Occupational Exposures and Lung Cancer Risk – An Analysis of the CARTaGENE Study
Menée au Canada à l'aide d'une matrice emplois-expositions et menée auprès de 147 patients atteints d'un cancer du poumon et 1 032 témoins, cette étude analyse l'association entre une exposition professionnelle à 27 agents et le risque de développer la maladie
Objective: To the determine associations between prevalent occupational agents and lung cancer risk. Methods: A case-cohort design (ncases=147; nsub-cohort=1,032) was nested within the CARTaGENE prospective cohort study. The Canadian Job Exposure Matrix was used to determine the probability of exposure to 27 agents in participants’ longest-held jobs. Multivariable logistic regression with robust variance estimators was used to determine the associations between each agent and lung cancer risk while adjusting for established lung cancer risk factors. Results: Increased lung cancer risk was observed among those exposed to ashes, calcium sulfate, formaldehyde, cooking fumes, alkanes, aliphatic aldehydes, and cleaning agents. Lower lung cancer risk was found among participants exposed to carbon monoxide and polycyclic aromatic hydrocarbons from petroleum. Conclusion: Our findings support the role of several occupational agents, for which we have limited knowledge, in contributing to lung cancer risk.