在患有乳腺癌和没有乳腺癌的妇女中,自我报告的夜班工作的有效性
Jesper Medom Vestergaard1, Jesper Nikolai Dietrich Haug, Annett Dalbøge
1Department of Occupational Medicine, Danish Ramazzini Centre, Institute of Clinical Medicine, Aarhus University Hospital, Aarhus, Denmark. jespvest@rm.dk.
Scandinavian journal of work, environment & health
|February 8, 2024
概括
这项研究发现,女性回忆起夜班工作的准确度中等,但错误地记得从未工作过夜班会导致略高估计乳腺癌风险. 准确的回忆对于可靠的职业暴露评估至关重要.
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:
- 夜班工作是乳腺癌的潜在危险因素.
- 对职业暴露的准确评估对于流行病学研究至关重要.
- 关于夜班工作的自我报告数据可能会受到回忆偏差的影响.
研究的目的:
- 评估自我报告的夜班工作在患有乳腺癌和没有乳腺癌的女性中的有效性.
- 量化夜班工作错误分类对乳腺癌风险估计的影响.
主要方法:
- 基于问卷的调查对225名乳腺癌患者和1800名对照进行了调查.
- 自我报告的夜班工作与客观的工资数据进行了比较.
- 使用定量偏差分析来估计对相对风险的影响.
主要成果:
- 对于夜班工作的敏感性在患者中为86.2%,在对照组中为80.6%.
- 从来没有夜班工作的特异性在患者中为82.6%,在对照组中为83.7%.
- 纠正错误分类,将乳腺癌的估计几率比率从1.12降至1.05.
结论:
- 与对照组相比,女性乳腺癌患者对夜班工作的回忆略有改善.
- 这两组在回忆从未做过夜班工作方面都表现出较低的特异性.
- 对夜班工作的错误分类导致对乳腺癌风险的温和高估.
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