Table 4

RRs and 95% CIs* for ever use of OP insecticides, compared to never use, for various cancers diagnosed five or more years after study enrolment among AHS spouses

 OPsMalathionDiazinonChlorpyrifosTerbufos
NtotalN‡RR95% CINRR95% CINRR95% CINRR95% CINRR95% CI
All sites§19535281.080.94 to 1.234111.040.91 to 1.182091.080.93 to 1.25821.050.79 to 1.38641.170.83 to 1.66
Breast§7402061.210.98 to 1.491561.100.89 to 1.35881.240.99 to 1.56361.450.97 to 2.18271.610.96 to 2.72
 ER+PR+4311221.220.93 to 1.61951.110.85 to 1.45461.100.81 to 1.51191.200.68 to 2.11151.390.68 to 2.81
 ER−PR−115351.190.71 to 1.99251.040.62 to 1.74161.480.86 to 2.55
Colon143350.870.52 to 1.44290.950.58 to 1.57151.060.60 to 1.87
Leukaemia48150.920.41 to 2.11110.790.34 to 1.85
Lung124290.810.46 to 1.42261.110.63 to 1.93131.060.56 to 2.00
Melanoma72211.020.53 to 1.97150.820.42 to 1.59
NHL152461.100.69 to 1.74270.600.37 to 0.98171.140.66 to 1.96
 FL30111.020.38 to 2.76
 MM27113.001.08 to 8.34
Ovary§61181.550.75 to 3.18151.280.64 to 2.56101.880.93 to 3.78
Pancreas35141.620.65 to 4.08121.460.62 to 3.44
Rectum44110.960.39 to 2.41
Thyroid73211.410.74 to 2.69192.221.18 to 4.17
Uterus§170471.030.66 to 1.59371.090.71 to 1.67150.810.47 to 1.41
DichlorvosPhorateFonofosCoumaphosParathion
NtotalNRR95% CINRR95% CINRR95% CINRR95% CINRR95% CI
All sites§1953530.950.72 to 1.26420.860.60 to 1.22420.900.61 to 1.33271.000.68 to 1.47261.200.81 to 1.79
Breast§740191.050.66 to 1.67160.940.53 to 1.65120.660.33 to 1.31151.640.98 to 2.74131.720.99 to 2.99
 ER+PR+431141.210.70 to 2.08100.990.48 to 2.03
  • *Adjusted for age, race, state, pack-years smoked, family history of cancer, alcohol consumption, BMI, education, home and garden pesticide application and correlated/associated pesticide use.

  • †Total cases.

  • Exposed cases.

  • §Additionally adjusted for menopause status at enrolment, number of live births, and oral contraceptive use.

  • AHS, Agricultural Health Study; BMI, body mass index; ER, estrogen receptor; FL, follicular Lymphoma; MM, multiple Myeloma; NHL, non-Hodgkin Lymphoma; OP, organophosphates; PR, progesterone receptor; RR, relative risks.