Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis
Abstract Background Gastric cancer pathogenesis represents a complex interaction of host genetic determinants, microbial virulence factors and environmental exposures. Our primary aim was to determine the association between occupations/occupational exposures and odds of gastric cancer. Methods We c...
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| Veröffentlicht in: | International journal of epidemiology 2020-04, Vol.49 (2), p.422-434 |
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| creator | Shah, Shailja C Boffetta, Paolo Johnson, Kenneth C Hu, Jinfu Palli, Domenico Ferraroni, Monica Tsugane, Shoichiro Hamada, Gerson Shigueaki Hidaka, Akihisa Zaridze, David Maximovich, Dmitry Vioque, Jesus Navarrete-Munoz, Eva M Zhang, Zuo-Feng Mu, Lina Boccia, Stefania Pastorino, Roberta Kurtz, Robert C Rota, Matteo Bonzi, Rossella Negri, Eva La Vecchia, Carlo Pelucchi, Claudio Hashim, Dana |
| description | Abstract
Background
Gastric cancer pathogenesis represents a complex interaction of host genetic determinants, microbial virulence factors and environmental exposures. Our primary aim was to determine the association between occupations/occupational exposures and odds of gastric cancer.
Methods
We conducted a pooled-analysis of individual-level data harmonized from 11 studies in the Stomach cancer Pooling Project. Multivariable logistic regression was used to estimate the odds ratio (OR) of gastric cancer adjusted for relevant confounders.
Results
A total of 5279 gastric cancer cases and 12 297 controls were analysed. There were higher odds of gastric cancer among labour-related occupations, including: agricultural and animal husbandry workers [odds ratio (OR) 1.33, 95% confidence interval (CI): 1.06–1.68]; miners, quarrymen, well-drillers and related workers (OR 1.70, 95% CI: 1.01–2.88); blacksmiths, toolmakers and machine-tool operators (OR 1.41, 95% CI: 1.05–1.89); bricklayers, carpenters and construction workers (OR 1.30, 95% CI: 1.06–1.60); and stationary engine and related equipment operators (OR 6.53, 95% CI: 1.41–30.19). The ORs for wood-dust exposure were 1.51 (95% CI: 1.01–2.26) for intestinal-type and 2.52 (95% CI: 1.46–4.33) for diffuse-type gastric cancer. Corresponding values for aromatic amine exposure were 1.83 (95% CI: 1.09–3.06) and 2.92 (95% CI: 1.36–6.26). Exposure to coal derivatives, pesticides/herbicides, chromium, radiation and magnetic fields were associated with higher odds of diffuse-type, but not intestinal-type gastric cancer.
Conclusions
Based on a large pooled analysis, we identified several occupations and related exposures that are associated with elevated odds of gastric cancer. These findings have potential implications for risk attenuation and could be used to direct investigations evaluating the impact of targeted gastric cancer prevention/early detection programmes based on occupation. |
| doi_str_mv | 10.1093/ije/dyz263 |
| format | Article |
| fullrecord | <record><control><sourceid>oup_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10507679</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ije/dyz263</oup_id><sourcerecordid>10.1093/ije/dyz263</sourcerecordid><originalsourceid>FETCH-LOGICAL-c339t-9a45d4c07d19e593b5cf397d80b0618a8fda5e15929db979fb1a9cba5728c8413</originalsourceid><addsrcrecordid>eNp9kM9LwzAUgIMobk4v_gGSixehLlmSpvEiMvwFgwnqTQivSTo7uqYkrTj_eivToRdP7_C-9z34EDqm5JwSxcbl0o3t-mOSsh00pDzlCUszsYuGhBGSCCnpAB3EuCSEcs7VPhowqlJBuRiil7kxXQNt6WuosHtvfOyCixhqi721EfsCLyC2oTTYQG1cuMCAH1v_gJvgl8602Pg6-tCW3Qo33lfO9sdQrWMZD9FeAVV0R99zhJ5vrp-md8lsfns_vZolhjHVJgq4sNwQaalyQrFcmIIpaTOSk5RmkBUWhKNCTZTNlVRFTkGZHIScZCbjlI3Q5cbbdPnKWePqNkClm1CuIKy1h1L_3dTlq174N02JIDKVqjecbQwm-BiDK7bHlOivyLqPrDeRe_jk97st-lO1B043gO-a_0SfbvyIeA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Shah, Shailja C ; Boffetta, Paolo ; Johnson, Kenneth C ; Hu, Jinfu ; Palli, Domenico ; Ferraroni, Monica ; Tsugane, Shoichiro ; Hamada, Gerson Shigueaki ; Hidaka, Akihisa ; Zaridze, David ; Maximovich, Dmitry ; Vioque, Jesus ; Navarrete-Munoz, Eva M ; Zhang, Zuo-Feng ; Mu, Lina ; Boccia, Stefania ; Pastorino, Roberta ; Kurtz, Robert C ; Rota, Matteo ; Bonzi, Rossella ; Negri, Eva ; La Vecchia, Carlo ; Pelucchi, Claudio ; Hashim, Dana</creator><creatorcontrib>Shah, Shailja C ; Boffetta, Paolo ; Johnson, Kenneth C ; Hu, Jinfu ; Palli, Domenico ; Ferraroni, Monica ; Tsugane, Shoichiro ; Hamada, Gerson Shigueaki ; Hidaka, Akihisa ; Zaridze, David ; Maximovich, Dmitry ; Vioque, Jesus ; Navarrete-Munoz, Eva M ; Zhang, Zuo-Feng ; Mu, Lina ; Boccia, Stefania ; Pastorino, Roberta ; Kurtz, Robert C ; Rota, Matteo ; Bonzi, Rossella ; Negri, Eva ; La Vecchia, Carlo ; Pelucchi, Claudio ; Hashim, Dana</creatorcontrib><description>Abstract
Background
Gastric cancer pathogenesis represents a complex interaction of host genetic determinants, microbial virulence factors and environmental exposures. Our primary aim was to determine the association between occupations/occupational exposures and odds of gastric cancer.
Methods
We conducted a pooled-analysis of individual-level data harmonized from 11 studies in the Stomach cancer Pooling Project. Multivariable logistic regression was used to estimate the odds ratio (OR) of gastric cancer adjusted for relevant confounders.
Results
A total of 5279 gastric cancer cases and 12 297 controls were analysed. There were higher odds of gastric cancer among labour-related occupations, including: agricultural and animal husbandry workers [odds ratio (OR) 1.33, 95% confidence interval (CI): 1.06–1.68]; miners, quarrymen, well-drillers and related workers (OR 1.70, 95% CI: 1.01–2.88); blacksmiths, toolmakers and machine-tool operators (OR 1.41, 95% CI: 1.05–1.89); bricklayers, carpenters and construction workers (OR 1.30, 95% CI: 1.06–1.60); and stationary engine and related equipment operators (OR 6.53, 95% CI: 1.41–30.19). The ORs for wood-dust exposure were 1.51 (95% CI: 1.01–2.26) for intestinal-type and 2.52 (95% CI: 1.46–4.33) for diffuse-type gastric cancer. Corresponding values for aromatic amine exposure were 1.83 (95% CI: 1.09–3.06) and 2.92 (95% CI: 1.36–6.26). Exposure to coal derivatives, pesticides/herbicides, chromium, radiation and magnetic fields were associated with higher odds of diffuse-type, but not intestinal-type gastric cancer.
Conclusions
Based on a large pooled analysis, we identified several occupations and related exposures that are associated with elevated odds of gastric cancer. These findings have potential implications for risk attenuation and could be used to direct investigations evaluating the impact of targeted gastric cancer prevention/early detection programmes based on occupation.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/dyz263</identifier><identifier>PMID: 31965145</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Humans ; Occupational Diseases - epidemiology ; Occupational Exposure - adverse effects ; Odds Ratio ; Stomach Neoplasms - epidemiology</subject><ispartof>International journal of epidemiology, 2020-04, Vol.49 (2), p.422-434</ispartof><rights>The Author(s) 2020; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association 2020</rights><rights>The Author(s) 2020; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-9a45d4c07d19e593b5cf397d80b0618a8fda5e15929db979fb1a9cba5728c8413</citedby><cites>FETCH-LOGICAL-c339t-9a45d4c07d19e593b5cf397d80b0618a8fda5e15929db979fb1a9cba5728c8413</cites><orcidid>0000-0002-2049-9959 ; 0000-0003-4105-2774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31965145$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shah, Shailja C</creatorcontrib><creatorcontrib>Boffetta, Paolo</creatorcontrib><creatorcontrib>Johnson, Kenneth C</creatorcontrib><creatorcontrib>Hu, Jinfu</creatorcontrib><creatorcontrib>Palli, Domenico</creatorcontrib><creatorcontrib>Ferraroni, Monica</creatorcontrib><creatorcontrib>Tsugane, Shoichiro</creatorcontrib><creatorcontrib>Hamada, Gerson Shigueaki</creatorcontrib><creatorcontrib>Hidaka, Akihisa</creatorcontrib><creatorcontrib>Zaridze, David</creatorcontrib><creatorcontrib>Maximovich, Dmitry</creatorcontrib><creatorcontrib>Vioque, Jesus</creatorcontrib><creatorcontrib>Navarrete-Munoz, Eva M</creatorcontrib><creatorcontrib>Zhang, Zuo-Feng</creatorcontrib><creatorcontrib>Mu, Lina</creatorcontrib><creatorcontrib>Boccia, Stefania</creatorcontrib><creatorcontrib>Pastorino, Roberta</creatorcontrib><creatorcontrib>Kurtz, Robert C</creatorcontrib><creatorcontrib>Rota, Matteo</creatorcontrib><creatorcontrib>Bonzi, Rossella</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><creatorcontrib>Pelucchi, Claudio</creatorcontrib><creatorcontrib>Hashim, Dana</creatorcontrib><title>Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis</title><title>International journal of epidemiology</title><addtitle>Int J Epidemiol</addtitle><description>Abstract
Background
Gastric cancer pathogenesis represents a complex interaction of host genetic determinants, microbial virulence factors and environmental exposures. Our primary aim was to determine the association between occupations/occupational exposures and odds of gastric cancer.
Methods
We conducted a pooled-analysis of individual-level data harmonized from 11 studies in the Stomach cancer Pooling Project. Multivariable logistic regression was used to estimate the odds ratio (OR) of gastric cancer adjusted for relevant confounders.
Results
A total of 5279 gastric cancer cases and 12 297 controls were analysed. There were higher odds of gastric cancer among labour-related occupations, including: agricultural and animal husbandry workers [odds ratio (OR) 1.33, 95% confidence interval (CI): 1.06–1.68]; miners, quarrymen, well-drillers and related workers (OR 1.70, 95% CI: 1.01–2.88); blacksmiths, toolmakers and machine-tool operators (OR 1.41, 95% CI: 1.05–1.89); bricklayers, carpenters and construction workers (OR 1.30, 95% CI: 1.06–1.60); and stationary engine and related equipment operators (OR 6.53, 95% CI: 1.41–30.19). The ORs for wood-dust exposure were 1.51 (95% CI: 1.01–2.26) for intestinal-type and 2.52 (95% CI: 1.46–4.33) for diffuse-type gastric cancer. Corresponding values for aromatic amine exposure were 1.83 (95% CI: 1.09–3.06) and 2.92 (95% CI: 1.36–6.26). Exposure to coal derivatives, pesticides/herbicides, chromium, radiation and magnetic fields were associated with higher odds of diffuse-type, but not intestinal-type gastric cancer.
Conclusions
Based on a large pooled analysis, we identified several occupations and related exposures that are associated with elevated odds of gastric cancer. These findings have potential implications for risk attenuation and could be used to direct investigations evaluating the impact of targeted gastric cancer prevention/early detection programmes based on occupation.</description><subject>Humans</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Exposure - adverse effects</subject><subject>Odds Ratio</subject><subject>Stomach Neoplasms - epidemiology</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9LwzAUgIMobk4v_gGSixehLlmSpvEiMvwFgwnqTQivSTo7uqYkrTj_eivToRdP7_C-9z34EDqm5JwSxcbl0o3t-mOSsh00pDzlCUszsYuGhBGSCCnpAB3EuCSEcs7VPhowqlJBuRiil7kxXQNt6WuosHtvfOyCixhqi721EfsCLyC2oTTYQG1cuMCAH1v_gJvgl8602Pg6-tCW3Qo33lfO9sdQrWMZD9FeAVV0R99zhJ5vrp-md8lsfns_vZolhjHVJgq4sNwQaalyQrFcmIIpaTOSk5RmkBUWhKNCTZTNlVRFTkGZHIScZCbjlI3Q5cbbdPnKWePqNkClm1CuIKy1h1L_3dTlq174N02JIDKVqjecbQwm-BiDK7bHlOivyLqPrDeRe_jk97st-lO1B043gO-a_0SfbvyIeA</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Shah, Shailja C</creator><creator>Boffetta, Paolo</creator><creator>Johnson, Kenneth C</creator><creator>Hu, Jinfu</creator><creator>Palli, Domenico</creator><creator>Ferraroni, Monica</creator><creator>Tsugane, Shoichiro</creator><creator>Hamada, Gerson Shigueaki</creator><creator>Hidaka, Akihisa</creator><creator>Zaridze, David</creator><creator>Maximovich, Dmitry</creator><creator>Vioque, Jesus</creator><creator>Navarrete-Munoz, Eva M</creator><creator>Zhang, Zuo-Feng</creator><creator>Mu, Lina</creator><creator>Boccia, Stefania</creator><creator>Pastorino, Roberta</creator><creator>Kurtz, Robert C</creator><creator>Rota, Matteo</creator><creator>Bonzi, Rossella</creator><creator>Negri, Eva</creator><creator>La Vecchia, Carlo</creator><creator>Pelucchi, Claudio</creator><creator>Hashim, Dana</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2049-9959</orcidid><orcidid>https://orcid.org/0000-0003-4105-2774</orcidid></search><sort><creationdate>20200401</creationdate><title>Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis</title><author>Shah, Shailja C ; Boffetta, Paolo ; Johnson, Kenneth C ; Hu, Jinfu ; Palli, Domenico ; Ferraroni, Monica ; Tsugane, Shoichiro ; Hamada, Gerson Shigueaki ; Hidaka, Akihisa ; Zaridze, David ; Maximovich, Dmitry ; Vioque, Jesus ; Navarrete-Munoz, Eva M ; Zhang, Zuo-Feng ; Mu, Lina ; Boccia, Stefania ; Pastorino, Roberta ; Kurtz, Robert C ; Rota, Matteo ; Bonzi, Rossella ; Negri, Eva ; La Vecchia, Carlo ; Pelucchi, Claudio ; Hashim, Dana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-9a45d4c07d19e593b5cf397d80b0618a8fda5e15929db979fb1a9cba5728c8413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Humans</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Exposure - adverse effects</topic><topic>Odds Ratio</topic><topic>Stomach Neoplasms - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shah, Shailja C</creatorcontrib><creatorcontrib>Boffetta, Paolo</creatorcontrib><creatorcontrib>Johnson, Kenneth C</creatorcontrib><creatorcontrib>Hu, Jinfu</creatorcontrib><creatorcontrib>Palli, Domenico</creatorcontrib><creatorcontrib>Ferraroni, Monica</creatorcontrib><creatorcontrib>Tsugane, Shoichiro</creatorcontrib><creatorcontrib>Hamada, Gerson Shigueaki</creatorcontrib><creatorcontrib>Hidaka, Akihisa</creatorcontrib><creatorcontrib>Zaridze, David</creatorcontrib><creatorcontrib>Maximovich, Dmitry</creatorcontrib><creatorcontrib>Vioque, Jesus</creatorcontrib><creatorcontrib>Navarrete-Munoz, Eva M</creatorcontrib><creatorcontrib>Zhang, Zuo-Feng</creatorcontrib><creatorcontrib>Mu, Lina</creatorcontrib><creatorcontrib>Boccia, Stefania</creatorcontrib><creatorcontrib>Pastorino, Roberta</creatorcontrib><creatorcontrib>Kurtz, Robert C</creatorcontrib><creatorcontrib>Rota, Matteo</creatorcontrib><creatorcontrib>Bonzi, Rossella</creatorcontrib><creatorcontrib>Negri, Eva</creatorcontrib><creatorcontrib>La Vecchia, Carlo</creatorcontrib><creatorcontrib>Pelucchi, Claudio</creatorcontrib><creatorcontrib>Hashim, Dana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shah, Shailja C</au><au>Boffetta, Paolo</au><au>Johnson, Kenneth C</au><au>Hu, Jinfu</au><au>Palli, Domenico</au><au>Ferraroni, Monica</au><au>Tsugane, Shoichiro</au><au>Hamada, Gerson Shigueaki</au><au>Hidaka, Akihisa</au><au>Zaridze, David</au><au>Maximovich, Dmitry</au><au>Vioque, Jesus</au><au>Navarrete-Munoz, Eva M</au><au>Zhang, Zuo-Feng</au><au>Mu, Lina</au><au>Boccia, Stefania</au><au>Pastorino, Roberta</au><au>Kurtz, Robert C</au><au>Rota, Matteo</au><au>Bonzi, Rossella</au><au>Negri, Eva</au><au>La Vecchia, Carlo</au><au>Pelucchi, Claudio</au><au>Hashim, Dana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis</atitle><jtitle>International journal of epidemiology</jtitle><addtitle>Int J Epidemiol</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>49</volume><issue>2</issue><spage>422</spage><epage>434</epage><pages>422-434</pages><issn>0300-5771</issn><eissn>1464-3685</eissn><abstract>Abstract
Background
Gastric cancer pathogenesis represents a complex interaction of host genetic determinants, microbial virulence factors and environmental exposures. Our primary aim was to determine the association between occupations/occupational exposures and odds of gastric cancer.
Methods
We conducted a pooled-analysis of individual-level data harmonized from 11 studies in the Stomach cancer Pooling Project. Multivariable logistic regression was used to estimate the odds ratio (OR) of gastric cancer adjusted for relevant confounders.
Results
A total of 5279 gastric cancer cases and 12 297 controls were analysed. There were higher odds of gastric cancer among labour-related occupations, including: agricultural and animal husbandry workers [odds ratio (OR) 1.33, 95% confidence interval (CI): 1.06–1.68]; miners, quarrymen, well-drillers and related workers (OR 1.70, 95% CI: 1.01–2.88); blacksmiths, toolmakers and machine-tool operators (OR 1.41, 95% CI: 1.05–1.89); bricklayers, carpenters and construction workers (OR 1.30, 95% CI: 1.06–1.60); and stationary engine and related equipment operators (OR 6.53, 95% CI: 1.41–30.19). The ORs for wood-dust exposure were 1.51 (95% CI: 1.01–2.26) for intestinal-type and 2.52 (95% CI: 1.46–4.33) for diffuse-type gastric cancer. Corresponding values for aromatic amine exposure were 1.83 (95% CI: 1.09–3.06) and 2.92 (95% CI: 1.36–6.26). Exposure to coal derivatives, pesticides/herbicides, chromium, radiation and magnetic fields were associated with higher odds of diffuse-type, but not intestinal-type gastric cancer.
Conclusions
Based on a large pooled analysis, we identified several occupations and related exposures that are associated with elevated odds of gastric cancer. These findings have potential implications for risk attenuation and could be used to direct investigations evaluating the impact of targeted gastric cancer prevention/early detection programmes based on occupation.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>31965145</pmid><doi>10.1093/ije/dyz263</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0002-2049-9959</orcidid><orcidid>https://orcid.org/0000-0003-4105-2774</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International journal of epidemiology, 2020-04, Vol.49 (2), p.422-434 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Humans Occupational Diseases - epidemiology Occupational Exposure - adverse effects Odds Ratio Stomach Neoplasms - epidemiology |
| title | Occupational exposures and odds of gastric cancer: a StoP project consortium pooled analysis |
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