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© 1989 Oxford University Press

research-article

Occupation and Bladder Cancer in Spain: A Multi-Centre Case-Control Study

CARLOS A GONZÁLEZ*, GONZALO LÓPEZ-ABENTE**, MANUEL ERREZOLA{dagger}, ANTONIO ESCOLAR{ddagger}, ELIO RIBOLI§, ISABEL IZARZUGAZA{dagger} and MANUEL NEBOT=

*Unit of Epidemiology, Hospital de Mataró Mataró (Barcelona), Spain
**Health Research Fund (FIS) Antonio Grilo 10, 28015 Madrid, Spain
{dagger}Department of Health and Social Security Basque Government, Duque de Wellington 2, 01011 Vitoria, Spain
{ddagger}Provincial Delegation, Health and Consumer Council Cadiz, Spain
§Unit of Analytical Epidemiology, International Agency for Research on Cancer 150 cours Albert Thomas, 69372 Lyon cédex 08, France
=Municipal Health Institute Barcelona Town Hall, Spain

González C A (Unit of Epidemiology, Hospital de Mataró, Mataró (Barcelona) Spain, López-Abente G, Errezola M, Escolar A, Riboli E, Izarzugaza I and Nebot M. Occupation and bladder cancer in Spain. A multi-centre case-control study. International Journal of Epidemiology 1989, 18: 569–577.

A case-control study on bladder cancer was carried out in four regions of Spain. The study included 497 cases (438 males and 59 females), 583 hospital controls and 530 population controls matched by sex, age and residence. The present paper reports the results of the analyses on occupational history. Among men, an increased risk of bladder cancer was found for textile workers (OR = 1.97, 95% CL 1.2–3.3), mechanics and maintenance workers (OR = 1.86, 95% CL 1.2–2.8), workers in the printing industry (OR = 2.06, 95% CL 1.0–4.3) and for managers (OR = 2.03, 95% CL 1.2–3.5). The risk was highest among those first employed in the textile industry before the age of 25 and prior to 1960. Among mechanics the risk was highest for those who started after the age of 25 and later than 1960. The OR for smokers who had also been employed in one of the high risk occupations was 7.82 (95% CL 4.4–14.0) which is compatible with a multiplicative effect of joint exposure to tobacco and occupational hazards.


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