ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2019
Prostate cancer risk by occupation in the Occupational Disease Surveillance System (ODSS) in Ontario, Canada.
Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 12 citations in OpenAlex.
- Firefighting, other protective service occupations and prostate cancer risk: a pooled analysis of three case-control studies.Journal of occupational medicine and toxicology (London, England) · 2025Article
- Cancer and Potential Prevention with Lifestyle among Career Firefighters: A Narrative Review.Cancers · 2023Review
- Cancer risk among firefighters and police in the Ontario workforce.Occupational and environmental medicine · 2022Article
- Occupation and prostate Cancer risk: results from the epidemiological study of prostate cancer (EPICAP).Journal of occupational medicine and toxicology (London, England) · 2022Article
- Cancer Incidence in World Trade Center Rescue and Recovery Workers: 14 Years of Follow-Up.Journal of the National Cancer Institute · 2022Article
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPrevious Canadian epidemiologic studies have identified associations between occupations and prostate cancer risk, though evidence is limited. However, there are no well-established preventable risk factors for prostate cancer, which warrants the need for further investigation into occupational factors to strengthen existing evidence. This study uses occupation and prostate cancer information from a large surveillance cohort in Ontario that linked workers' compensation claim data to administrative health databases.
methodsOccupations were examined using the Occupational Disease Surveillance System (ODSS). ODSS included 1 231 177 male workers for the 1983 to 2015 period, whose records were linked to the Ontario Cancer Registry (OCR) in order to identify and follow up on prostate cancer diagnoses. Cox proportional hazard models were used to calculate age-adjusted hazard ratios and 95% CI to estimate the risk of prostate cancer by occupation group.
resultsA total of 34 997 prostate cancer cases were diagnosed among workers in ODSS. Overall, elevated prostate cancer risk was observed for men employed in management/ administration (HR 2.17, 95% CI = 1.98-2.38), teaching (HR 1.99, 95% CI = 1.79-2.21), transportation (HR 1.20, 95% CI = 1.16-1.24), construction (HR 1.09, 95% CI = 1.06-1.12), firefighting (HR 1.62, 95% CI = 1.47-1.78), and police work (HR 1.20, 95% CI = 1.10-1.32). Inconsistent findings were observed for clerical and farming occupations.
conclusionAssociations observed in white collar, construction, transportation, and protective services occupations were consistent with previous Canadian studies. Findings emphasize the need to assess job-specific exposures, sedentary behaviour, psychological stress, and shift work. Understanding specific occupational risk factors can lead to better understanding of prostate cancer etiology and improve prevention strategies.
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