夜班工作和乳腺癌风险 - - 2023年流行病学证据更新
Johnni Hansen1, Julie Elbæk Pedersen1
1Danish Cancer Institute, Danish Cancer Society, Strandboulevarden 49, 2100 Copenhagen, Denmark.
Journal of the National Cancer Center
|March 5, 2025
概括
新的研究表明,持续的夜班工作可能会增加乳腺癌风险. 需要进一步的研究来证实这一关联,并探索夜工人的保护措施.
科学领域:
- 职业流行病学 职业流行病学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 夜班工作是一种常见的职业暴露.
- 乳腺癌是女性最常见的癌症.
- 国际癌症研究机构 (IARC) 在2019年将夜班工作归类为可能的乳腺致癌物.
研究的目的:
- 审查2019年IARC评估后发布的关于夜班工作和乳腺癌风险的新流行病学数据.
- 评估夜班工作与乳腺癌之间的关联的证据.
- 识别当前关于潜在相互作用的研究中的差距.
主要方法:
- 在PubMed的系统文献搜索中寻找队列和病例控制研究.
- 包括2019年6月之后发表的研究.
- 专注于调查"乳腺癌和夜班工作"的研究.
主要成果:
- 审查了六项队列研究和四项病例控制研究.
- 一些证据支持持续夜班工作 (长时间/高频率) 与增加乳腺癌风险之间的关联.
- 最近的研究没有提供更多关于与更年期状态,日间偏好,荷尔蒙亚型或基因环境因素相互作用的证据.
结论:
- 新发现巩固了现有证据,但并没有提供对相互作用的新见解.
- 有必要进行长期随访研究,准确评估暴露.
- 应考虑对夜班工作者采取保护措施.
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