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Published on: January 5, 2017
Occupations and Risk of Head and Neck Cancers: A Case-Control Study in Tanzania
Luco Patson Mwelange1, Israel Paul Nyarubeli1, Gloria Sakwari1
1Department of Environmental and Occupational Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam P.O. Box 65015, Tanzania.
Agricultural work is linked to a higher risk of head and neck cancers. Pesticide exposure in farming may contribute to this increased cancer risk, warranting further investigation into agricultural carcinogens.
Area of Science:
- Oncology
- Occupational Health
- Environmental Health
Background:
- Head and neck cancers represent a significant global health burden, ranking as the sixth most common cancer worldwide.
- Previous research suggests a potential link between pesticide exposure in agricultural settings and the development of head and neck cancers.
Purpose of the Study:
- To investigate the association between agricultural labor and an elevated risk of developing head and neck cancers.
- To quantify the risk of head and neck cancer among agricultural workers, considering potential confounding factors.
Main Methods:
- A case-control study was conducted at the Ocean Road Cancer Institute in Tanzania.
- Data were collected from 298 head and neck cancer cases and 305 controls through interviews on occupational history, lifestyle, and diet.
- Logistic regression analysis was employed to assess the association between agricultural work and head and neck cancer risk, adjusting for lifestyle and dietary factors.
Main Results:
- Agricultural work history was associated with an increased risk of head and neck cancer (Odds Ratio = 2.6, 95% CI: 1.60-4.37), even after adjusting for lifestyle and diet.
- A significantly higher risk was observed for individuals with over 10 years of agricultural work experience (Odds Ratio = 5.1, 95% CI: 2.56-9.94), adjusted for lifestyle and diet.
- The association remained consistent even when excluding smokers and alcohol users.
Conclusions:
- The findings indicate a significant association between agricultural work and an increased risk of head and neck cancer.
- Further research is recommended to identify specific carcinogens present in agricultural environments that may contribute to this risk.
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