Lung cancer risk and do-it-yourself activities. A neglected risk factor for lung cancer.


Journal

Environmental research
ISSN: 1096-0953
Titre abrégé: Environ Res
Pays: Netherlands
ID NLM: 0147621

Informations de publication

Date de publication:
12 2019
Historique:
received: 06 06 2019
revised: 06 10 2019
accepted: 07 10 2019
pubmed: 8 11 2019
medline: 1 5 2020
entrez: 8 11 2019
Statut: ppublish

Résumé

The aim of this study was to assess the relationship between do-it-yourself activities entailing the exposure to carcinogenic substances and the risk of lung cancer. We pooled individual data from different case-control studies conducted in Northwestern Spain which investigated residential radon and lung cancer. Cases had an anatomopathologically confirmed primary lung cancer and controls were selected at the pre-surgery unit with uncomplicated surgeries. Both cases and controls were older than 30 years with no previous cancer history. All participants were interviewed face-to-face using a specific questionnaire. Painting, model building, furniture refinishing and woodworking or home carpentry were the do-it-yourself activities considered risky due to exposure to carcinogenic agents. We included 1528 cases and 1457 controls. Practicing do-it-yourself risk activities was more frequent among cases: 16.0% were exposed to carcinogenic exposures during leisure time, compared to 11.8% for controls. The overall adjusted OR for lung cancer risk among individuals who practiced do-it-yourself risk activities, was 1.77 (95% CI: 1.36-2.31); this was 2.17 (95% CI: 1.51-3.11) when the analysis was restricted to individuals who performed these activities for at least 10 years. These risks were greater when the analyses were carried out exclusively among never-smokers, with the respective ORs being 2.04 (95% CI: 1.38-3.01) and 3.10 (95% CI: 1.78-5.40). These results support the hypothesis that do-it-yourself activities involving exposure to certain carcinogens are associated with an increased risk of lung cancer, both in ever and never-smokers.

Sections du résumé

BACKGROUND
The aim of this study was to assess the relationship between do-it-yourself activities entailing the exposure to carcinogenic substances and the risk of lung cancer.
METHODS
We pooled individual data from different case-control studies conducted in Northwestern Spain which investigated residential radon and lung cancer. Cases had an anatomopathologically confirmed primary lung cancer and controls were selected at the pre-surgery unit with uncomplicated surgeries. Both cases and controls were older than 30 years with no previous cancer history. All participants were interviewed face-to-face using a specific questionnaire. Painting, model building, furniture refinishing and woodworking or home carpentry were the do-it-yourself activities considered risky due to exposure to carcinogenic agents.
RESULTS
We included 1528 cases and 1457 controls. Practicing do-it-yourself risk activities was more frequent among cases: 16.0% were exposed to carcinogenic exposures during leisure time, compared to 11.8% for controls. The overall adjusted OR for lung cancer risk among individuals who practiced do-it-yourself risk activities, was 1.77 (95% CI: 1.36-2.31); this was 2.17 (95% CI: 1.51-3.11) when the analysis was restricted to individuals who performed these activities for at least 10 years. These risks were greater when the analyses were carried out exclusively among never-smokers, with the respective ORs being 2.04 (95% CI: 1.38-3.01) and 3.10 (95% CI: 1.78-5.40).
CONCLUSION
These results support the hypothesis that do-it-yourself activities involving exposure to certain carcinogens are associated with an increased risk of lung cancer, both in ever and never-smokers.

Identifiants

pubmed: 31698297
pii: S0013-9351(19)30609-7
doi: 10.1016/j.envres.2019.108812
pii:
doi:

Substances chimiques

Carcinogens, Environmental 0
Radon Q74S4N8N1G

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

108812

Informations de copyright

Copyright © 2019 Elsevier Inc. All rights reserved.

Auteurs

María Lorenzo-González (M)

Service of Preventive Medicine, University Hospital Complex of Ourense, Spain; Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Spain.

Alberto Ruano-Ravina (A)

Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Spain; CIBER de Epidemiología y Salud Pública CIBERESP, Spain. Electronic address: alberto.ruano@usc.es.

María Torres-Durán (M)

Service of Neumology, University Hospital Complex of Vigo, Spain.

Mariano Provencio-Pulla (M)

Service of Oncology, Puerta de Hierro University Hospital, Madrid, Spain.

Karl Kelsey (K)

Department of Epidemiology, Brown University, USA.

Isaura Parente-Lamelas (I)

Service of Neumology, University Hospital Complex of Ourense, Spain.

Iria Vidal-García (I)

Service of Neumology, University Hospital Complex of A Coruña, Spain.

Virginia Leiro-Fernández (V)

Service of Neumology, University Hospital Complex of Vigo, Spain.

Cristina Martínez (C)

National Institute of Silicosis, University Hospital of Asturias, Oviedo, Spain.

Jesús Hernández (J)

Service of Neumology, University Hospital Complex of Ávila, Spain.

Olalla Castro-Añón (O)

Service of Neumology, Hospital Lucus Augusti, Lugo, Spain.

Silvia García-García (S)

Service of Neumology, University Hospital Complex of Leon, Spain.

Paula Sales-Fidalgo (P)

Serviço de Oncologia Médica Centro Hospitalar do Porto, Portugal.

José Abal-Arca (J)

Service of Neumology, University Hospital Complex of Ourense, Spain.

Carmen Montero-Martínez (C)

Service of Neumology, University Hospital Complex of A Coruña, Spain.

Mónica Pérez-Ríos (M)

Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Spain; CIBER de Epidemiología y Salud Pública CIBERESP, Spain.

Alberto Fernández-Villar (A)

Service of Neumology, University Hospital Complex of Vigo, Spain.

Juan Miguel Barros-Dios (JM)

Department of Preventive Medicine and Public Health, University of Santiago de Compostela, Spain; CIBER de Epidemiología y Salud Pública CIBERESP, Spain; Service of Preventive Medicine, University Hospital Complex of Santiago de Compostela, Spain.

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