RT Journal Article SR Electronic T1 P021 Heat working environment and risk of breast, chronic lymphocytic leukaemia, colorectal, prostate, and stomach cancer in the MCC-spain case control study JF Occupational and Environmental Medicine JO Occup Environ Med FD BMJ Publishing Group Ltd SP A126 OP A126 DO 10.1136/oemed-2016-103951.346 VO 73 IS Suppl 1 A1 Alba-Hidalgo, Miguel-Angel A1 Alguacil, Juan A1 Costas, Laura A1 Gracia, Esther A1 Garrido, Juan-Antonio A1 Aragonés, Nuria A1 Pérez-Gómez, Beatriz A1 Molina, Antonio-José A1 Llorca, Javier A1 Moreno, Víctor A1 Altzibar, Jone-Miren A1 Burgui, Rosana A1 Sanjose, Silvia de A1 Jiménez-Moleón, José-Juan A1 Fernández-Tardón, Guillermo A1 Capelo, Rocío A1 Peiró, Rosana A1 Marcos-Gragera, Rafael A1 Chirlaque, María-Dolores A1 Castaño-Vinyals, Gemma A1 Pollán, Marina A1 García, Ana-María A1 Kogevinas, Manolis YR 2016 UL http://oem.bmj.com/content/73/Suppl_1/A126.2.abstract AB Occupational exposure to heat can affect the absorption of carcinogenic chemicals into the body, and the metabolism of sexual hormones. We explored the association between occupational exposure to heat and breast, chronic lymphocytic leukaemia, colorectal, prostate, and stomach cancer in the MCC-Spain population based case-control study.Methods The analyses were based on 3047 controls, and 1499 breast, 1539 colorectal, 332 LLC, 1070 prostate, and 382 stomach cancer cases. Heat working environment from either natural or artificial sources was assessed with the MatEmEsp job-exposure matrix. Logistic regression models accounting for education, sex, geographic area, BMI (colorectal, prostate), smoking (stomach, colorectal), menopause (breast) and number of alive children (breast) were fit to estimate Odds Ratios (OR) and 95% Confidence Limits (95 CL).Results Prostate cancer risk was over two and a half fold higher among men working for more than 10 years on a heat working environment than among who did not. Women working more than 10 years in occupations entailing heat exposure showed a higher risk of having breast cancer (OR: 1.3, 95% CL 1.04–1.7). The same figures where obtained for those working in occupations with higher probability*intensity of the exposure. Significant higher risk associations were also observed for colorectal cancer, among both men and women separately. While for stomach cancer, statistical significance was obtained only among men. LLC showed a suggestion of an association for both men and women.Our results provide further support to the hypothesis that working in a heat environment might be a risk factor for chemically and hormone related cancers.