Prostate cancer surveillance by occupation and industry: the Canadian Census Health and Environment Cohort (CanCHEC)

Cancer Medicine
Jeavana SritharanPaul A Demers

Abstract

As there are no well-established modifiable risk factors for prostate cancer, further evidence is needed on possible factors such as occupation. Our study uses one of the largest Canadian worker cohorts to examine occupation, industry, and prostate cancer and to assess patterns of prostate cancer rates. The Canadian Census Health and Environment Cohort (CanCHEC) was established by linking the 1991 Canadian Census Cohort to the Canadian Cancer Database (1969-2010), Canadian Mortality Database (1991-2011), and Tax Summary Files (1981-2011). A total of 37,695 prostate cancer cases were identified in men aged 25-74 based on age at diagnosis. Cox proportional hazards models were used to estimate hazards ratios and 95% confidence intervals. In men aged 25-74 years, elevated risks were observed in the following occupations: senior management (HR = 1.12, 95% CI: 1.04-1.20); office and administration (HR = 1.19, 95% CI: 1.11-1.27); finance services (HR = 1.09, 95% CI: 1.04-1.14); education (HR = 1.05, 95% CI: 1.00-1.11); agriculture and farm management (HR = 1.12, 95% CI: 1.06-1.17); farm work (HR = 1.11, 95% CI: 1.01-1.21); construction managers (HR = 1.07, 95% CI: 1.01-1.14); firefighting (HR = 1.17, 95% CI: 1.01-1.36); and police wor...Continue Reading

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Citations

Aug 4, 2018·American Journal of Industrial Medicine·M Anne HarrisPaul A Demers
Feb 1, 2020·Journal of Medical Screening·Cheryl E PetersMarie-Élise Parent
Apr 24, 2020·Cancer Causes & Control : CCC·Claire L LeiserHeidi A Hanson
Sep 11, 2019·European Journal of Public Health·Gianfranco AlicandroLuisa Frova
Dec 12, 2018·Occupational and Environmental Medicine·Colin AdlerStella Koutros
Feb 27, 2021·Archives of public health = Archives belges de santé publique·Fovziye SanaatiMojgan Mirghafourvand
Sep 10, 2021·Journal of the National Cancer Institute·Jiehui LiCharles B Hall
Sep 12, 2021·Occupational and Environmental Medicine·David G GoldfarbCharles B Hall

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