@article {Neasham77, author = {David Neasham and Ahlem Sifi and Kaspar Rene Nielsen and Kim Overvad and Ole Raaschou-Nielsen and Anne Tj{\o}nneland and Aurelio Barricarte and Carlos A Gonz{\'a}lez and Carmen Navarro and Laudina Rodriguez Suarez and Ruth C Travis and Tim Key and Jakob Linseisen and Rudolf Kaaks and Paolo Crosignani and Franco Berrino and Stefano Rosso and Amalia Mattiello and R C H Vermeulen and H Bas Bueno-de-Mesquita and G{\"o}ran Berglund and Jonas Manjer and Sophia Zackrisson and Goran Hallmans and Beatrice Malmer and Sheila Bingham and Kay Tee Khaw and Manuela M Bergmann and Heiner Boeing and Antonia Trichopoulou and Giovanna Masala and Rosario Tumino and Eiliv Lund and Nadia Slimani and Pietro Ferrari and Paolo Boffetta and Paolo Vineis and Elio Riboli}, title = {Occupation and risk of lymphoma: a multicentre prospective cohort study (EPIC)}, volume = {68}, number = {1}, pages = {77--81}, year = {2011}, doi = {10.1136/oem.2009.048173}, publisher = {BMJ Publishing Group Ltd}, abstract = {Objectives Evidence suggests that certain occupations and related exposures may increase the risk of malignant lymphoma. Farming, printing and paper industry, wood processing, meat handling and processing, welding, shoe and leather manufacturing and teaching profession are among the categories that have been implicated in previous studies. The relationship between occupation and malignant lymphoma has been investigated in a large European prospective study. Methods We investigated occupational risks for lymphomas in the European Prospective Investigation into Cancer and Nutrition (EPIC). The mean follow-up time for 348 555 subjects was 9 years (SD: 2 years). The analysis was based on 866 and 48 newly diagnosed cases of non-Hodgkin{\textquoteright}s lymphoma (NHL) and Hodgkin{\textquoteright}s lymphoma (HL). These were identified in the EPIC subcohorts with occupational data. Data on 52 occupations were collected through standardised questionnaires. Cox proportional hazard models were used to explore the association between occupation and risk of malignant lymphoma. Results The following occupations were positively associated with malignant NHL after adjustment for study centre, age, sex, socioeconomic status (SES), smoking and alcohol: butchers (HR=1.53, 95\% CI 1.05 to 2.48, including multiple myeloma/plasmacytoma; HR=1.30, 95\% CI 1.00 to 2.66, excluding multiple myeloma/plasmacytoma) and car repair workers (HR=1.50, 95\% CI 1.01 to 2.00, including multiple myeloma/plasmacytoma; HR=1.51, 95\% CI 1.01 to 2.31, excluding multiple myeloma/plasmacytoma). HL was associated with gasoline station occupation (HR=4.59, 95\% CI 1.08 to 19.6). Conclusion The findings in this current study of a higher risk of NHL among car repair workers and butchers and a higher risk of HL among gasoline station workers suggest a possible role from occupationally related exposures, such as solvents and zoonotic viruses, as risk factors for malignant lymphoma.}, issn = {1351-0711}, URL = {https://oem.bmj.com/content/68/1/77}, eprint = {https://oem.bmj.com/content/68/1/77.full.pdf}, journal = {Occupational and Environmental Medicine} }