Welding and the risk of head and neck cancer: the ICARE study

ObjectiveTo investigate the association between occupational exposure to welding and the risk of head and neck cancer in a large French population-based case-control study, the Investigation of occupational and environmental CAuses of REspiratory cancers study.MethodsAnalyses were restricted to men...

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Veröffentlicht in:Occupational and environmental medicine (London, England) England), 2020-05, Vol.77 (5), p.293-300
Hauptverfasser: Barul, Christine, Matrat, Mireille, Auguste, Aviane, Dugas, Julien, Radoï, Loredana, Menvielle, Gwenn, Févotte, Joëlle, Guizard, Anne-Valérie, Stücker, Isabelle, Luce, Danièle
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container_title Occupational and environmental medicine (London, England)
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creator Barul, Christine
Matrat, Mireille
Auguste, Aviane
Dugas, Julien
Radoï, Loredana
Menvielle, Gwenn
Févotte, Joëlle
Guizard, Anne-Valérie
Stücker, Isabelle
Luce, Danièle
description ObjectiveTo investigate the association between occupational exposure to welding and the risk of head and neck cancer in a large French population-based case-control study, the Investigation of occupational and environmental CAuses of REspiratory cancers study.MethodsAnalyses were restricted to men (2703 controls and 1588 cases of squamous-cell carcinoma of the oral cavity, oropharynx, hypopharynx and larynx). Welding activity and potential confounders were assessed by detailed questionnaires. ORs and CIs (95% CI) were estimated by unconditional logistic regression, adjusted for age, area of residence, tobacco smoking, alcohol consumption and occupational exposure to asbestos.ResultsWelding was associated with an increased risk of head and neck cancer overall (OR=1.31, 95% CI 1.03 to 1.67). The association was strongest for laryngeal cancer (OR=1.66, 95% CI 1.15 to 2.38) and the risk increased with the cumulative duration (p-trend
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Welding activity and potential confounders were assessed by detailed questionnaires. ORs and CIs (95% CI) were estimated by unconditional logistic regression, adjusted for age, area of residence, tobacco smoking, alcohol consumption and occupational exposure to asbestos.ResultsWelding was associated with an increased risk of head and neck cancer overall (OR=1.31, 95% CI 1.03 to 1.67). The association was strongest for laryngeal cancer (OR=1.66, 95% CI 1.15 to 2.38) and the risk increased with the cumulative duration (p-trend &lt;0.01) and the weighted duration (p-trend &lt;0.01) of welding. A cumulative duration and a weighted duration of welding of more than 10 years were also associated with a significantly increased risk of oral cancer (OR=1.82, 95% CI 1.09 to 3.04; OR=2.10, 95% CI 0.99 to 4.45, respectively). A long duration of arc welding was associated with laryngeal cancer, whereas a long duration of spot welding was associated with oral cancer. Welding was not associated with the risk of oropharyngeal and hypopharyngeal cancer.ConclusionOur findings suggest that welding and several welding-related tasks increase the risk of laryngeal cancer and to a lesser extent oral cancer.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2019-106080</identifier><identifier>PMID: 31959638</identifier><language>eng</language><publisher>England: BMJ Publishing Group LTD</publisher><subject>Acids ; Alcohol ; Arc welding ; Asbestos ; Cancer ; Ecology, environment ; Head &amp; neck cancer ; Health ; Hypopharynx ; Interviews ; Job titles ; Laryngeal cancer ; Larynx ; Life Sciences ; Metal workers ; Occupational exposure ; Occupational health ; Occupations ; Oral cancer ; Oral cavity ; Oropharynx ; Population studies ; Questionnaires ; Regression analysis ; Risk ; Santé publique et épidémiologie ; Smoking ; Spot welding ; Stainless steel ; Studies ; Tobacco ; Tobacco smoking ; Welding ; Working hours</subject><ispartof>Occupational and environmental medicine (London, England), 2020-05, Vol.77 (5), p.293-300</ispartof><rights>Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2020 Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b443t-74e285dec0ce02435612c879f2cf94b368da385d11d7fb1313d71e39a6684f753</citedby><cites>FETCH-LOGICAL-b443t-74e285dec0ce02435612c879f2cf94b368da385d11d7fb1313d71e39a6684f753</cites><orcidid>0000-0001-9252-2612 ; 0000-0002-1708-4584 ; 0000-0002-3195-8348 ; 0000-0002-3261-6366</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31959638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-rennes.hal.science/hal-02453456$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Barul, Christine</creatorcontrib><creatorcontrib>Matrat, Mireille</creatorcontrib><creatorcontrib>Auguste, Aviane</creatorcontrib><creatorcontrib>Dugas, Julien</creatorcontrib><creatorcontrib>Radoï, Loredana</creatorcontrib><creatorcontrib>Menvielle, Gwenn</creatorcontrib><creatorcontrib>Févotte, Joëlle</creatorcontrib><creatorcontrib>Guizard, Anne-Valérie</creatorcontrib><creatorcontrib>Stücker, Isabelle</creatorcontrib><creatorcontrib>Luce, Danièle</creatorcontrib><creatorcontrib>ICARE study group</creatorcontrib><title>Welding and the risk of head and neck cancer: the ICARE study</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectiveTo investigate the association between occupational exposure to welding and the risk of head and neck cancer in a large French population-based case-control study, the Investigation of occupational and environmental CAuses of REspiratory cancers study.MethodsAnalyses were restricted to men (2703 controls and 1588 cases of squamous-cell carcinoma of the oral cavity, oropharynx, hypopharynx and larynx). Welding activity and potential confounders were assessed by detailed questionnaires. ORs and CIs (95% CI) were estimated by unconditional logistic regression, adjusted for age, area of residence, tobacco smoking, alcohol consumption and occupational exposure to asbestos.ResultsWelding was associated with an increased risk of head and neck cancer overall (OR=1.31, 95% CI 1.03 to 1.67). The association was strongest for laryngeal cancer (OR=1.66, 95% CI 1.15 to 2.38) and the risk increased with the cumulative duration (p-trend &lt;0.01) and the weighted duration (p-trend &lt;0.01) of welding. A cumulative duration and a weighted duration of welding of more than 10 years were also associated with a significantly increased risk of oral cancer (OR=1.82, 95% CI 1.09 to 3.04; OR=2.10, 95% CI 0.99 to 4.45, respectively). A long duration of arc welding was associated with laryngeal cancer, whereas a long duration of spot welding was associated with oral cancer. Welding was not associated with the risk of oropharyngeal and hypopharyngeal cancer.ConclusionOur findings suggest that welding and several welding-related tasks increase the risk of laryngeal cancer and to a lesser extent oral cancer.</description><subject>Acids</subject><subject>Alcohol</subject><subject>Arc welding</subject><subject>Asbestos</subject><subject>Cancer</subject><subject>Ecology, environment</subject><subject>Head &amp; neck cancer</subject><subject>Health</subject><subject>Hypopharynx</subject><subject>Interviews</subject><subject>Job titles</subject><subject>Laryngeal cancer</subject><subject>Larynx</subject><subject>Life Sciences</subject><subject>Metal workers</subject><subject>Occupational exposure</subject><subject>Occupational health</subject><subject>Occupations</subject><subject>Oral cancer</subject><subject>Oral cavity</subject><subject>Oropharynx</subject><subject>Population studies</subject><subject>Questionnaires</subject><subject>Regression analysis</subject><subject>Risk</subject><subject>Santé publique et épidémiologie</subject><subject>Smoking</subject><subject>Spot welding</subject><subject>Stainless steel</subject><subject>Studies</subject><subject>Tobacco</subject><subject>Tobacco smoking</subject><subject>Welding</subject><subject>Working hours</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkF1LwzAUQIMobk5_gC9S8EmwmpvPRvBhjOmEgSCKjyFtUvfZzqYV9u9N181nnxJuzj2Eg9Al4DsAKu5Lt3Y2JhhUDFjgBB-hPjCJY6mIOA53yiHGEqCHzrxfYAxUUnKKehQUV4ImffT46VZ2XnxFprBRPXNRNffLqMyjmTN2NyxctowyU2SuetgRL6Ph2zjydWO35-gkNyvvLvbnAH08jd9Hk3j6-hywaZwyRutYMkcSbl2GM4cJo1wAyRKpcpLliqVUJNbQAABYmadAgVoJjiojRMJyyekA3XTemVnpTTVfm2qrSzPXk-FUt7Ng5ZRx8QOBve7YTVV-N87XelE2VRG-pwlVGPOEsyRQ0FFZVXpfufxPC1i3cfUurm7j6i5u2Lnam5u0fTtsHGoG4LYD0vXiH75fUQt_YA</recordid><startdate>20200501</startdate><enddate>20200501</enddate><creator>Barul, Christine</creator><creator>Matrat, Mireille</creator><creator>Auguste, Aviane</creator><creator>Dugas, Julien</creator><creator>Radoï, Loredana</creator><creator>Menvielle, Gwenn</creator><creator>Févotte, Joëlle</creator><creator>Guizard, Anne-Valérie</creator><creator>Stücker, Isabelle</creator><creator>Luce, Danièle</creator><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0001-9252-2612</orcidid><orcidid>https://orcid.org/0000-0002-1708-4584</orcidid><orcidid>https://orcid.org/0000-0002-3195-8348</orcidid><orcidid>https://orcid.org/0000-0002-3261-6366</orcidid></search><sort><creationdate>20200501</creationdate><title>Welding and the risk of head and neck cancer: the ICARE study</title><author>Barul, Christine ; 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Welding activity and potential confounders were assessed by detailed questionnaires. ORs and CIs (95% CI) were estimated by unconditional logistic regression, adjusted for age, area of residence, tobacco smoking, alcohol consumption and occupational exposure to asbestos.ResultsWelding was associated with an increased risk of head and neck cancer overall (OR=1.31, 95% CI 1.03 to 1.67). The association was strongest for laryngeal cancer (OR=1.66, 95% CI 1.15 to 2.38) and the risk increased with the cumulative duration (p-trend &lt;0.01) and the weighted duration (p-trend &lt;0.01) of welding. A cumulative duration and a weighted duration of welding of more than 10 years were also associated with a significantly increased risk of oral cancer (OR=1.82, 95% CI 1.09 to 3.04; OR=2.10, 95% CI 0.99 to 4.45, respectively). A long duration of arc welding was associated with laryngeal cancer, whereas a long duration of spot welding was associated with oral cancer. Welding was not associated with the risk of oropharyngeal and hypopharyngeal cancer.ConclusionOur findings suggest that welding and several welding-related tasks increase the risk of laryngeal cancer and to a lesser extent oral cancer.</abstract><cop>England</cop><pub>BMJ Publishing Group LTD</pub><pmid>31959638</pmid><doi>10.1136/oemed-2019-106080</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-9252-2612</orcidid><orcidid>https://orcid.org/0000-0002-1708-4584</orcidid><orcidid>https://orcid.org/0000-0002-3195-8348</orcidid><orcidid>https://orcid.org/0000-0002-3261-6366</orcidid><oa>free_for_read</oa></addata></record>
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subjects Acids
Alcohol
Arc welding
Asbestos
Cancer
Ecology, environment
Head & neck cancer
Health
Hypopharynx
Interviews
Job titles
Laryngeal cancer
Larynx
Life Sciences
Metal workers
Occupational exposure
Occupational health
Occupations
Oral cancer
Oral cavity
Oropharynx
Population studies
Questionnaires
Regression analysis
Risk
Santé publique et épidémiologie
Smoking
Spot welding
Stainless steel
Studies
Tobacco
Tobacco smoking
Welding
Working hours
title Welding and the risk of head and neck cancer: the ICARE study
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