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Abstract

Title: Proportion of lung cancers in males, due to occupation, in different areas of the USA.
Author: Vineis P, Thomas T, Hayes RB, Blot WJ, Mason TJ, Pickle LW, Correa P, Fontham ET, Schoenberg J
Journal: Int J Cancer 42(6):851-856
Year: 1988
Month: December

Abstract: Occupational data from 5 case-control studies in the United States involving 2,973 male cases and 3,210 controls were analyzed to estimate the percentage of lung cancer attributable to well-known and suspected lung carcinogens. The studies were conducted in areas heterogeneous in terms of industrial activities. The percentage of lung cancers attributable to occupations entailing potential exposure to well-recognized carcinogens ranged, by study area, from 3 to 17%. The further inclusion of occupational groups with suspect carcinogenic exposures changed these estimates very little. Exclusion of data derived from next-of-kin interviews influenced the estimates of attributable risks, but not in a systematic fashion. The estimates also varied according to ethnic group, smoking status and birth cohort, with higher values in non-whites, non-smokers and among members of more recent birth cohorts. Possible errors in exposure classification, which may make these estimates conservative, are discussed.