanoma risk in a case-control study from nine European countries.</p></sec><sec><title>Methods</title><p>Incident cases of uveal melanoma and population as well as hospital controls were included and frequency-matched by country, 5-year age groups and sex. Self-reported exposure was quantified with respect to duration of exposure and pesticide application method. We calculated the exposure intensity level based on application method and use of personal protective equipment. ORs and 95% CIs were estimated by unconditional logistic regression analyses and adjusted for several potential confounders.</p></sec><sec><title>Results</title><p>293 case and 3198 control subjects were interviewed. We did not identify positive associations with activities in farming or forestry, pesticide application or pesticide mixing. No consistent positive associations were seen with exposure intensity level scores either. The only statistically significantly raised association in this study was for exposure to chemical fertilisers in forestry (OR 8.93; 95% CI 1.73 to 42.13), but this observation was based on only six exposed subjects. Results did not change when we restricted analyses to morphologically verified cases and excluded proxy interviews as well as cancer controls. We did not observe effect modification by sex or eye colour.</p></sec><sec><title>Conclusion</title><p>Risk estimates for pesticide exposures and occupational activities in agriculture and forestry were not increased and did not indicate a hormonal mechanism due to these exposures. The possible risk increase associated with exposure to chemical fertilisers should be reinvestigated in future studies.</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma</title><partName>Chronic disease</partName></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>SP1-7 Pesticide exposure in farming and forestry and the risk of uveal melanoma</title><partName>Chronic disease</partName></titleInfo><name type="personal" displayLabel="corresp"><namePart type="given">T</namePart><namePart type="family">Behrens</namePart><affiliation>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">E</namePart><namePart type="family">Lynge</namePart><affiliation>Institute of Public Health, University of Copenhagen, Copenhagen, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">I</namePart><namePart type="family">Cree</namePart><affiliation>Institute of Ophthalmology, University College London, London, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J M</namePart><namePart type="family">Lutz</namePart><affiliation>Department of Chronic Disease Epidemiology, National Institute for Cancer Epidemiology and Registration (NICER), ISPM Zürich, Zürich, Switzerland</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M</namePart><namePart type="family">Eriksson</namePart><affiliation>Department of Oncology, University Hospital, Lund, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P</namePart><namePart type="family">Guenel</namePart><affiliation>Inserm, CESP Center for Epidemiology and Population Health, U1018, Environmental Epidemiology of Cancer, Villejuif, France</affiliation><affiliation>University Paris-Sud, UMRS 1018, Villejuif, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F</namePart><namePart type="family">Merletti</namePart><affiliation>Unit of Cancer Epidemiology, University of Turin, CERMS and CPO, Piemonte, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M</namePart><namePart type="family">Morales-Suarez-Varela</namePart><affiliation>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</affiliation><affiliation>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">N</namePart><namePart type="family">Afonso</namePart><affiliation>Serviço de Oncologia Médica, Instituto Portugues de Oncologia, Porto, Portugal</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A</namePart><namePart type="family">Stengrevics</namePart><affiliation>Latvia Cancer Registry, Riga, Latvia</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J</namePart><namePart type="family">Fevotte</namePart><affiliation>Institut de Veille Sanitaire (InVS), Département, Santé-Travail (DST), S. Maurice, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S</namePart><namePart type="family">Sabroe</namePart><affiliation>Department of Epidemiology, University of Aarhus, Aarhus, Denmark</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A</namePart><namePart type="family">Llopis-Gonzalez</namePart><affiliation>Unit of Public Health and Environmental Care, Department of Preventive Medicine, University of Valencia, Valencia, Spain</affiliation><affiliation>Research Foundation. University Hospital Dr. Peset, Valencia, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G</namePart><namePart type="family">Gorini</namePart><affiliation>Epidemiology and Public Health; Environmental and Occupational Epidemiology Unit—ISPO Cancer Prevention and Research Institute, Florence, Italy</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L</namePart><namePart type="family">Hardell</namePart><affiliation>Department of Oncology, Lund University Hospital, Lund, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S</namePart><namePart type="family">Andreas</namePart><affiliation>Institute of Clinical Epidemiology, University of Halle–Wittenberg, Halle, Germany</affiliation><affiliation>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W</namePart><namePart type="family">Ahrens</namePart><affiliation>Bremen Institute for Prevention Research and Social Medicine, Bremen, Germany</affiliation><affiliation>Institute of Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen, Essen, Germany</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>BMJ Publishing Group Ltd</publisher><dateIssued encoding="w3cdtf">2011-08</dateIssued><copyrightDate encoding="w3cdtf">2011</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Introduction Since pesticides are disputed risk factors for uveal melanoma, we studied the association between occupational pesticide exposure and uveal melanoma risk in a case-control study from nine European countries. Methods Incident cases of uveal melanoma and population as well as hospital controls were included and frequency-matched by country, 5-year age groups and sex. Self-reported exposure was quantified with respect to duration of exposure and pesticide application method. We calculated the exposure intensity level based on application method and use of personal protective equipment. ORs and 95% CIs were estimated by unconditional logistic regression analyses and adjusted for several potential confounders. Results 293 case and 3198 control subjects were interviewed. We did not identify positive associations with activities in farming or forestry, pesticide application or pesticide mixing. No consistent positive associations were seen with exposure intensity level scores either. The only statistically significantly raised association in this study was for exposure to chemical fertilisers in forestry (OR 8.93; 95% CI 1.73 to 42.13), but this observation was based on only six exposed subjects. Results did not change when we restricted analyses to morphologically verified cases and excluded proxy interviews as well as cancer controls. We did not observe effect modification by sex or eye colour. Conclusion Risk estimates for pesticide exposures and occupational activities in agriculture and forestry were not increased and did not indicate a hormonal mechanism due to these exposures. The possible risk increase associated with exposure to chemical fertilisers should be reinvestigated in future studies.</abstract><relatedItem type="host"><titleInfo><title>Journal of Epidemiology and Community Health</title></titleInfo><titleInfo type="abbreviated"><title>J Epidemiol Community Health</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0143-005X</identifier><identifier type="eISSN">1470-2738</identifier><identifier type="PublisherID">jech</identifier><identifier type="PublisherID-hwp">jech</identifier><identifier type="PublisherID-nlm-ta">J Epidemiol Community Health</identifier><part><date>2011</date><detail type="title"><title>IEA World Congress of Epidemiology, 7–11 August 2011, Edinburgh International Conference Centre, Edinburgh, Scotland Programme and abstracts</title></detail><detail type="volume"><caption>vol.</caption><number>65</number></detail><detail type="issue"><caption>no.</caption><number>Suppl 1</number></detail><extent unit="pages"><start>A375</start></extent></part></relatedItem><identifier type="istex">144696AB4DAF61B54AB63680285D5B6BBD6A620C</identifier><identifier type="DOI">10.1136/jech.2011.142976m.84</identifier><identifier type="href">jech-65-A375-3.pdf</identifier><identifier type="ArticleID">jech142976m.84</identifier><identifier type="local">jech;65/Suppl_1/A375-c</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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