American Journal of Epidemiology Vol. 153, No. 4 : 309-318
Copyright © 2001 by The Johns Hopkins University School of Hygiene and Public Health
ORIGINAL CONTRIBUTIONS |
First Analysis of Cancer Incidence and Occupational Radiation Exposure Based on the National Dose Registry of Canada
1 Radiation Protection Bureau, Health Canada, Ottawa, Ontario, Canada.
2 Health Protection Branch, Health Canada, Ottawa, Ontario, Canada.
3 Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Tianjin, People's Republic of China.
4 Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
5 Health Statistics Division, Statistics Canada, Tunney's Pasture, Ottawa, Ontario, Canada.
A cohort study was conducted to investigate the relation between cancer incidence and occupational exposure to ionizing radiation. Records containing dose information from 1951 to 1988 for 191,333 persons were extracted from the National Dose Registry of Canada. The records were linked to the Canadian Cancer Data Base, with incidence data from 1969 to 1988. Standardized incidence ratios were calculated using Canadian cancer incidence rates stratified by age, sex, and calendar year. Excess relative risks were obtained from internally based dose-response analyses. The following significant results were found for males and females combined: a deficit in the standardized incidence ratio for all cancers combined; elevated standardized incidence ratios for thyroid cancer and melanoma; and elevated excess relative risks for rectum, leukemia, lung, all cancers combined, all except lung, and all except leukemia. For males, cancers of the colon, pancreas, and testis also showed significantly elevated excess relative risks. The specific cancer types listed above have been implicated in previous studies on occupational exposure to ionizing radiation, except for testis, colon, and melanoma, while the findings on thyroid cancer from previous studies are inconclusive. The thyroid standardized incidence ratios in this study are highly significant, but further investigation is needed to assess the possibility of association with occupational radiation exposure.
incidence; neoplasms; occupational exposure; radiation
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