Low Dose Radiation and Solid Tumors Mortality Risk

被引:0
作者
Tao, Xuguang [1 ]
Curriero, Frank C. [2 ]
Mahesh, Mahadevappa [3 ,4 ]
机构
[1] Johns Hopkins Sch Med, Dept Med, Div Occupat & Environm Med, Baltimore, MD USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Epidemiol, Baltimore, MD USA
[3] Johns Hopkins Univ, Sch Med, Russell H Morgan Dept Radiol & Radiol Sci, Baltimore, MD USA
[4] Johns Hopkins Univ, Sch Med, Div Cardiol, Dept Med, Baltimore, MD USA
关键词
radiation; nuclear; shipyard; occupational exposures; solid tumor; cancer; relative risk; excess relative risk; mortality; time dependent; threshold; dose response; ATOMIC-BOMB SURVIVORS; CANCER INCIDENCE; NUCLEAR INDUSTRY; LIFE-SPAN; EXPOSURE; WORKERS; SURROGATE; SMOKING; GLIOMA; COHORT;
D O I
10.1097/JOM.0000000000003099
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: US nuclear capable shipyard workers have increased potential for occupational radiation exposure. Objective: The aim of the study is to examine solid tumor mortality risks at low doses. Method: 437,937 workers working from 1957 to 2004 at eight US shipyards were studied. Results: Radiation workers with a median life-time dose at 0.82 mSv had a significantly lower solid tumor mortality risk (relative risk [RR]: 0.96, 95% confidence interval [CI]: 0.94-0.98) than nonradiation workers. Among 153,930 radiation workers, the RRs of solid tumors increased with increasing dose categories without statistical significance. The dose category >0-<25 mSv had significantly lower RR (0.95, 95% CI: 0.91-0.99) versus 0 dose and the excess relative risk was 0.05/100 mSv (95% CI: 0.01-0.08). Conclusions: Solid tumor risk might increase with radiation dose, but not linearly at low doses. Actual mortality risk may be dependent on dose received.
引用
收藏
页码:e230 / e237
页数:8
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