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Cancer incidence in a cohort of Swedish merchant seafarers between 1985 and 2011
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för hållbar hälsa. Occupational and Environmental Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.ORCID-id: 0000-0002-4625-2401
Umeå universitet, Medicinska fakulteten, Institutionen för strålningsvetenskaper, Onkologi.
Occupational and Environmental Medicine, Sahlgrenska Academy, Gothenburg University, Gothenburg, Sweden.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Avdelningen för hållbar hälsa.
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2022 (Engelska)Ingår i: International Archives of Occupational and Environmental Health, ISSN 0340-0131, E-ISSN 1432-1246, Vol. 95, nr 5, s. 1103-1111Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

PURPOSE: Lung cancer, mesothelioma and several lifestyle-associated cancer forms have been reported more common in merchant seafarers. However, few studies reflect recent occupational settings and women seafarers are usually too scarce for meaningful analyses. We conducted a study on cancer incidence between 1985 and 2011 in a Swedish cohort consisting of male and female seafarers.

METHODS: All seafarers in the Swedish Seafarers' Register with at least one sea service between 1985 and 2011 and a cumulated sea service time of ≥ 30 days (N = 75,745; 64% men, 36% women; 1,245,691 person-years) were linked to the Swedish Cancer Register and followed-up until 31 December 2011. Standardized incidence ratios (SIR) were calculated with the general population as reference.

RESULTS: There were 4159 cancer cases in total, with 3221 among men and 938 among women. Male seafarers had an increased risk of total cancer (SIR 1.05; 95% CI 1.01-1.09), lung cancer (SIR 1.51; 95% CI 1.35-1.67) and urinary bladder cancer (SIR 1.17; 95% CI 1.02-1.33). Several lifestyle-associated cancer forms were more common in men. Previous work on tankers was associated with leukaemia (SIR 1.41; 95% CI 1.00-1.86). The risk of cancer decreased with a start as a male seafarer after 1985, with a significant trend for total cancer (P < 0.001), lung cancer (P = 0.001) and, for tanker seafarers, leukaemia (P = 0.045). Women seafarers had an increased risk of lung cancer (SIR 1.54; 95% CI 1.23-1.87) but the risk of total cancer was not increased (SIR 0.83; 95% CI 0.78-0.89).

CONCLUSIONS: In this cohort of merchant Swedish seafarers 1985-2011, the risk of total cancer was increased in men but not in women compared to the general population. Lung cancer was increased in both genders. The risk of cancer seems to decrease over the last decades, but better exposure assessments to occupational carcinogens and longer observation times are needed.

Ort, förlag, år, upplaga, sidor
Springer, 2022. Vol. 95, nr 5, s. 1103-1111
Nyckelord [en]
Cancer incidence, Cohort, Follow-up, Lifestyle, Neoplasm (epidemiology), Occupational disease (epidemiology), Occupational exposure, Record linkage, Risk factor, Seafarer, Sweden
Nationell ämneskategori
Arbetsmedicin och miljömedicin Cancer och onkologi
Forskningsämne
onkologi; arbets- och miljömedicin
Identifikatorer
URN: urn:nbn:se:umu:diva-191181DOI: 10.1007/s00420-021-01828-2ISI: 000740414300001PubMedID: 34997857Scopus ID: 2-s2.0-85122655954OAI: oai:DiVA.org:umu-191181DiVA, id: diva2:1626226
Forskningsfinansiär
AFA Försäkring, 100085Tillgänglig från: 2022-01-11 Skapad: 2022-01-11 Senast uppdaterad: 2023-03-24Bibliografiskt granskad

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Forsell, KarlBjör, OveJärvholm, Bengt

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International Archives of Occupational and Environmental Health
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