加拿大安大略省紧急医疗服务工作人员的癌症风险
Jeavana Sritharan1,2, Paul A Demers1,2, Fanni R Eros1
1Occupational Cancer Research Centre, Ontario Health, Toronto, Canada.
Prehospital emergency care
|November 15, 2023
概括
根据安大略省的一项大型研究,救护人员面临更高的癌症风险,特别是黑色素瘤和前列腺癌. 这项研究强调,需要更好地了解紧急医疗服务工作人员的职业暴露和癌症预防策略.
科学领域:
- 职业健康 职业健康 职业健康
- 流行病学 流行病学
- 癌症研究 癌症研究
背景情况:
- 紧急医疗服务 (EMS) 工作人员,包括护理人员,在工作期间可能会接触致癌物质.
- 关于癌症风险的研究有限,特别是在护理人员中,这表明知识缺口很大.
研究的目的:
- 在一大批安大略省工人中调查与护理人员职业相关的癌症风险.
- 解决关于EMS人员癌症发病率的现有知识差距.
主要方法:
- 利用职业病监测系统 (ODSS) 数据库从1996年至2019年,将工人赔偿索赔与健康数据联系起来.
- 包括安大略省癌症登记处,以确定7240名已识别的护理人员中的癌症病例.
- 采用考克斯比例危险模型来比较护理人员与ODSS所有其他工人的癌症风险.
主要成果:
- 护理人员呈现出任何癌症的统计学上显著的高风险 (HR 1.19).
- 黑色素瘤 (HR 2.18) 和前列腺癌 (HR 1.73) 的风险明显更高.
- 统计学上显著的肺癌风险降低 (HR 0.48),与消防员和警察的发现一致.
结论:
- 这项研究为护理人员的癌症风险提供了关键的见解,加强了EMS工作人员癌症风险增加的证据.
- 消防员和警察与癌症风险的相似性表明,他们有共同的职业暴露,如汽车排气和轮班工作.
- 这些发现可以通过改善对职业致癌物和暴露的理解,为护理人员提供有针对性的癌症预防策略.
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