Cancer risk among 43000 Norwegian nurses.
OBJECTIVE
This study evaluated the influence of occupational exposure on cancer risk among female Norwegian nurses.


METHODS
A historical prospective cohort study was performed. The cohort was established from the Norwegian Board of Health's registry of nurses and included women who graduated from a nursing school before 1985. The cohort (N=43 316) was linked to the Cancer Registry of Norway. The observed number of cases was compared with the expected number on the basis of national rates. Time since first employment, period of first employment, and duration of employment were used as indicators of exposure. Poisson regression analyses were used for internal comparisons, adjusting for age, period, and fertility.


RESULTS
The nurses were followed over 1473931 person-years. During the follow-up (1953-2002), 6193 cancer cases were observed. The standardized incidence ratio (SIR) for all cancers combined was close to unity. Significantly lower risks were found for cancers with a known association with alcohol and tobacco consumption and sexual activity. A significantly increased risk was found for breast cancer (SIR 1.14, 95% confidence interval (95% CI) 1.09-1.19), ovarian cancer (SIR 1.14, 95% CI 1.04-1.25), malignant melanoma (SIR 1.15, 95% CI 1.04-1.28), and borderline significant risk appeared for other skin cancer (SIR 1.12, 95% CI 0.98-1.29). A positive trend for increasing time since first exposure was found for breast cancer and malignant melanoma.


CONCLUSIONS
The results indicate an association between working as a nurse and an increased risk of breast cancer and malignant melanoma. Decreased risks, found for several cancers, indicate favorable lifestyle habits among nurses.
Lie
Jenny-Anne S
JA
The Cancer Registry of Norway, Montebello, N-0310 Oslo, Norway. jenny-anne.sigstad.lie@kreftregisteret.no
Andersen
Aage
A
Kjaerheim
Kristina
K
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D009369:Neoplasms / Q000453:epidemiology* / Q000209:etiology*; D009664:Norway / Q000453:epidemiology; D009726:Nurses; D016273:Occupational Exposure / Q000009:adverse effects*; D011446:Prospective Studies; D012044:Regression Analysis; D012306:Risk; D013997:Time Factors