title: Lung, gastric and colorectal cancer mortality by occupation and industry among working-aged men in Japan.
abstract: We examined occupational and industrial differences in lung, gastric, and colorectal cancer risk among Japanese men of working age (25-64 years) using the 2010 Japanese national survey data for occupation and industry-specific death rates. Poisson regression models were used to estimate the age-adjusted incident rate ratios by lung, gastric, and colorectal cancers, with manufacturing used as the referent occupation or industry. Unemployed Japanese men and those in manufacturing had an 8-11-fold increased risk of lung, gastric and colorectal cancer. The highest mortality rates for lung and colorectal cancer by occupation were "administrative and managerial" (by occupation) and "mining" (by industry). For gastric cancer, the highest mortality rate was "agriculture" (by occupation) and "mining" (by industry). By occupation; Japanese men in service occupations, those in administrative and managerial positions, those in agriculture, forestry and fisheries, and those in professional and engineering categories had higher relative mortality risks for lung, gastric, and colorectal cancers. By industry; mining, electricity and gas, fisheries, and agriculture and forestry had the higher mortality risks for those cancers. Unemployed men had higher mortality rates than men in any occupation and industry for all three cancers. Overall, this study suggests that for Japanese men, occupations and industries may be a key social determinant of health.
authors.affiliation: Department of Public Health, Kitasato University School of Medicine, Sagamihara, Japan.|Takemi Program in International Health, Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA.
authors.forename: Hisashi
authors.initials: H
authors.lastname: Eguchi
authors.affiliation: Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Wada
authors.affiliation: Faculty of Epidemiology and Population Health, London School of Hygiene &Tropical Medicine, London, United Kingdom.|Applied Statistical Methods in Medical Research Group, Catholic University of Murcia (UCAM), Murcia, Spain.
authors.forename: David
authors.initials: D
authors.lastname: Prieto-Merino
authors.affiliation: College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia.
authors.forename: Derek R
authors.initials: DR
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D015179:Colorectal Neoplasms / Q000401:mortality*; D006801:Humans; D015994:Incidence; D007221:Industry; D007564:Japan / Q000453:epidemiology; D008175:Lung Neoplasms / Q000401:mortality*; D008297:Male; D008875:Middle Aged; D009790:Occupations; D018570:Risk Assessment; D013274:Stomach Neoplasms / Q000401:mortality*