A Biological Approach to Characterizing Exposure to Metalworking Fluids and Risk of Prostate Cancer (United States)
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2005/05/01
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Description:Objective: Prostate cancer is hormone-related and chemicals that interfere with hormones may contribute to carcinogenesis. In a cohort of autoworkers we characterized exposure to metalworking fluids (MWF) into age windows with homogenous biological risk for prostate cancer, and examined exposure-response relationships using semi-parametric modeling. Methods: Incident cases (n = 872) were identified via Michigan cancer registry from 1985 through 2000. Controls were selected using incidence-density sampling, 5:1 ratio. Using a hormonal-based model, exposure was accumulated in three windows: (1) late puberty, (2) adulthood, and (3) middle age. We used penalized splines to model risk as a smooth function of exposure, and controlled for race and calendar year of diagnosis in a Cox model. Results: Risk of prostate cancer linearly increased with exposure to straight MWF in the first window, with a relative risk of 2.4 per 10 mg/m3-years. Autoworkers exposed to MWF at a young age also had an increased risk associated with MWF exposure incurred later in life. For soluble MWF there was a slightly increased risk in the third window. Conclusions: Exposure characterization based on a hormonal model identified heightened risk with early age of exposure to straight MWF. Results also support a long latency period for exposure related prostate cancer. [Description provided by NIOSH]
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ISSN:0957-5243
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Pages in Document:323-331
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Volume:16
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Issue:4
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NIOSHTIC Number:nn:20054197
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Citation:Cancer Causes Control 2005 May; 16(4):323-331
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Contact Point Address:Ellen A. Eisen, Department of Environmental Health, Harvard School of Public Health, 665 Huntington Ave., Boston, MA 02115
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Email:eeisen@hsph.harvard.edu
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Federal Fiscal Year:2005
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Performing Organization:Harvard School of Public Health
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Peer Reviewed:True
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Start Date:20030731
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Source Full Name:Cancer Causes and Control
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End Date:20050630
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Main Document Checksum:urn:sha-512:e554e0179952abc88d04974e9dca9c5c058a605424fd3f778ecd01bfe3ee4818bbc9957e56bb50194f9b37d4801157f0de81e856b3b83200f9b5b142c13668bb
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