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Occupation and leukemia mortality among men in 16 states: 1985‐1987
Author(s) -
Loomis Dana P.,
Savitz David A.
Publication year - 1991
Publication title -
american journal of industrial medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.7
H-Index - 104
eISSN - 1097-0274
pISSN - 0271-3586
DOI - 10.1002/ajim.4700190408
Subject(s) - medicine , leukemia , death certificate , odds ratio , demography , confidence interval , occupational medicine , epidemiology , gerontology , cause of death , disease , sociology
The relationship between leukemia and occupation was investigated in a case‐control study using death certificates of 5,147 men who died of leukemia (ICD‐9 codes 204‐208) and 51,470 who died of other causes in 16 U.S. states from 1985 to 1987. Of six occupational activities identified previously as potentially increasing the risk of leukemia, only petroleum refining and rubber manufacturing had excess deaths for all leukemias combined (odds ratios (ORs) = 1.3, 95% confidence intervals (CI) = 0.6‐2.8 and 0.9‐1.8, respectively). Meat workers and wood workers had elevated mortality from acute lymphocytic leukemia (OR = 2.2, 95% CI = 0.7‐7.0 and OR = 1.3, 95% CI = 0.8‐2.2, respectively). There was no leukemia excess among farmers or auto mechanics. A survey of 43 other occupational groups indicated a widespread excess of leukemia among white collar occupations, primarily managers and professionals, but none among blue collar workers. This pattern was most pronounced for men under 65 years of age, and existed for all leukemia subtypes and among both blacks and whites. Despite the lack of specific exposure information and other limitations of death certificate data, these results encourage further examination of occupational causes of leukemia.