S'abonner

Occupation and relative risk of cutaneous squamous cell carcinoma (cSCC): A 45-year follow-up study in 4 Nordic countries - 17/08/16

Doi : 10.1016/j.jaad.2016.03.033 
Jose Hernán Alfonso, MD a, , Jan Ivar Martinsen b, Eero Pukkala, PhD c, d, Elisabete Weiderpass, PhD b, e, f, g, Laufey Tryggvadottir, MSc h, i, Karl-Christian Nordby, PhD a, Kristina Kjærheim, PhD b
a Department of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Oslo, Norway 
b Cancer Registry of Norway, Oslo, Norway 
c Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland 
d School of Health Sciences, University of Tampere, Tampere, Finland 
e Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden 
f Department of Community Medicine, Faculty of Health Sciences, University of Tromsø–Arctic University of Norway, Tromsø, Norway 
g Genetic Epidemiology Group, Folkhälsan Research Center, Helsinki, Finland 
h Icelandic Cancer Registry, Icelandic Cancer Society, Reykjavik, Iceland 
i Faculty of Medicine, University of Iceland, Reykjavik, Iceland 

Reprint requests: Jose Hernán Alfonso, MD, Department of Occupational Medicine and Epidemiology, National Institute of Occupational Health, Pb 8149 Dep, N-0033 Oslo, Norway.Department of Occupational Medicine and EpidemiologyNational Institute of Occupational HealthPb 8149 DepOsloN-0033Norway

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.
 Conflicts of interest: None declared.
 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.


© 2016  American Academy of Dermatology, Inc.. Publié par Elsevier Masson SAS. Tous droits réservés.
Ajouter à ma bibliothèque Retirer de ma bibliothèque Imprimer
Export

    Export citations

  • Fichier

  • Contenu

Vol 75 - N° 3

P. 548-555 - septembre 2016 Retour au numéro
Article précédent Article précédent
  • Paraneoplastic syndromes (PNS) associated with Merkel cell carcinoma (MCC): A case series of 8 patients highlighting different clinical manifestations
  • Jayasri G. Iyer, Kaushik Parvathaneni, Shailender Bhatia, Erica S. Tarabadkar, Astrid Blom, Ryan Doumani, Jill McKenzie, Maryam M. Asgari, Paul Nghiem
| Article suivant Article suivant
  • Anatomical patterns of infantile hemangioma (IH) of the extremities (IHE)
  • Antonia Reimer, Maren Fliesser, Peter H. Hoeger

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

Mon compte


Plateformes Elsevier Masson

Déclaration CNIL

EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925.

En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.
Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.
Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers.


Tout le contenu de ce site: Copyright © 2024 Elsevier, ses concédants de licence et ses contributeurs. Tout les droits sont réservés, y compris ceux relatifs à l'exploration de textes et de données, a la formation en IA et aux technologies similaires. Pour tout contenu en libre accès, les conditions de licence Creative Commons s'appliquent.