Occupation and relative risk of cutaneous squamous cell carcinoma (cSCC): A 45-year follow-up study in 4 Nordic countries - 17/08/16
Abstract |
Background |
The age-adjusted incidence of cutaneous squamous cell carcinoma (cSCC) in the Nordic countries has increased during the last 60 years, and the identification of occupational variation in the relative risk of cSCC may have preventive implications.
Objective |
We sought to describe variation in the relative risk of cSCC between occupational categories in Finland, Iceland, Norway, and Sweden.
Methods |
This is a historical prospective cohort study based on record linkages between census data for 12.9 million people and cancer registry data from 1961 to 2005. Standardized incidence ratios for cSCC were estimated for 53 occupational categories with the cSCC incidence rates for the national population of each country used as reference.
Results |
During follow-up, 87,619 incident cases of cSCC were reported to the national cancer registries. In all countries combined, significant increased standardized incidence ratios were observed among seamen, military personnel, public safety workers, technical workers, teachers, transport workers, physicians, dentists, nurses, other health workers, religious workers, clerical workers, administrators, and sale agents (standardized incidence ratios between 1.08 and 1.77).
Limitations |
Information on occupation was based on 1 point in time only.
Conclusion |
The occupational variation of the relative risk of cSCC might be associated with socioeconomic factors, and to some extent to occupational exposures.
Le texte complet de cet article est disponible en PDF.Key words : cohort, cutaneous squamous cell carcinoma, epidemiology, general population, occupation, relative risk, socioeconomic position
Abbreviations used : CI, cSCC, SIR, UV
Plan
This paper forms part of the Nordic Occupational Cancer Study project financially supported by the Nordic Cancer Union. The sponsor had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the manuscript; or in the decision of submission. The researchers are independent from funders. Dr Alfonso received networking support from the Horizon 2020 European Cooperation in Science and Technology (COST) Action TD 1206 Development and Implementation of European Standards on Prevention of Occupational Skin Diseases (StanDerm). StanDerm was not involved in the planning and designing of this study, statistical analysis, interpretation of findings, writing of the paper, or decision to submit. |
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Conflicts of interest: None declared. |
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Results of Table III were given as an oral presentation at the 24th European Association of Dermatology and Venereology Congress in Copenhagen, Denmark; October 10, 2015. |
Vol 75 - N° 3
P. 548-555 - septembre 2016 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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