Occupational variation in the incidence of lip cancer in the Nordic countries
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Occupational variation in the incidence of lip cancer in the Nordic countries. / Mroueh, Rayan; Carpén, Timo; Mäkitie, Antti; Hansen, Johnni; Heikkinen, Sanna; Lynge, Elsebeth; Martinsen, Jan Ivar; Selander, Jenny; Mehlum, Ingrid Sivesind; Torfadottir, Jóhanna Eyrún; Salo, Tuula; Pukkala, Eero.
I: Acta Oncologica, Bind 62, Nr. 6, 2023, s. 541-549.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Occupational variation in the incidence of lip cancer in the Nordic countries
AU - Mroueh, Rayan
AU - Carpén, Timo
AU - Mäkitie, Antti
AU - Hansen, Johnni
AU - Heikkinen, Sanna
AU - Lynge, Elsebeth
AU - Martinsen, Jan Ivar
AU - Selander, Jenny
AU - Mehlum, Ingrid Sivesind
AU - Torfadottir, Jóhanna Eyrún
AU - Salo, Tuula
AU - Pukkala, Eero
N1 - Funding Information: This work was supported by Finska Läkaresällskapet, the Helsinki University Hospital Research Funding, and Nordic Cancer Union (NCU). Publisher Copyright: © 2023 Acta Oncologica Foundation.
PY - 2023
Y1 - 2023
N2 - Introduction: While certain occupations, such as agriculture and fishery, have been associated with an increased risk of lip cancer, the occupational risk profile of lip cancer and its change over time remain poorly known. This study aims to evaluate the incidence of lip cancer across different occupations in the Nordic countries. Methods: The Nordic Occupational Cancer Study (NOCCA) covers 14.9 million people and includes 45 years of cancer incidence data, from 1961 to 2005, linked to occupational categories for all the five Nordic populations. Standardized incidence ratios (SIRs) with 95% confidence intervals (CIs) were used to quantify the risk of lip cancer across occupational categories relative to the entire national populations. Results: There were a total of 14,477 male and 3008 female lip cancer patients identified during follow up. The highest SIRs were observed among male fishermen (SIR 2.26, 95% CI: 2.04–2.50), gardeners (SIR 1.60, 95% CI: 1.48–1.72), and farmers (SIR 1.60, 95% CI: 1.55–1.66). A significantly reduced risk of lip cancer (SIR < 0.50) was observed among male physicians, teachers, religious workers, artistic workers, journalists, administrators, printers, waiters, and hairdressers. Among women, no occupations were associated with an increased risk of lip cancer. Conclusions: The incidence of lip cancer varies widely between outdoor and indoor occupations. Occupations involving outdoor activity and exposure to sunlight show the most elevated SIRs.
AB - Introduction: While certain occupations, such as agriculture and fishery, have been associated with an increased risk of lip cancer, the occupational risk profile of lip cancer and its change over time remain poorly known. This study aims to evaluate the incidence of lip cancer across different occupations in the Nordic countries. Methods: The Nordic Occupational Cancer Study (NOCCA) covers 14.9 million people and includes 45 years of cancer incidence data, from 1961 to 2005, linked to occupational categories for all the five Nordic populations. Standardized incidence ratios (SIRs) with 95% confidence intervals (CIs) were used to quantify the risk of lip cancer across occupational categories relative to the entire national populations. Results: There were a total of 14,477 male and 3008 female lip cancer patients identified during follow up. The highest SIRs were observed among male fishermen (SIR 2.26, 95% CI: 2.04–2.50), gardeners (SIR 1.60, 95% CI: 1.48–1.72), and farmers (SIR 1.60, 95% CI: 1.55–1.66). A significantly reduced risk of lip cancer (SIR < 0.50) was observed among male physicians, teachers, religious workers, artistic workers, journalists, administrators, printers, waiters, and hairdressers. Among women, no occupations were associated with an increased risk of lip cancer. Conclusions: The incidence of lip cancer varies widely between outdoor and indoor occupations. Occupations involving outdoor activity and exposure to sunlight show the most elevated SIRs.
KW - Head and neck cancer
KW - incidence
KW - lip cancer
KW - occupational risk
KW - oral cancer
KW - risk
U2 - 10.1080/0284186X.2023.2224053
DO - 10.1080/0284186X.2023.2224053
M3 - Journal article
C2 - 37337140
AN - SCOPUS:85162202114
VL - 62
SP - 541
EP - 549
JO - Acta Oncologica
JF - Acta Oncologica
SN - 1100-1704
IS - 6
ER -
ID: 373672164