Occupational exposure to chemicals and risk of thyroid cancer in Sweden

Int Arch Occup Environ Health. 2009 Jan;82(2):267-74. doi: 10.1007/s00420-008-0314-4. Epub 2008 Mar 26.

Abstract

Purpose: To explore thyroid cancer (TC) risk in the Swedish population, associated with occupational exposure to certain chemicals.

Methods: National cancer and death registries were used to follow-up (1971-1989) all Swedish workers employed in the 1970 census. Each combination of occupation and industry was linked to a Swedish job-exposure matrix (JEM), with exposure to 13 chemicals classified as "possible exposure", "probable exposure" or "unexposed". Relative risks were obtained using Poisson models adjusted for age, period and geographical area. A second analysis was performed, in which adjustment was additionally made for simultaneous exposure to other matrix chemicals and ionising radiations.

Results: Probable exposure to solvents among women displayed an increased risk (RR = 1.91; 95%CI:1.05-3.45), mainly due to a higher risk observed among shoe-cutters, lasters and sewers engaged in shoe-making.

Conclusions: Exposure to solvents, used mainly in the shoe and leather industry, seems to be associated with excess TC among women.

MeSH terms

  • Carcinogens, Environmental / adverse effects*
  • Cohort Studies
  • Female
  • Humans
  • Male
  • Occupational Diseases / epidemiology
  • Occupational Diseases / etiology*
  • Occupational Exposure / adverse effects*
  • Occupational Exposure / statistics & numerical data
  • Occupations* / statistics & numerical data
  • Poisson Distribution
  • Retrospective Studies
  • Risk
  • Risk Factors
  • Shoes
  • Solvents / adverse effects
  • Sweden / epidemiology
  • Thyroid Neoplasms / epidemiology
  • Thyroid Neoplasms / etiology*

Substances

  • Carcinogens, Environmental
  • Solvents