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Médecine du travail du personnel hospitalier

Work history and mortality risks in 90,268 US radiological technologists

Auteur     Jason J. Liu
Auteur     D. Michal Freedman
Auteur     Mark P. Little
Auteur     Michele M. Doody
Auteur     Bruce H. Alexander
Auteur     Cari M. Kitahara
Auteur     Terrence Lee
Auteur     Preetha Rajaraman
Auteur     Jeremy S. Miller
Auteur     Diane M. Kampa
Auteur     Steven L. Simon
Auteur     Dale L. Preston
Auteur     Martha S. Linet
Volume     71
Numéro     12
Pages     819-835
Publication     Occupational and Environmental Medicine
ISSN     1470-7926
Date     Dec 2014
Résumé     OBJECTIVES: There have been few studies of work history and mortality risks in medical radiation workers. We expanded by 11 years and more outcomes our previous study of mortality risks and work history, a proxy for radiation exposure. METHODS: Using Cox proportional hazards models, we estimated mortality risks according to questionnaire work history responses from 1983 to 1989 through 2008 by 90,268 US radiological technologists. We controlled for potential confounding by age, birth year, smoking history, body mass index, race and gender. RESULTS: There were 9566 deaths (3329 cancer and 3020 circulatory system diseases). Mortality risks increased significantly with earlier year began working for female breast (p trend=0.01) and stomach cancers (p trend=0.01), ischaemic heart (p trend=0.03) and cerebrovascular diseases (p trend=0.02). The significant trend with earlier year first worked was strongly apparent for breast cancer during baseline through 1997, but not 1998-2008. Risks were similar in the two periods for circulatory diseases. Radiological technologists working ≥5 years before 1950 had elevated mortality from breast cancer (HR=2.05, 95% CI 1.27 to 3.32), leukaemia (HR=2.57, 95% CI 0.96 to 6.68), ischaemic heart disease (HR=1.13, 95% CI 0.96 to 1.33) and cerebrovascular disease (HR=1.28, 95% CI 0.97 to 1.69). No other work history factors were consistently associated with mortality risks from specific cancers or circulatory diseases, or other conditions. CONCLUSIONS: Radiological technologists who began working in early periods and for more years before 1950 had increased mortality from a few cancers and some circulatory system diseases, likely reflecting higher occupational radiation exposures in the earlier years.

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