A case-control study of multiple myeloma in Japan: association with occupational factors
Tomoko Sonoda1, Tadao Ishida, Masamitsu Mori
1Department of Public Health, School of Medicine, Sapporo Medical University, Sapporo, 060 - 8556 Japan. tsonoda@sapmed.ac.jp
Abstract:
Recently the incidence rate of multiple myeloma (MM) has increased in Japan. Epidemiologic efforts have suggested that certain occupational and chemical exposures are likely to increase the risk for MM. We therefore performed a case-control study of MM, examining occupational factors. Data for 57 cases and 57 controls were obtained from Sapporo Medical University Hospital and its affiliated hospitals in Hokkaido. Controls were matched to each case by gender, age (+/- 5 years) and hospital. Detailed information regarding several factors possibly related to MM was obtained by interviews in hospitals. Odds ratios (ORs) and 95% confidence intervals (95%CIs) were calculated with adjustment for cigarette smoking as confounding factor. The occupational category of agriculture and fishery showed a significant association with increased risk (OR = 5.89, 95% CI = 1.24-28.04). Occupational exposure to chemical products including organic solvents or petroleum showed a significant association with increased risk (OR = 8.05, 95% CI = 1.01-64.45). Medical histories of operation for appendicitis and blood transfusion were associated with decreased risk, but not significantly. Our results suggested that occupational exposure to chemicals might play a role in the risk of MM.
Insights
Occupational exposure to chemicals, agriculture, and fishery may increase multiple myeloma (MM) risk. This case-control study in Japan identified significant associations between these factors and MM incidence.
Area of Science:
- Epidemiology
- Occupational Health
Background:
- Multiple myeloma (MM) incidence is rising in Japan.
- Previous studies suggest occupational and chemical exposures may elevate MM risk.
Purpose of the Study:
- To investigate the association between occupational factors and multiple myeloma risk in Japan.
Main Methods:
- A case-control study involving 57 MM cases and 57 matched controls.
- Data collected via interviews on occupational history and other factors.
- Statistical analysis using odds ratios (ORs) and 95% confidence intervals (95%CIs), adjusted for smoking.
Main Results:
- Agriculture and fishery occupations showed a significant association with increased MM risk (OR = 5.89).
- Occupational exposure to chemical products, including organic solvents and petroleum, was significantly linked to higher MM risk (OR = 8.05).
- Appendicitis surgery and blood transfusion history showed non-significant associations with decreased risk.
Conclusions:
- Occupational chemical exposure may contribute to the risk of developing multiple myeloma.
- Further research is warranted to confirm these occupational risk factors for multiple myeloma.
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