1. The effect of age on the relative risk of lung cancer mortality in a cohort of chromium production workers
- Author
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Keri Grace O'Leary, Leonid Kopylev, Jing Wang, Chao Chen, Herman J. Gibb, and Thomas F. Bateson
- Subjects
Chromium ,Male ,Lung Neoplasms ,Cohort Studies ,chemistry.chemical_compound ,0302 clinical medicine ,Risk Factors ,Poisson Distribution ,030212 general & internal medicine ,Research Articles ,Hazard ratio ,Age Factors ,Middle Aged ,030210 environmental & occupational health ,Occupational Diseases ,Chemical Industry ,Cohort ,symbols ,Female ,Research Article ,Adult ,Adolescent ,chemistry.chemical_element ,Air Pollutants, Occupational ,Young Adult ,03 medical and health sciences ,symbols.namesake ,conditional Poisson regression ,Richardson Langholz ,proportional hazard ,Occupational Exposure ,medicine ,Humans ,Poisson regression ,Hexavalent chromium ,chromium (VI) ,Lung cancer ,Aged ,Proportional Hazards Models ,Proportional hazards model ,business.industry ,Public Health, Environmental and Occupational Health ,medicine.disease ,lung cancer ,chemistry ,Relative risk ,Baltimore ,business ,Demography - Abstract
Background Hexavalent chromium has been found to increase the risk of lung cancer in occupational studies. It has been suggested that the relative risk of lung cancer may vary by age. Methods The cohort examined is the Baltimore cohort of chromium production workers. The effect of age on the lung cancer risk from hexavalent chromium exposure was examined using a conditional Poisson regression modeling approach of Richardson and Langholz (R&L) and Cox models with interaction terms of age and cumulative hexavalent chromium exposure. Results The inclusion of multiple age groups in the R&L approach suggests the existence of an age effect that is also supported by a Cox proportional hazard analysis. The hazard ratio in Cox models with age‐cumulative exposure interaction terms was significantly elevated for the youngest age group and significantly decreased for the oldest age group. Conclusions Our analyses are consistent with the observation that younger chromium production workers have a greater lung cancer risk than older workers.
- Published
- 2020
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