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Occupation and risk of esophageal and gastric cardia adenocarcinoma.
Am J Ind Med. 2002 Jul; 42(1):11-22.AJ

Abstract

BACKGROUND

Adenocarcinomas of the esophagus and gastric cardia have risen dramatically in incidence over the past few decades, however, little research has been conducted on the occupational risk factors for these cancers.

METHODS

In this population-based case-control study, lifetime job histories were compared between cases of esophageal adenocarcinoma (n = 283), gastric cardia adenocarcinoma (n = 259), and population controls (n = 689). Odds ratios (OR) and 95% confidence intervals (CI) for ever employment and by duration in various occupational and industrial categories were calculated using unconditional logistic regression.

RESULTS

The risk of esophageal adenocarcinoma was elevated for persons ever employed in administrative support (OR = 1.5; 95%CI = 1.0-2.1); financial, insurance, and real estate (OR = 1.6; 95%CI = 1.0-2.4); and health services (OR = 2.2; 95%CI = 1.2-3.9). The risk of gastric cardia adenocarcinoma was increased among transportation workers (OR = 1.7; 95%CI = 1.1-2.6), as well as among carpenters (OR = 1.8; 95%CI = 0.9-3.9) and workers in the furniture manufacturing industry (OR = 2.4; 95%CI = 0.9-6.3). However, we observed few duration-response relations between length of employment in any category and cancer risk.

CONCLUSIONS

This study revealed associations of esophageal adenocarcinoma with employment in administrative support, health services, and a category of financial, insurance, and real estate industries, and of gastric cardia adenocarcinoma with transportation and certain woodworking occupations. Some of these findings may be due to the play of chance associated with the multiple comparisons made in this study. Our results suggest that, overall, workplace exposures play a minor role in the etiology and upward trend of esophageal and gastric cardia adenocarcinomas.

Authors+Show Affiliations

Occupational Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA. engell@mail.nih.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12111686

Citation

Engel, Lawrence S., et al. "Occupation and Risk of Esophageal and Gastric Cardia Adenocarcinoma." American Journal of Industrial Medicine, vol. 42, no. 1, 2002, pp. 11-22.
Engel LS, Vaughan TL, Gammon MD, et al. Occupation and risk of esophageal and gastric cardia adenocarcinoma. Am J Ind Med. 2002;42(1):11-22.
Engel, L. S., Vaughan, T. L., Gammon, M. D., Chow, W. H., Risch, H. A., Dubrow, R., Mayne, S. T., Rotterdam, H., Schoenberg, J. B., Stanford, J. L., West, A. B., Blot, W. J., & Fraumeni, J. F. (2002). Occupation and risk of esophageal and gastric cardia adenocarcinoma. American Journal of Industrial Medicine, 42(1), 11-22.
Engel LS, et al. Occupation and Risk of Esophageal and Gastric Cardia Adenocarcinoma. Am J Ind Med. 2002;42(1):11-22. PubMed PMID: 12111686.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Occupation and risk of esophageal and gastric cardia adenocarcinoma. AU - Engel,Lawrence S, AU - Vaughan,Thomas L, AU - Gammon,Marilie D, AU - Chow,Wong-Ho, AU - Risch,Harvey A, AU - Dubrow,Robert, AU - Mayne,Susan T, AU - Rotterdam,Heidrun, AU - Schoenberg,Janet B, AU - Stanford,Janet L, AU - West,A Brian, AU - Blot,William J, AU - Fraumeni,Joseph F,Jr PY - 2002/7/12/pubmed PY - 2002/9/13/medline PY - 2002/7/12/entrez SP - 11 EP - 22 JF - American journal of industrial medicine JO - Am. J. Ind. Med. VL - 42 IS - 1 N2 - BACKGROUND: Adenocarcinomas of the esophagus and gastric cardia have risen dramatically in incidence over the past few decades, however, little research has been conducted on the occupational risk factors for these cancers. METHODS: In this population-based case-control study, lifetime job histories were compared between cases of esophageal adenocarcinoma (n = 283), gastric cardia adenocarcinoma (n = 259), and population controls (n = 689). Odds ratios (OR) and 95% confidence intervals (CI) for ever employment and by duration in various occupational and industrial categories were calculated using unconditional logistic regression. RESULTS: The risk of esophageal adenocarcinoma was elevated for persons ever employed in administrative support (OR = 1.5; 95%CI = 1.0-2.1); financial, insurance, and real estate (OR = 1.6; 95%CI = 1.0-2.4); and health services (OR = 2.2; 95%CI = 1.2-3.9). The risk of gastric cardia adenocarcinoma was increased among transportation workers (OR = 1.7; 95%CI = 1.1-2.6), as well as among carpenters (OR = 1.8; 95%CI = 0.9-3.9) and workers in the furniture manufacturing industry (OR = 2.4; 95%CI = 0.9-6.3). However, we observed few duration-response relations between length of employment in any category and cancer risk. CONCLUSIONS: This study revealed associations of esophageal adenocarcinoma with employment in administrative support, health services, and a category of financial, insurance, and real estate industries, and of gastric cardia adenocarcinoma with transportation and certain woodworking occupations. Some of these findings may be due to the play of chance associated with the multiple comparisons made in this study. Our results suggest that, overall, workplace exposures play a minor role in the etiology and upward trend of esophageal and gastric cardia adenocarcinomas. SN - 0271-3586 UR - https://www.unboundmedicine.com/medline/citation/12111686/Occupation_and_risk_of_esophageal_and_gastric_cardia_adenocarcinoma_ L2 - https://doi.org/10.1002/ajim.10077 DB - PRIME DP - Unbound Medicine ER -