title: Occupation and risk of upper aerodigestive tract cancer: the ARCAGE study.
abstract: We investigated the association between occupational history and upper aerodigestive tract (UADT) cancer risk in the ARCAGE European case-control study. The study included 1,851 patients with incident cancer of the oral cavity, oropharynx, hypopharynx, larynx or esophagus and 1,949 controls. We estimated odds ratios (OR) and 95% confidence intervals (CI) for ever employment in 283 occupations and 172 industries, adjusting for smoking and alcohol. Men (1,457 cases) and women (394 cases) were analyzed separately and we incorporated a semi-Bayes adjustment approach for multiple comparisons. Among men, we found increased risks for occupational categories previously reported to be associated with at least one type of UADT cancer, including painters (OR = 1.74, 95% CI: 1.01-3.00), bricklayers (1.58, 1.05-2.37), workers employed in the erection of roofs and frames (2.62, 1.08-6.36), reinforced concreters (3.46, 1.11-10.8), dockers (2.91, 1.05-8.05) and workers employed in the construction of roads (3.03, 1.23-7.46), general construction of buildings (1.44, 1.12-1.85) and cargo handling (2.60, 1.17-5.75). With the exception of the first three categories, risks both increased when restricting to long duration of employment and remained elevated after semi-Bayes adjustment. Increased risks were also found for loggers (3.56, 1.20-10.5) and cattle and dairy farming (3.60, 1.15-11.2). Among women, there was no clear evidence of increased risks of UADT cancer in association with occupations or industrial activities. This study provides evidence of an association between some occupational categories and UADT cancer risk among men. The most consistent findings, also supported by previous studies, were obtained for specific workers employed in the construction industry.
authors.affiliation: University of Turin, Turin, Italy. lorenzo.richiardi@unito.it
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Richiardi
authors.forename: Marine
authors.initials: M
authors.lastname: Corbin
authors.forename: Manuela
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authors.lastname: Marron
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Ahrens
authors.forename: Hermann
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authors.lastname: Pohlabeln
authors.forename: Pagona
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authors.lastname: Lagiou
authors.forename: Ploumitsa
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authors.lastname: Minaki
authors.forename: Antonio
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authors.lastname: Agudo
authors.forename: Xavier
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authors.lastname: Castellsague
authors.forename: Alena
authors.initials: A
authors.lastname: Slamova
authors.forename: Miriam
authors.initials: M
authors.lastname: Schejbalova
authors.forename: Kristina
authors.initials: K
authors.lastname: Kjaerheim
authors.forename: Luigi
authors.initials: L
authors.lastname: Barzan
authors.forename: Renato
authors.initials: R
authors.lastname: Talamini
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Macfarlane
authors.forename: Tatiana V
authors.initials: TV
authors.lastname: Macfarlane
authors.forename: Cristina
authors.initials: C
authors.lastname: Canova
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Simonato
authors.forename: David I
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authors.lastname: Conway
authors.forename: Patricia A
authors.initials: PA
authors.lastname: McKinney
authors.forename: Linda
authors.initials: L
authors.lastname: Sneddon
authors.forename: Peter
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authors.lastname: Thomson
authors.forename: Ariana
authors.initials: A
authors.lastname: Znaor
authors.forename: Claire M
authors.initials: CM
authors.lastname: Healy
authors.forename: Bernard E
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authors.lastname: McCartan
authors.forename: Simone
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authors.lastname: Benhamou
authors.forename: Christine
authors.initials: C
authors.lastname: Bouchardy
authors.forename: Mia
authors.initials: M
authors.lastname: Hashibe
authors.forename: Paul
authors.initials: P
authors.lastname: Brennan
authors.forename: Franco
authors.initials: F
authors.lastname: Merletti
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D060389:Construction Industry; D004938:Esophageal Neoplasms / Q000453:epidemiology; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D007822:Laryngeal Neoplasms / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000453:epidemiology; D009369:Neoplasms / Q000453:epidemiology*; D009790:Occupations; D010610:Pharyngeal Neoplasms / Q000453:epidemiology; D012306:Risk; D012307:Risk Factors