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摘要:

本文研究了1972年至1977年在册的累计专业工龄一年以上天津、上海和吉林1972名联苯胺男工的膀胱癌发病率和死亡率。与上海市普通居民相比联苯胺工人膀胱癌的标化死亡比(SMR)为17.5(95%可信限:7.5~34.5)、标化发病比(SIR)为25.0(95%可信限:16.9~35.7)。联苯胺工人膀胱癌发病率增高25倍,与接触水平有关。低接触组SIR=4.8;中接触组SIR=36.2;高接触组SIR=158.4(X2趋势检验P<0.01)。联苯胺生产工人SIR=45.7(95%可信限:20.9~86.8),联苯胺使用工人SIR=20.9(95%可信限:12.9~32.0)。联苯胺吸烟者危险度增加31倍(95%可信限:20.4~46.4),而非吸烟者仅11倍(95%可信限:3.6~25.8)。

Abstract:

We examined bladder cancer mortality and incidence between 1972~1977 of 1,972 benzidine-exposed male workers in Tianjin, Shanghai, and Jilin, China. In comparison with Shanghai general population rates, in the benzidine-exposed group the ratio of the observed to the expected deaths(SMR)was 17.5(95% CI: 7.5~34.5),and the ratio of the observed to the expected incident cases(SIR)was 25.0(95%CI:16.9~35.7). The 25-fold increase in bladder cancer incidence in the exposed group was related to the level of exposure: SIR=4.8 for low exposure,36.2 for medium exposure, and 158.4 for high exposure. (Chi-sguare for trend, p<0.01). For the producers of benzidine, the SIR=45.7(95%CI: 20.9~86.8), while for users, the SIR=20.9(95% CI: 12.9~32.0). Benzidine exposed smokers of tobacco had a 31-fold risk(95% CI: 20.4~46.4), while non-smokers had an 11-fold risk(95% CI: 3.6~25.8).

KeyWords:
参考文献

[1] Case RAM et al.: Tumors of the urinary bladder in workmem engaged in the manufacture and use of certain dyestuff intermediates in the British chemical industry, Br J Ind Med 1954, (11) :75~104

[2] Mancusco TF et al.: Cohort studies of workers exposed to betanaPhthyiamine and benzidine, J Occup Med 1967, (9) :277~285

[3] 上海市肿瘤研究所等:1972-1979年上海市居民恶性肿瘤发病率和死亡率,肿瘤 1982,(3) :385~391

[4] Rothman KJ et al.: EPidemiologic Analysis with a Programmable Calculator,NIH Publ No. 79-1649, US Goverment Printing Office, Washington, DC, 1979

[5] Cartwright RA et al.: The role of N-acetyltransferase phenotypes in bladder carcinogenesis: A pharmacogenetic epidemiological approach to bladder cancer. Lancet 1982, (2) : 842~846

基本信息:

DOI:10.19813/j.cnki.weishengyanjiu.1992.02.001

引用信息:

[1]毕文芳,Richafd B.Hays,冯佩文,齐瑞蓉,犹学筠,陈志刚,张鸣歧,曲宝庆,富振英,Melode Chen,Harvey T.Co Chen,William J.Blot.中国联苯胺作业工人职业性膀胱癌发病率和死亡率流行病学调查[J].卫生研究,1992(02):57-60+110.DOI:10.19813/j.cnki.weishengyanjiu.1992.02.001.

发布时间:

1992-04-30

出版时间:

1992-04-30

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