Incidence of cancer among Nordic police officers.
cancer risk
exposure
occupation
police officers
Journal
International journal of cancer
ISSN: 1097-0215
Titre abrégé: Int J Cancer
Pays: United States
ID NLM: 0042124
Informations de publication
Date de publication:
15 03 2023
15 03 2023
Historique:
revised:
25
08
2022
received:
05
07
2022
accepted:
02
09
2022
pubmed:
6
10
2022
medline:
21
1
2023
entrez:
5
10
2022
Statut:
ppublish
Résumé
Police work may expose officers to various circumstances that have potential for increasing their risk of cancer, including traffic-related air pollution, night shift work and radiation from radars. In this study, we examined the incidence of cancer among Nordic male and female police officers. We utilize data from the Nordic Occupational Cancer (NOCCA) project, which linked census data on occupations from Finland, Iceland, Norway and Sweden to national cancer registries for the period 1961 to 2005. We report standardized incidence ratios (SIR) and 95% confidence intervals (CI) of selected cancers for each country by sex, age and calendar period. The cohort included 38 523 male and 1998 female police officers. As compared with the general population, male police officers had a 7% (95% CI: 4-9%) excess cancer risk, with elevated SIRs for various cancer sites, including prostate (SIR 1.19, 1.14-1.25), breast (SIR 1.77, 1.05-2.80), colon (SIR 1.22, 1.12-1.32) and skin melanoma (SIR 1.44, 1.28-1.60). Conversely, male police officers had a lower risk of lung cancer than the general population (SIR 0.72, 0.66-0.77). In female police officers, the SIR for cancer overall was 1.15 (0.98-1.34), and there was a slight excess of cancers of the breast (SIR 1.25, 0.97-1.59) and colon (SIR 1.21, 0.55-2.30). In conclusion, cancer incidence among the police officers was slightly higher than in the general population. Notably, SIRs were elevated for cancer sites potentially related to night shift work, namely colon, breast and prostate cancer.
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1124-1136Informations de copyright
© 2022 UICC.
Références
International Agency for Research on Cancer (IARC). Night Shift Work [Internet]. (IARC MONOGRAPHS ON THE IDENTIFICATION OF CARCINOGENIC HAZARDS TO HUMANS). Report No.: Volume 124. https://publications.iarc.fr/Book-And-Report-Series/Iarc-Monographs-On-The-Identification-Of-Carcinogenic-Hazards-To-Humans/Night-Shift-Work-2020
International Agency for Research on Cancer. Air Pollution and Cancer. IARC Scientific Publication no. 161. Lyon, France. 2013.
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans, World Health Organization, International Agency for Research on Cancer. Non-ionizing radiation. Part 2. Radiofrequency Electromagnetic Fields. 2013. http://www.ncbi.nlm.nih.gov/books/NBK304630/
Fink JM, Wagner JP, Congleton JJ, Rock JC. Microwave emissions from police radar. Am Ind Hyg Assoc J. 1999;60(6):770-776.
Ramirez CC, Federman DG, Kirsner RS. Skin cancer as an occupational disease: the effect of ultraviolet and other forms of radiation. Int J Dermatol. 2005;44(2):95-100.
Alfonso JH, Martinsen JI, Pukkala E, et al. Occupation and relative risk of cutaneous squamous cell carcinoma (cSCC): a 45-year follow-up study in 4 Nordic countries. J Am Acad Dermatol. 2016;75(3):548-555.
World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Expert Report 2018. Alcoholic drinks and the risk of cancer. [Internet]. 2021. Available from: dietandcancerreport.org
Chida Y, Hamer M, Wardle J, Steptoe A. Do stress-related psychosocial factors contribute to cancer incidence and survival? Nat Clin Pract Oncol. 2008;5(8):466-475.
Andrew ME, McCanlies EC, Burchfiel CM, et al. Hardiness and psychological distress in a cohort of police officers. Int J Emerg Ment Health. 2008;10(2):137-147.
Andersen JP, Papazoglou K, Koskelainen M, Nyman M. Knowledge and training regarding the link between trauma and health: a National Survey of Finnish police officers. SAGE Open. 2015;5(2):215824401558038.
Konttinen J, Halonen J, Niemi J, Lindholm H, Luukkonen R, Toivonen R, et al. Final report on the evaluation of physical performance of Finnish police officers and practices for fitness testing [Poliisien fyysisen toimintakyvyn arviointi ja kuntotestauskäytännöt - kehittämishankkeen loppuraportti] In Finnish [Internet]. (Poliisihallituksen julkaisusarja). Report No: 1/2011. Available from: https://poliisi.fi/documents/25235045/42553324/julkaisu_1_2011.pdf/3934cd5c-6c86-737a-e266-c4fdeab701d2/julkaisu_1_2011.pdf?t=1605601621392
Ramey SL, Perkhounkova Y, Moon M, et al. Physical activity in police beyond self-report. J Occup Environ Med. 2014;56(3):338-343.
World Cancer Research Find/American Institute for Cancer Research. Physical activity and the risk of cancer [Internet]. (Continuous Update Project Expert Report 2018). Available from: https://www.wcrf.org/wp-content/uploads/2021/02/Physical-activity.pdf
Kerr J, Anderson C, Lippman SM. Physical activity, sedentary behaviour, diet, and cancer: an update and emerging new evidence. Lancet Oncol. 2017;18(8):e457-e471.
Harris MA, Kirkham TL, MacLeod JS, Tjepkema M, Peters PA, Demers PA. Surveillance of cancer risks for firefighters, police, and armed forces among men in a Canadian census cohort. Am J Ind Med. 2018;61(10):815-823.
Zeegers MPA, Friesema IHM, Goldbohm RA, van den Brandt PA. A prospective study of occupation and prostate cancer risk. J Occup Environ Med. 2004;46(3):271-279.
Sritharan J, MacLeod J, Harris S, et al. Prostate cancer surveillance by occupation and industry: the Canadian Census Health and Environment Cohort (CanCHEC). Cancer Med. 2018;7(4):1468-1478.
Sritharan J, Pahwa M, Demers PA, Harris SA, Cole DC, Parent ME. Prostate cancer in firefighting and police work: a systematic review and meta-analysis of epidemiologic studies. Environ Health Glob Access Sci Source. 2017;16(1):124.
Sauvé JF, Lavoué J, Parent MÉ. Occupation, industry, and the risk of prostate cancer: a case-control study in Montréal, Canada. Environ Health. 2016;15(1):100.
Violanti JM, Vena JE, Petralia S. Mortality of a police cohort: 1950-1990. Am J Ind Med. 1998;33(4):366-373.
Vena JE, Charles LE, Gu JK, et al. Mortality of a police cohort: 1950-2005. J Law Enforc Leadersh Ethics. 2014;1(1):7-20.
Vena JE, Violanti JM, Marshall J, Fiedler RC. Mortality of a municipal worker cohort: III. Police officers. Am J Ind Med. 1986;10(4):383-397.
Gu JK, Charles LE, Burchfiel CM, Andrew ME, Violanti JM. Cancer incidence among police officers in a U.S. northeast region: 1976-2006. Int J Emerg Ment Health. 2011;13(4):279-289.
Finkelstein MM. Cancer incidence among Ontario police officers. Am J Ind Med. 1998;34(2):157-162.
Davis RL, Mostofi FK. Cluster of testicular cancer in police officers exposed to hand-held radar. Am J Ind Med. 1993;24(2):231-233.
Forastiere F, Perucci CA, Di Pietro A, et al. Mortality among urban policemen in Rome. Am J Ind Med. 1994;26(6):785-798.
Lope V, Pollán M, Gustavsson P, et al. Occupation and thyroid cancer risk in Sweden. J Occup Environ Med. 2005;47(9):948-957.
Bouchardy C, Schüler G, Minder C, et al. Cancer risk by occupation and socioeconomic group among men: a study by the Association of Swiss Cancer Registries. Scand J Work Environ Health. 2002;28(Suppl 1):1-88.
Pukkala E, Martinsen JI, Lynge E, et al. Occupation and cancer: follow-up of 15 million people in five Nordic countries. Acta Oncol Stockh Swed. 2009;48(5):646-790.
Pukkala E, Engholm G, Højsgaard Schmidt LK, et al. Nordic cancer registries: an overview of their procedures and data comparability. Acta Oncol Stockh Swed. 2018;57(4):440-455.
Pukkala E, Martinsen JI, Weiderpass E, et al. Cancer incidence among firefighters: 45 years of follow-up in five Nordic countries. Occup Environ Med. 2014;71(6):398-404.
Parent MÉ, Goldberg MS, Crouse DL, et al. Traffic-related air pollution and prostate cancer risk: a case-control study in Montreal, Canada. Occup Environ Med. 2013;70(7):511-518.
Weichenthal S, Lavigne E, Valois MF, et al. Spatial variations in ambient ultrafine particle concentrations and the risk of incident prostate cancer: a case-control study. Environ Res. 2017;156:374-380.
Kvåle R, Myklebust TÅ, Engholm G, Heinävaara S, Wist E, Møller B. Prostate and breast cancer in four Nordic countries: a comparison of incidence and mortality trends across countries and age groups 1975-2013. Int J Cancer. 2017;141(11):2228-2242.
Jakobsen J, Veierød MB, Grimsrud TK, Fosså SD, Hammarström B, Kjaerheim K. Early detection of prostate cancer in firefighters: a register-based study of prognostic factors and survival. Occup Environ Med. 2022;79(3):200-206.
Kotsopoulos J, Chen WY, Gates MA, Tworoger SS, Hankinson SE, Rosner BA. Risk factors for ductal and lobular breast cancer: results from the nurses' health study. Breast Cancer Res. 2010;12(6):R106.
Katuwal S, Tapanainen J, Pukkala E. Multivariate analysis of independent roles of socioeconomic status, occupational physical activity, reproductive factors, and postmenopausal hormonal therapy in risk of breast cancer. Breast Cancer Res Treat. 2022;193(2):495-505.
World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Expert Report 2018. Body fatness, weight gain and the risk of cancer. [Internet]. Available from: https://www.wcrf.org/diet-and-cancer/
Pukkala E, Guo J, Kyyrönen P, Lindbohm ML, Sallmén M, Kauppinen T. National job-exposure matrix in analyses of census-based estimates of occupational cancer risk. Scand J Work Environ Health. 2005;31(2):97-107.
Helakorpi S. Suomalaisen aikuisväestön terveyskäyttäytyminen ja terveys: kevät 2003 = Health behaviour and health among Finnish adult population; spring 2003. Helsinki: Kansanterveyslaitos, epidemiologian ja terveyden edistämisen osasto; 2003.
Wirth M, Vena JE, Smith EK, Bauer SE, Violanti J, Burch J. The epidemiology of cancer among police officers. Am J Ind Med. 2013;56(4):439-453.
World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Expert Report. Diet, nutrition, physical activity and colorectal cancer. [Internet]. 2018. Available from: dietandcancerreport.org
Nea FM, Kearney J, Livingstone MBE, Pourshahidi LK, Corish CA. Dietary and lifestyle habits and the associated health risks in shift workers. Nutr Res Rev. 2015;28(2):143-166.
Pepłońska B, Nowak P, Trafalska E. The association between night shift work and nutrition patterns among nurses: a literature review. Med Pr. 2019;70(3):363-376.
Sormunen J, Talibov M, Martinsen JI, et al. Perceived physical strain at work and incidence of colorectal cancer: a nested case-control study. Cancer Epidemiol. 2016;43:100-104.
IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Radiation. Volume 100D. A Review of Human Carcinogens. 2009. (IARC monographs on the identification of carcinogenic hazards to humans). Report No.: 100D.
Idorn LW, Wulf HC. Socioeconomic status and cutaneous malignant melanoma in northern Europe. Br J Dermatol. 2014;170(4):787-793.
van Netten C, Brands RH, Hoption Cann SA, Spinelli JJ, Sheps SB. Cancer cluster among police detachment personnel. Environ Int. 2003;28(7):567-572.
Baird DC, Meyers GJ, Hu JS. Testicular cancer: diagnosis and treatment. Am Fam Physician. 2018;97(4):261-268.
Baumgardt-Elms C, Ahrens W, Bromen K, et al. Testicular cancer and electromagnetic fields (EMF) in the workplace: results of a population-based case-control study in Germany. Cancer Causes Control. 2002;13(10):895-902.
Wrensch M, Minn Y, Chew T, Bondy M, Berger MS. Epidemiology of primary brain tumors: current concepts and review of the literature. Neuro-Oncology. 2002;4(4):278-299.
Lauby-Secretan B, Scoccianti C, Loomis D, et al. Body fatness and cancer: viewpoint of the IARC working group. N Engl J Med. 2016;375(8):794-798.
American Society of Clinical Oncology. Sarcoma, Soft Tissue: Risk Factors. Report No.: 11/2020. Available from: https://www.cancer.net/cancer-types/sarcomas-soft-tissue/risk-factors
IARC Working Group on the Evaluation of Carcinogenic Risk to Humans. Chemical Agents and Related Occupations [Internet]. Place of publication not identified: International Agency for Research on Cancer; 2012. Available from: https://www.ncbi.nlm.nih.gov/books/NBK304416
Hoppin JA, Tolbert PE, Flanders WD, et al. Occupational risk factors for sarcoma subtypes. Epidemiol Camb Mass. 1999;10(3):300-306.
World Cancer Research Fund/American Institute for Cancer Research. Diet, nutrition, physical activity and kidney cancer [Internet]. (Continuous Update Project Expert Report 2018). Available from: https://www.wcrf.org/wp-content/uploads/2021/02/kidney-cancer-report.pdf
Joseph PN, Violanti JM, Donahue R, et al. Endothelial function, a biomarker of subclinical cardiovascular disease, in urban police officers. J Occup Environ Med. 2010;52(10):1004-1008.
Landsbergis PA, Diez-Roux AV, Fujishiro K, et al. Job strain, occupational category, systolic blood pressure, and hypertension prevalence: the multi-ethnic study of atherosclerosis. J Occup Environ Med. 2015;57(11):1178-1184.
Kolari R. Occupational mobility in Finland 1975/1980/1985. Helsinki; 1989. (Central Statistical Office of Finland). Report No.: Studies 160.
Kirkeleit J, Riise T, Bjørge T, Christiani DC. The healthy worker effect in cancer incidence studies. Am J Epidemiol. 2013;177(11):1218-1224.