Working environment and myeloproliferative neoplasm: A population-based case-control study following a cluster investigation

Am J Ind Med. 2015 Jun;58(6):595-604. doi: 10.1002/ajim.22451. Epub 2015 Apr 16.

Abstract

Background: Occupational exposures, including those to polycyclic aromatic hydrocarbons (PAH), are suspected risk factors for myeloproliferative neoplasms (MPN).

Methods: We investigated occupational exposures and MPN risk (54 cases and 472 controls) in a population-based case-control study in three rural Pennsylvania counties. Occupational histories, coded to SIC/SOC 1980, were linked to a previously created PAH job-exposure matrix. Odds ratios for industry (17 categories), occupation (26 categories), and PAH exposure were adjusted using logistic regression.

Results: No industries or occupations were strongly or consistently associated with increased MPN risk. Analysis of employment duration found that being employed for 5 or more years in transportation, communications, and other public utilities was associated with MPN risk. There was no indication of an association with cumulative PAH exposure.

Conclusions: These few associations did not appear to have a common exposure. This exploratory study does not support the hypothesis that occupational exposure, including PAH, are strong risk factors for MPNs.

Keywords: job-exposure matrix; myeloproliferative neoplasms; occupational exposure; polycyclic aromatic hydrocarbons; polycythemia vera.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Adult
  • Aged
  • Case-Control Studies
  • Cluster Analysis
  • Employment
  • Female
  • Hematologic Neoplasms / chemically induced*
  • Humans
  • Industry
  • Logistic Models
  • Male
  • Middle Aged
  • Myeloproliferative Disorders / chemically induced*
  • Occupational Diseases / chemically induced*
  • Occupational Exposure / adverse effects
  • Occupations
  • Odds Ratio
  • Pennsylvania
  • Polycyclic Aromatic Hydrocarbons / toxicity*
  • Risk Factors
  • Time Factors
  • Transportation
  • Workplace

Substances

  • Polycyclic Aromatic Hydrocarbons