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    Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium

    Access Status
    Open access via publisher
    Authors
    Mannetje, A.
    De Roos, A.
    Boffetta, P.
    Vermeulen, R.
    Benke, G.
    Fritschi, Lin
    Brennan, P.
    Foretova, L.
    Maynadié, M.
    Becker, N.
    Nieters, A.
    Staines, A.
    Campagna, M.
    Chiu, B.
    Clavel, J.
    de Sanjose, S.
    Hartge, P.
    Holly, E.
    Bracci, P.
    Linet, M.
    Monnereau, A.
    Orsi, L.
    Purdue, M.
    Rothman, N.
    Lan, Q.
    Kane, E.
    Costantini, A.
    Miligi, L.
    Spinelli, J.
    Zheng, T.
    Cocco, P.
    Kricker, A.
    Date
    2016
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Mannetje, A. and De Roos, A. and Boffetta, P. and Vermeulen, R. and Benke, G. and Fritschi, L. and Brennan, P. et al. 2016. Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium. Environmental Health Perspectives. 124 (4): pp. 396-405.
    Source Title
    Environmental Health Perspectives
    DOI
    10.1289/ehp.1409294
    ISSN
    0091-6765
    School
    Epidemiology and Biostatistics
    URI
    http://hdl.handle.net/20.500.11937/51256
    Collection
    • Curtin Research Publications
    Abstract

    Background: Various occupations have been associated with an elevated risk of non-Hodgkin lymphoma (NHL), but results have been inconsistent across studies. Objectives: We investigated occupational risk of NHL and of four common NHL subtypes with particular focus on occupations of a priori interest. Methods: We conducted a pooled analysis of 10,046 cases and 12,025 controls from 10 NHL studies participating in the InterLymph Consortium. We harmonized the occupational coding using the 1968 International Standard Classification of Occupations (ISCO-1968) and grouped occupations previously associated with NHL into 25 a priori groups. Odds ratios (ORs) adjusted for center, age, and sex were determined for NHL overall and for the following four subtypes: diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), chronic lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL), and peripheral T-cell lymphoma (PTCL). Results: We confirmed previously reported positive associations between NHL and farming occupations [field crop/vegetable farm workers OR = 1.26; 95% confidence interval (CI): 1.05, 1.51; general farm workers OR = 1.19; 95% CI: 1.03, 1.37]; we also confirmed associations of NHL with specific occupations such as women’s hairdressers (OR = 1.34; 95% CI: 1.02, 1.74), charworkers/cleaners (OR = 1.17; 95% CI: 1.01, 1.36), spray-painters (OR = 2.07; 95% CI: 1.30, 3.29), electrical wiremen (OR = 1.24; 95% CI: 1.00, 1.54), and carpenters (OR = 1.42; 95% CI: 1.04, 1.93). We observed subtype-specific associations for DLBCL and CLL/SLL in women’s hairdressers and for DLBCL and PTCL in textile workers. Conclusions: Our pooled analysis of 10 international studies adds to evidence suggesting that farming, hairdressing, and textile industry–related exposures may contribute to NHL risk. Associations with women’s hairdresser and textile occupations may be specific for certain NHL subtypes.

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