Table 3

HRs for selected causes of death for male workers from the total cohort by tertiles of (lagged) TCDD plasma levels; low, medium and high compared with workers with background TCDD levels

Causes of death (ICD-10)TCDD level (ppt)Empirical model*A priori model
nHR (95% CI)nHR (95% CI)
All non-cancer causes (A00–B99, D50–Y89)
 Background (reference)≤0.4139Ref (–)122Ref (–)
 Low0.4–1.9681.02 (0.76 to 1.36)941.05 (0.80 to 1.38)
 Medium1.9–9.9781.34 (1.01 to 1.77)891.39 (1.06 to 1.82)
 High≥9.9641.52 (1.12 to 2.05)441.87 (1.33 to 2.64)
All cancers (C00–D48)
 Background (reference)≤0.4101Ref (–)80Ref (–)
 Low0.4–4.1300.67 (0.44 to 1.01)560.79 (0.55 to 1.12)
 Medium4.1–20.1300.76 (0.50 to 1.15)331.07 (0.70 to 1.61)
 High≥20.1311.32 (0.88 to 1.96)231.80 (1.16 to 2.82)
Stomach cancer (C16)
 Background (reference)≤0.48Ref (–)8Ref (–)
 Low0.4–4.120.50 (0.11 to 2.33)10.13 (0.02 to 1.03)
 Medium4.1–20.110.34 (0.04 to 2.66)20.54 (0.11 to 2.58)
 High≥20.131.33 (0.32 to 5.51)32.46 (0.66 to 9.16)
Trachea, bronchus and lung cancer (C33–C34)
 Background (reference)≤0.427Ref (–)24Ref (–)
 Low0.4–4.170.53 (0.24 to 1.17)110.52 (0.26 to 1.05)
 Medium4.1–20.1100.89 (0.42 to 1.85)121.15 (0.57 to 2.34)
 High≥20.181.07 (0.48 to 2.37)51.20 (0.46 to 3.13)
Urinary cancers (C64–C68)
 Background (reference)≤0.49Ref (–)4Ref (–)
 Low0.4–4.140.76 (0.23 to 2.57)102.49 (0.75 to 8.29)
 Medium4.1 to 20.151.32 (0.46 to 3.81)73.95 (1.09 to 14.34)
 High≥20.152.04 (0.70 to 5.95)23.14 (0.58 to 17.01)
Non-Hodgkin's lymphoma (C82–C83, C85)
 Background (reference)≤0.42Ref (–)1Ref (–)
 Low0.4–4.112.99 (0.21 to 43.29)33.77 (0.42 to 34.27)
 Medium4.1–20.125.28 (0.48 to 58.06)27.78 (0.68 to 89.27)
 High≥20.1210.28 (1.05 to 100.4)18.09 (0.44 to 149.07)
Benign and unspecified cancers (D00–D48)
 Background (reference)≤0.44Ref (–)4Ref (–)
 Low0.4–4.1020.61 (0.11 to 3.40)
 Medium4.1–20.121.26 (0.23 to 6.92)0
 High≥20.110.89 (0.11 to 7.09)11.37 (0.15 to 12.06)
Ischaemic heart disease (I20–I25)
 Background (reference)≤0.435Ref (–)33Ref (–)
 Low0.4–1.9161.17 (0.65 to 2.09)211.02 (0.60 to 1.76)
 Medium1.9–9.9141.00 (0.54 to 1.85)201.25 (0.72 to 2.18)
 High≥9.9282.60 (1.57 to 4.31)192.78 (1.57 to 4.91)
Accidents, poisoning and violence (S00–Y09)
 Background (reference)≤0.411Ref (–)11Ref (–)
 Low0.4–1.920.70 (0.15 to 3.30)60.93 (0.35 to 2.51)
 Medium1.9–9.971.64 (0.63 to 4.28)61.54 (0.59 to 4.02)
 High≥9.9102.80 (1.21 to 6.47)72.72 (1.02 to 7.23)
  • HRs are adjusted for age.

  • * Based on occupational history including periods of employment in different departments.

  • Based on a priori assumed exposure status.

  • ICD-10, International Classification of Diseases, Tenth revision; n, number of deaths; TCDD, 2,3,7,8-tetrachlorodibenzo-p-dioxin.