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© 1988 Oxford University Press

research-article

A Cancer Registry-Based Study of Occupational Risk for Lymphoma, Multiple Myeloma and Leukaemia

ROSS C BROWNSON* and JOHN S REIF{dagger}

* Bureau of Cancer Epidemiology and Control, Division of Environmental Health and Epidemiology, Missouri Department of Health 201 Busmen Loop 70 West, Columbia, MO 65201, USA
{dagger} Department of Microbiology and Environmental Health, Colorado State University Fort Collins, CO 80523, USA

Mortality and Incidence studies have suggested that agricultural workers may be at increased risk for some cancers. Case-control methods were used to Investigate the relationship between farming, other occupations, and lymphoma, multiple myeloma, and leukaemia. A total of 475 male cases, aged 20 years or more, and 1425 age-matched controls were identified through the Missouri Cancer Registry for the years 1984-1985. People with smoking-related cancers were excluded as controls to minimize bias associated with farmers' reported smoking patterns. Farmers had slightly elevated risks for non-Hodgkin's lymphoma (odds ratio (OR) = 1.11) and Hodgkin's disease (OR = 1.30). The risk for leukaemia (all types) was not elevated (OR = 0.91); however, for acute lymphatic leukaemia an OR of 2.84 was detected. An OR of 2.78 (95% confidence interval = 1.09–7.07) for reticuloMrcoma was observed among farmers 65 years and older. Several other occupational associations were noted which have been reported previously. Carpenters (OR = 3.10) and machinists (OR = 4.85) were at increased risk for Hodgkin's disease. An elevated risk of leukaemia was observed for mechanics (OR = 4.79). Since most previous studies of the associations between lymphatic and haematopoietic cancers and agriculture have been based on mortality data, additional studies of incident cases are suggested.

Revised 1 May 1987


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