Lung cancer risk among bakers, pastry cooks and confectionary makers: the SYNERGY study.

Thomas Behrens 1, * Benjamin Kendzia 1 Tabea Treppmann 1 Ann Olsson 2, 3 Karl-Heinz Jöckel 4 Per Gustavsson 3 Hermann Pohlabeln 5 Wolfgang Ahrens 5, 6 Irene Brüske 7 Hans-Erich Wichmann 7 Franco Merletti 8 Dario Mirabelli 8 Lorenzo Richiardi 8 Lorenzo Simonato 9 David Zaridze 10 Neonila Szeszenia-Dabrowska 11 Peter Rudnai 12 Jolanta Lissowska 13 Eleonora Fabianova 14 Adonina Tardón 15 John Field 16 Rodica Stanescu Dumitru 17 Vladimir Bencko 18 Lenka Foretova 19 Vladimir Janout 20 Jack Siemiatycki 21 Marie-Elise Parent 22 John Mclaughlin 23 Paul Demers 23 Maria Teresa Landi 24 Neil Caporaso 24 Hans Kromhout 25 Roel Vermeulen 25 Susan Peters 25, 26 Simone Benhamou 27 Isabelle Stücker 28, 29 Florence Guida 28, 29 Dario Consonni 30 Bas Bueno-De-Mesquita 31 Andrea 'T Mannetje 32 Neil Pearce 33 Lap Ah Tse 34 Ignatius Tak-Sun Yu 34 Nils Plato 3 P. Boffetta 35, 36 Kurt Straif 2 Joachim Schüz 2 Beate Pesch 1 Thomas Brüning 1
* Corresponding author
Abstract : Some studies have suggested increased lung cancer risks among bakers, however the results overall were inconsistent. The authors studied lung cancer risks among bakers and baking-related occupations in the SYNERGY pooled case-control database from 16 countries. Occupation in a baking-related job was identified from the subjects' job histories. ORs adjusted for log(age), study centre, smoking behaviour and ever employment in a job with known exposure to occupational lung carcinogens were calculated by unconditional logistic regression. Findings were stratified by sex, histological subtype of lung cancer and smoking status. 19 366 cases (15 606 men) and 23 670 control subjects (18 528 men) were included. 473 cases (415 men, 58 women) and 501 controls (437 men, 64 women) had ever worked in baking or a related job. We did not observe an increased risk for men in baking (OR 1.01; 95% CI 0.86 to 1.18). No linear trends were observed for duration of employment. Some results suggested increased lung cancer risks for women, for example, for working as a baker for >30 years and in never-smokers, but after exclusion of one study these increased risks disappeared. The findings from this study do not suggest increased lung cancer risks in baking-related professions.
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Thomas Behrens, Benjamin Kendzia, Tabea Treppmann, Ann Olsson, Karl-Heinz Jöckel, et al.. Lung cancer risk among bakers, pastry cooks and confectionary makers: the SYNERGY study.. Occupational and Environmental Medicine, BMJ Publishing Group, 2013, 70 (11), pp.810-4. ⟨10.1136/oemed-2013-101469⟩. ⟨pasteur-01130242⟩

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