BACKGROUND: Although lung cancer risks can vary by race/ethnicity and by construction occupation, these risks have not been examined extensively. METHODS: This study analyzed 110,937 lung cancer cases identified from the California Cancer Registry between 1988 and 2007. Mean age at diagnosis, proportion diagnosed at an advanced stage, and proportion with 3-year survival were calculated for lung cancer cases employed in the construction industry. Case-control methodology was also used to assess the risk of lung cancer. Morbidity odds ratios (MORs) were estimated by conditional logistic regression. RESULTS: Construction workers were found to have a significantly elevated risk for all lung cancer combined (MOR = 1.57) and for each lung cancer histologic subtype examined. All construction occupations, except managers/engineers and supervisors, had a significantly elevated risk for all lung cancer combined. Roofers and welders had the highest risks for total lung cancer and for each of the histologic subtypes. Construction workers in each of the four race/ethnicity groups also had significantly increased lung cancer risks. Compared to non-construction workers, construction workers were diagnosed at an earlier age, at a more advanced stage, and had significantly lower 3-year survival, though differences were modest. CONCLUSION: These findings justify additional reductions in carcinogenic exposures in construction, and increased support for smoking cessation programs at construction sites.
BACKGROUND: Although lung cancer risks can vary by race/ethnicity and by construction occupation, these risks have not been examined extensively. METHODS: This study analyzed 110,937 lung cancer cases identified from the California Cancer Registry between 1988 and 2007. Mean age at diagnosis, proportion diagnosed at an advanced stage, and proportion with 3-year survival were calculated for lung cancer cases employed in the construction industry. Case-control methodology was also used to assess the risk of lung cancer. Morbidity odds ratios (MORs) were estimated by conditional logistic regression. RESULTS: Construction workers were found to have a significantly elevated risk for all lung cancer combined (MOR = 1.57) and for each lung cancer histologic subtype examined. All construction occupations, except managers/engineers and supervisors, had a significantly elevated risk for all lung cancer combined. Roofers and welders had the highest risks for total lung cancer and for each of the histologic subtypes. Construction workers in each of the four race/ethnicity groups also had significantly increased lung cancer risks. Compared to non-construction workers, construction workers were diagnosed at an earlier age, at a more advanced stage, and had significantly lower 3-year survival, though differences were modest. CONCLUSION: These findings justify additional reductions in carcinogenic exposures in construction, and increased support for smoking cessation programs at construction sites.
Authors: Benjamin Kendzia; Thomas Behrens; Karl-Heinz Jöckel; Jack Siemiatycki; Hans Kromhout; Roel Vermeulen; Susan Peters; Rainer Van Gelder; Ann Olsson; Irene Brüske; H-Erich Wichmann; Isabelle Stücker; Florence Guida; Adonina Tardón; Franco Merletti; Dario Mirabelli; Lorenzo Richiardi; Hermann Pohlabeln; Wolfgang Ahrens; Maria Teresa Landi; Neil Caporaso; Dario Consonni; David Zaridze; Neonila Szeszenia-Dabrowska; Jolanta Lissowska; Per Gustavsson; Michael Marcus; Eleonora Fabianova; Andrea 't Mannetje; Neil Pearce; Lap Ah Tse; Ignatius Tak-Sun Yu; Peter Rudnai; Vladimir Bencko; Vladimir Janout; Dana Mates; Lenka Foretova; Francesco Forastiere; John McLaughlin; Paul Demers; Bas Bueno-de-Mesquita; Paolo Boffetta; Joachim Schüz; Kurt Straif; Beate Pesch; Thomas Brüning Journal: Am J Epidemiol Date: 2013-09-19 Impact factor: 4.897
Authors: Dario Consonni; Sara De Matteis; Angela C Pesatori; Pier Alberto Bertazzi; Ann C Olsson; Hans Kromhout; Susan Peters; Roel C H Vermeulen; Beate Pesch; Thomas Brüning; Benjamin Kendzia; Thomas Behrens; Isabelle Stücker; Florence Guida; Heinz-Erich Wichmann; Irene Brüske; Maria Teresa Landi; Neil E Caporaso; Per Gustavsson; Nils Plato; Lap Ah Tse; Ignatius Tak-Sun Yu; Karl-Heinz Jöckel; Wolfgang Ahrens; Hermann Pohlabeln; Franco Merletti; Lorenzo Richiardi; Lorenzo Simonato; Francesco Forastiere; Jack Siemiatycki; Marie-Élise Parent; Adonina Tardón; Paolo Boffetta; David Zaridze; Ying Chen; John K Field; Andrea 't Mannetje; Neil Pearce; John McLaughlin; Paul Demers; Jolanta Lissowska; Neonila Szeszenia-Dabrowska; Vladimir Bencko; Lenka Foretova; Vladimir Janout; Peter Rudnai; Eleonóra Fabiánová; Rodica Stanescu Dumitru; H Bas Bueno-de-Mesquita; Joachim Schüz; Kurt Straif Journal: Int J Cancer Date: 2014-06-03 Impact factor: 7.396
Authors: James M Antonini; Melissa A Badding; Terence G Meighan; Michael Keane; Stephen S Leonard; Jenny R Roberts Journal: Environ Health Insights Date: 2014-10-15
Authors: Anna Suraya; Dennis Nowak; Astrid Widajati Sulistomo; Aziza Ghanie Icksan; Ursula Berger; Elisna Syahruddin; Stephan Bose-O'Reilly Journal: Ann Glob Health Date: 2021-01-06 Impact factor: 2.462