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Cancer Incidence in a Cohort of Swedish Chimney Sweeps, 1958-2006.

Hogstedt, Christer ; Jansson, Catarina ; Hugosson, Marcus ; Tinnerberg, Håkan LU and Gustavsson, Per (2013) In American Journal of Public Health 103(9). p.1708-1714
Abstract
Objectives. We examined cancer incidence in an expanded cohort of Swedish chimney sweeps. Methods. We added male chimney sweep trade union members (1981-2006) to an earlier cohort (employed 1918-1980) and linked them to nationwide registers of cancer, causes of deaths, and total population. The total cohort (n = 6320) was followed from 1958 through 2006. We estimated standardized incidence ratios (SIRs) using the male Swedish population as reference. We estimated exposure as years of employment and analyzed for exposure-response associations by Poisson regression. Results. A total of 813 primary cancers were observed vs 626 expected (SIR = 1.30; 95% confidence interval = 1.21, 1.39). As in a previous follow-up, SIRs were significantly... (More)
Objectives. We examined cancer incidence in an expanded cohort of Swedish chimney sweeps. Methods. We added male chimney sweep trade union members (1981-2006) to an earlier cohort (employed 1918-1980) and linked them to nationwide registers of cancer, causes of deaths, and total population. The total cohort (n = 6320) was followed from 1958 through 2006. We estimated standardized incidence ratios (SIRs) using the male Swedish population as reference. We estimated exposure as years of employment and analyzed for exposure-response associations by Poisson regression. Results. A total of 813 primary cancers were observed vs 626 expected (SIR = 1.30; 95% confidence interval = 1.21, 1.39). As in a previous follow-up, SIRs were significantly increased for cancer of the esophagus, liver, lung, bladder, and all hematopoietic cancer. New findings included significantly elevated SIRs for cancer of the colon, pleura, adenocarcinoma of the lung, and at unspecified sites. Total cancer and bladder cancer demonstrated positive exposure-response associations. Conclusions. Exposure to soot and asbestos are likely causes of the observed cancer excesses, with contributions from adverse lifestyle factors. Preventive actions to control work exposures and promote healthier lifestyles are an important priority. (Am J Public Health. Published online ahead of print January 17, 2013: e1-e7. doi:10.2105/AJPH.2012.300860). (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
American Journal of Public Health
volume
103
issue
9
pages
1708 - 1714
publisher
Amer Public Health Assoc Inc
external identifiers
  • pmid:23327283
  • wos:000330998200045
  • scopus:84879696173
  • pmid:23327283
ISSN
1541-0048
DOI
10.2105/AJPH.2012.300860
language
English
LU publication?
yes
id
403534fc-d83b-441c-99e2-e78ff61362fc (old id 3438623)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/23327283?dopt=Abstract
date added to LUP
2016-04-01 10:49:05
date last changed
2022-04-28 01:45:26
@article{403534fc-d83b-441c-99e2-e78ff61362fc,
  abstract     = {{Objectives. We examined cancer incidence in an expanded cohort of Swedish chimney sweeps. Methods. We added male chimney sweep trade union members (1981-2006) to an earlier cohort (employed 1918-1980) and linked them to nationwide registers of cancer, causes of deaths, and total population. The total cohort (n = 6320) was followed from 1958 through 2006. We estimated standardized incidence ratios (SIRs) using the male Swedish population as reference. We estimated exposure as years of employment and analyzed for exposure-response associations by Poisson regression. Results. A total of 813 primary cancers were observed vs 626 expected (SIR = 1.30; 95% confidence interval = 1.21, 1.39). As in a previous follow-up, SIRs were significantly increased for cancer of the esophagus, liver, lung, bladder, and all hematopoietic cancer. New findings included significantly elevated SIRs for cancer of the colon, pleura, adenocarcinoma of the lung, and at unspecified sites. Total cancer and bladder cancer demonstrated positive exposure-response associations. Conclusions. Exposure to soot and asbestos are likely causes of the observed cancer excesses, with contributions from adverse lifestyle factors. Preventive actions to control work exposures and promote healthier lifestyles are an important priority. (Am J Public Health. Published online ahead of print January 17, 2013: e1-e7. doi:10.2105/AJPH.2012.300860).}},
  author       = {{Hogstedt, Christer and Jansson, Catarina and Hugosson, Marcus and Tinnerberg, Håkan and Gustavsson, Per}},
  issn         = {{1541-0048}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1708--1714}},
  publisher    = {{Amer Public Health Assoc Inc}},
  series       = {{American Journal of Public Health}},
  title        = {{Cancer Incidence in a Cohort of Swedish Chimney Sweeps, 1958-2006.}},
  url          = {{http://dx.doi.org/10.2105/AJPH.2012.300860}},
  doi          = {{10.2105/AJPH.2012.300860}},
  volume       = {{103}},
  year         = {{2013}},
}