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October 2003, Vol 93, No. 10 | American Journal of Public Health 1748-1752
© 2003 American Public Health Association


RESEARCH AND PRACTICE

Occupational Risk Factors for Selected Cancers Among African American and White Men in the United States

Nathaniel C. Briggs, MD, MSc, Robert S. Levine, MD, H. Irene Hall, PhD, Otis Cosby, MD, MSPH, Edward A. Brann, MD and Charles H. Hennekens, MD, DrPH

Nathaniel C. Briggs and Robert S. Levine are with the Division of Preventive Medicine, Department of Internal Medicine, Meharry Medical College, Nashville, Tenn. H. Irene Hall is with the National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Ga. Otis Cosby is with the Division of Occupational Medicine, Department of Family and Community Medicine, Meharry Medical College. Edward A. Brann is with the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention. Charles H. Hennekens is with the Departments of Medicine and Epidemiology and of Public Health, University of Miami School of Medicine and Mount Sinai Medical Center-Miami Heart Institute, Miami, Fla.

Correspondence: Requests for reprints should be sent to Nathaniel C. Briggs, MD, MSc, Division of Preventive Medicine, Department of Internal Medicine, Meharry Medical College, 1005 Dr DB Todd Jr Blvd, Box 52A, Nashville, TN 37208 (email: nbriggs{at}mmc.edu).

Objectives. This study examined occupational risks for non-Hodgkin’s lymphoma, Hodgkin’s disease, and soft-tissue sarcoma among African American and White men.

Methods. Race-specific multivariate logistic regression analyses were conducted using data from a large US population-based case–control study.

Results. Significant occupational risks were limited to African Americans; chromium was associated with non-Hodgkin’s lymphoma (odds ratio [OR] = 3.9, 95% confidence interval [CI] = 1.2, 12.9) and wood dust was associated with Hodgkin’s disease (OR = 4.6, 95% CI = 1.6, 13.3) and soft-tissue sarcoma (OR = 3.7, 95% CI = 1.6, 8.6).

Conclusions. Race-specific occupational risk factors for cancer were evident only among African American men. This may reflect racial disparities in levels of exposure to occupational carcinogens.




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