title: Occupational risk factors for pancreatic cancer among female textile workers in Shanghai, China.
abstract: OBJECTIVE
  To investigate whether occupational exposures to dusts and chemicals in the Shanghai textile industry are associated with risk of pancreatic cancer.
  
  
  METHODS
  A case cohort study nested in a cohort of 267,400 female textile workers in Shanghai, China was conducted among 180 incident pancreatic cancer cases and an age stratified randomly selected comparison subcohort (n = 3188). A complete occupational history of work in the textile industry was obtained for each woman, and was linked to a job exposure matrix developed for the textile industry to estimate exposures to specific dusts and chemicals. Cumulative exposures to cotton dust and endotoxin were reconstructed from historical and contemporaneous measurements.
  
  
  RESULTS
  After adjusting for smoking status, a trend of decreasing risk of pancreatic cancer was observed for increasing cumulative exposures to cotton dust and endotoxin with a lag of 20 years. The hazard ratios for women cumulatively exposed to >143.4 mg/m3 x years of cotton dust and >3530.6 EU/m3 x years of endotoxin were 0.6 (95% CI 0.3 to 0.9) and 0.5 (95% CI 0.3 to 0.9), respectively, compared to unexposed women. There was little evidence that exposures to other textile dusts and chemicals were associated with risk of pancreatic cancer.
  
  
  CONCLUSIONS
  Occupational exposure to cotton dust and endotoxin in the textile industry may have reduced risks of pancreatic cancer in this cohort. These associations should be replicated by others before making a firm conclusion of their possible effects on pancreatic cancer.
authors.affiliation: Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA. wli@fhcrc.org
authors.forename: W
authors.initials: W
authors.lastname: Li
authors.forename: R M
authors.initials: RM
authors.lastname: Ray
authors.forename: D L
authors.initials: DL
authors.lastname: Gao
authors.forename: E D
authors.initials: ED
authors.lastname: Fitzgibbons
authors.forename: N S
authors.initials: NS
authors.lastname: Seixas
authors.forename: J E
authors.initials: JE
authors.lastname: Camp
authors.forename: K J
authors.initials: KJ
authors.lastname: Wernli
authors.forename: G
authors.initials: G
authors.lastname: Astrakianakis
authors.forename: Z
authors.initials: Z
authors.lastname: Feng
authors.forename: D B
authors.initials: DB
authors.lastname: Thomas
authors.forename: H
authors.initials: H
authors.lastname: Checkoway
mesh_terms: D000328:Adult; D000368:Aged; D002681:China / Q000453:epidemiology; D004391:Dust; D004731:Endotoxins / Q000032:analysis / Q000633:toxicity; D004784:Environmental Monitoring / Q000379:methods; D004812:Epidemiologic Methods; D062665:Epidemiological Monitoring; D005260:Female; D006801:Humans; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology / Q000209:etiology*; D016273:Occupational Exposure / Q000009:adverse effects / Q000032:analysis; D010190:Pancreatic Neoplasms / Q000453:epidemiology / Q000209:etiology*; D013783:Textile Industry / Q000706:statistics & numerical data*
chemical_list: D004391:Dust; D004731:Endotoxins