Lung Cancer in the French West Indies: Role of Sugarcane Work and Other Occupational Exposures

Léïla Cabréra, Aviane Auguste, Léah Michineau, Clarisse Joachim, Jacqueline Deloumeaux and Danièle Luce ()
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Léïla Cabréra: Irset (Institut de recherche en santé, environnement et travail)-UMR_S 1085, EHESP, Inserm, Univ Rennes, F-97100 Pointe-à-Pitre, Guadeloupe, France
Aviane Auguste: Irset (Institut de recherche en santé, environnement et travail)-UMR_S 1085, EHESP, Inserm, Univ Rennes, F-97100 Pointe-à-Pitre, Guadeloupe, France
Léah Michineau: Irset (Institut de recherche en santé, environnement et travail)-UMR_S 1085, EHESP, Inserm, Univ Rennes, F-97100 Pointe-à-Pitre, Guadeloupe, France
Clarisse Joachim: Martinique Cancer Registry, UF 1441 Registre des cancers, Pôle de Cancérologie Hématologie Urologie Pathologie, University Hospital of Martinique, F-97200 Fort-de-France, Martinique, France
Jacqueline Deloumeaux: General Cancer Registry of Guadeloupe, University Hospital of Guadeloupe, F-97100 Pointe-à-Pitre, Guadeloupe, France
Danièle Luce: Irset (Institut de recherche en santé, environnement et travail)-UMR_S 1085, EHESP, Inserm, Univ Rennes, F-97100 Pointe-à-Pitre, Guadeloupe, France

IJERPH, 2022, vol. 19, issue 20, 1-11

Abstract: Objective: Our aim was to study the role of occupational exposures in lung cancer risk in the French West Indies, with special attention to some specific activities, such as sugarcane work, that can only be studied in a limited number of populations. Methods: We used data from a population-based case-control study that included 147 incident lung cancer cases and 405 controls. Smoking histories and detailed occupational histories with descriptions of tasks and substances were collected by questionnaire during face-to-face interviews. Odds ratios (OR) adjusted for sex, age, region, smoking status, and cigarette pack-years and 95% confidence intervals (95% CI) were estimated by unconditional logistic regression. Results: Significantly increased risks of lung cancer were found in sugarcane farm workers (OR = 2.7; 95% CI 1.1–6.6) and more generally in the sugarcane-growing sector (OR = 2.5; 95% CI 1.0–6.3) and to a lesser extent in rum production. Elevated risks of lung cancer were also observed among other agricultural workers, painters, warehouse porters, labourers, and maintenance and motor vehicle repair workers. Exposure to herbicides in sugarcane cultivation was associated with an increased risk of lung cancer (OR = 2.6; 95% CI 0.9–7.6). Conclusion: These results show that occupational exposures contributed to lung cancer risk in the French West Indies, and highlighted the role of exposures related to sugarcane work.

Keywords: lung cancer; farm workers; occupational exposure; Caribbean; pesticides; herbicides (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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