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Occup Environ Med 59:257-262 doi:10.1136/oem.59.4.257
  • Original article

Sunlight and mortality from breast, ovarian, colon, prostate, and non-melanoma skin cancer: a composite death certificate based case-control study

Table 3

Odds ratios (95% CIs) for non-melanoma skin, female breast, ovarian, prostate, and colon cancer mortality associated with occupational exposure to sunlight by residential* region and level of physical activity,† adjusted for age, sex, race, socioeconomic status, and physical activity

Occupational exposure to sunlight Residence: low sunlight OR (95% CI) Residence: medium sunlight OR (95% CI) Residence: high sunlight OR (95% CI) Low physical activity OR (95% CI) High physical activity
*Region is as identified in table 1; †low physical activity includes those jobs described as sedentary or involving low physical activity, whereas high physical activity includes those jobs described as involving moderate or high physical activity.
Non-melanoma skin cancer:
    Inside 1.0 1.0 1.0 1.0 1.0
    Mixed 1.02 (0.86 to 1.21) 1.03 (0.91 to 1.18) 0.97 (0.82 to 1.14) 0.92 (0.82 to 1.03) 1.03 (0.93 to 1.14)
    Outside 1.24 (0.92 to 1.67) 1.41 (1.14 to 1.76) 1.19 (0.91 to 1.54) 1.39 (0.83 to 2.33) 1.25 (1.10 to 1.42)
    Farmer 0.84 (0.60 to 1.18) 1.20 (0.97 to 1.49) 1.26 (0.94 to 1.69) 1.08 (0.94 to 1.24)
Female breast cancer:
    Inside 1.0 1.0 1.0 1.0 1.0
    Mixed 1.05 (0.93 to 1.19) 0.92 (0.83 to 1.03) 1.09 (0.95 to 1.25) 0.90 (0.83 to 0.97) 1.19 (1.09 to 1.30)
    Outside 0.94 (0.64 to 1.41) 0.87 (0.65 to 1.17) 0.75 (0.55 to 1.03) 0.90 (0.56 to 1.44) 0.82 (0.69 to 0.98)
    Farmer 1.24 (0.83 to 1.86) 0.78 (0.58 to 1.04) 0.90 (0.65 to 1.24) 0.89 (0.75 to 1.06)
Ovarian cancer:
    Inside 1.0 1.0 1.0 1.0 1.0
    Mixed 0.95 (0.81 to 1.12) 1.03 (0.90 to 1.18) 1.14 (0.96 to 1.36) 0.92 (0.83 to 1.01) 1.16 (1.03 to 1.30)
    Outside 1.14 (0.70 to 1.87) 1.17 (0.80 to 1.71) 0.55 (0.33 to 1.91) 1.49 (0.86 to 2.58) 0.87 (0.68 to 1.10)
    Farmer 1.36 (0.81 to 2.29) 1.07 (0.72 to 1.61) 1.14 (0.75 to 1.74) 1.07 (0.85 to 1.36)
Prostate cancer:
    Inside 1.0 1.0 1.0 1.0 1.0
    Mixed 1.03 (0.97 to 1.09) 0.96 (0.91 to 1.00) 1.02 (0.96 to 1.08) 0.98 (0.95 to 1.02) 1.04 (1.01 to 1.08)
    Outside 1.04 (0.93 to 1.15) 1.04 (0.96 to 1.14) 0.95 (0.86 to 1.04) 1.02 (0.83 to 1.26) 1.01 (0.97 to 1.06)
    Farmer 1.28 (1.16 to 1.42) 1.21 (1.12 to 1.31) 1.01 (0.91 to 1.12) 1.18 (1.12 to 1.24)
Colon cancer:
    Inside 1.0 1.0 1.0 1.0 1.0
    Mixed 1.01 (0.97 to 1.06) 0.94 (0.90 to 0.98) 1.00 (0.95 to 1.06) 0.94 (0.91 to 0.97) 1.00 (0.97 to 1.04)
    Outside 0.99 (0.90 to 1.09) 0.92 (0.85 to 1.00) 0.81 (0.74 to 0.90) 0.92 (0.76 to 1.12) 0.89 (0.85 to 0.93)
    Farmer 1.09 (0.99 to 1.21) 1.04 (0.97 to 1.11) 1.06 (0.95 to 1.17) 1.01 (0.97 to 1.06)

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