Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium

Background: Various occupations have been associated with an elevated risk of non-Hodgkin lymphoma (NHL), but results have been inconsistent across studies. Objectives: We investigated occupational risk of NHL and of four common NHL subtypes with particular focus on occupations of a priori interest....

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Main Authors: Mannetje, A., De Roos, A., Boffetta, P., Vermeulen, R., Benke, G., Fritschi, Lin, Brennan, P., Foretova, L., Maynadié, M., Becker, N., Nieters, A., Staines, A., Campagna, M., Chiu, B., Clavel, J., de Sanjose, S., Hartge, P., Holly, E., Bracci, P., Linet, M., Monnereau, A., Orsi, L., Purdue, M., Rothman, N., Lan, Q., Kane, E., Costantini, A., Miligi, L., Spinelli, J., Zheng, T., Cocco, P., Kricker, A.
Format: Journal Article
Published: US Department of health Human Sciences National INST of Health Science 2016
Online Access:http://hdl.handle.net/20.500.11937/51256
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author Mannetje, A.
De Roos, A.
Boffetta, P.
Vermeulen, R.
Benke, G.
Fritschi, Lin
Brennan, P.
Foretova, L.
Maynadié, M.
Becker, N.
Nieters, A.
Staines, A.
Campagna, M.
Chiu, B.
Clavel, J.
de Sanjose, S.
Hartge, P.
Holly, E.
Bracci, P.
Linet, M.
Monnereau, A.
Orsi, L.
Purdue, M.
Rothman, N.
Lan, Q.
Kane, E.
Costantini, A.
Miligi, L.
Spinelli, J.
Zheng, T.
Cocco, P.
Kricker, A.
author_facet Mannetje, A.
De Roos, A.
Boffetta, P.
Vermeulen, R.
Benke, G.
Fritschi, Lin
Brennan, P.
Foretova, L.
Maynadié, M.
Becker, N.
Nieters, A.
Staines, A.
Campagna, M.
Chiu, B.
Clavel, J.
de Sanjose, S.
Hartge, P.
Holly, E.
Bracci, P.
Linet, M.
Monnereau, A.
Orsi, L.
Purdue, M.
Rothman, N.
Lan, Q.
Kane, E.
Costantini, A.
Miligi, L.
Spinelli, J.
Zheng, T.
Cocco, P.
Kricker, A.
author_sort Mannetje, A.
building Curtin Institutional Repository
collection Online Access
description Background: Various occupations have been associated with an elevated risk of non-Hodgkin lymphoma (NHL), but results have been inconsistent across studies. Objectives: We investigated occupational risk of NHL and of four common NHL subtypes with particular focus on occupations of a priori interest. Methods: We conducted a pooled analysis of 10,046 cases and 12,025 controls from 10 NHL studies participating in the InterLymph Consortium. We harmonized the occupational coding using the 1968 International Standard Classification of Occupations (ISCO-1968) and grouped occupations previously associated with NHL into 25 a priori groups. Odds ratios (ORs) adjusted for center, age, and sex were determined for NHL overall and for the following four subtypes: diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), chronic lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL), and peripheral T-cell lymphoma (PTCL). Results: We confirmed previously reported positive associations between NHL and farming occupations [field crop/vegetable farm workers OR = 1.26; 95% confidence interval (CI): 1.05, 1.51; general farm workers OR = 1.19; 95% CI: 1.03, 1.37]; we also confirmed associations of NHL with specific occupations such as women’s hairdressers (OR = 1.34; 95% CI: 1.02, 1.74), charworkers/cleaners (OR = 1.17; 95% CI: 1.01, 1.36), spray-painters (OR = 2.07; 95% CI: 1.30, 3.29), electrical wiremen (OR = 1.24; 95% CI: 1.00, 1.54), and carpenters (OR = 1.42; 95% CI: 1.04, 1.93). We observed subtype-specific associations for DLBCL and CLL/SLL in women’s hairdressers and for DLBCL and PTCL in textile workers. Conclusions: Our pooled analysis of 10 international studies adds to evidence suggesting that farming, hairdressing, and textile industry–related exposures may contribute to NHL risk. Associations with women’s hairdresser and textile occupations may be specific for certain NHL subtypes.
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institution Curtin University Malaysia
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last_indexed 2025-11-14T09:47:24Z
publishDate 2016
publisher US Department of health Human Sciences National INST of Health Science
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spelling curtin-20.500.11937-512562017-09-13T15:48:11Z Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium Mannetje, A. De Roos, A. Boffetta, P. Vermeulen, R. Benke, G. Fritschi, Lin Brennan, P. Foretova, L. Maynadié, M. Becker, N. Nieters, A. Staines, A. Campagna, M. Chiu, B. Clavel, J. de Sanjose, S. Hartge, P. Holly, E. Bracci, P. Linet, M. Monnereau, A. Orsi, L. Purdue, M. Rothman, N. Lan, Q. Kane, E. Costantini, A. Miligi, L. Spinelli, J. Zheng, T. Cocco, P. Kricker, A. Background: Various occupations have been associated with an elevated risk of non-Hodgkin lymphoma (NHL), but results have been inconsistent across studies. Objectives: We investigated occupational risk of NHL and of four common NHL subtypes with particular focus on occupations of a priori interest. Methods: We conducted a pooled analysis of 10,046 cases and 12,025 controls from 10 NHL studies participating in the InterLymph Consortium. We harmonized the occupational coding using the 1968 International Standard Classification of Occupations (ISCO-1968) and grouped occupations previously associated with NHL into 25 a priori groups. Odds ratios (ORs) adjusted for center, age, and sex were determined for NHL overall and for the following four subtypes: diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL), chronic lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL), and peripheral T-cell lymphoma (PTCL). Results: We confirmed previously reported positive associations between NHL and farming occupations [field crop/vegetable farm workers OR = 1.26; 95% confidence interval (CI): 1.05, 1.51; general farm workers OR = 1.19; 95% CI: 1.03, 1.37]; we also confirmed associations of NHL with specific occupations such as women’s hairdressers (OR = 1.34; 95% CI: 1.02, 1.74), charworkers/cleaners (OR = 1.17; 95% CI: 1.01, 1.36), spray-painters (OR = 2.07; 95% CI: 1.30, 3.29), electrical wiremen (OR = 1.24; 95% CI: 1.00, 1.54), and carpenters (OR = 1.42; 95% CI: 1.04, 1.93). We observed subtype-specific associations for DLBCL and CLL/SLL in women’s hairdressers and for DLBCL and PTCL in textile workers. Conclusions: Our pooled analysis of 10 international studies adds to evidence suggesting that farming, hairdressing, and textile industry–related exposures may contribute to NHL risk. Associations with women’s hairdresser and textile occupations may be specific for certain NHL subtypes. 2016 Journal Article http://hdl.handle.net/20.500.11937/51256 10.1289/ehp.1409294 US Department of health Human Sciences National INST of Health Science unknown
spellingShingle Mannetje, A.
De Roos, A.
Boffetta, P.
Vermeulen, R.
Benke, G.
Fritschi, Lin
Brennan, P.
Foretova, L.
Maynadié, M.
Becker, N.
Nieters, A.
Staines, A.
Campagna, M.
Chiu, B.
Clavel, J.
de Sanjose, S.
Hartge, P.
Holly, E.
Bracci, P.
Linet, M.
Monnereau, A.
Orsi, L.
Purdue, M.
Rothman, N.
Lan, Q.
Kane, E.
Costantini, A.
Miligi, L.
Spinelli, J.
Zheng, T.
Cocco, P.
Kricker, A.
Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium
title Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium
title_full Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium
title_fullStr Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium
title_full_unstemmed Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium
title_short Occupation and risk of non-hodgkin lymphoma and its subtypes: A pooled analysis from the interlymph consortium
title_sort occupation and risk of non-hodgkin lymphoma and its subtypes: a pooled analysis from the interlymph consortium
url http://hdl.handle.net/20.500.11937/51256