Occupational prestige trajectory and the risk of lung and head and neck cancer among men and women in France

Gwenn Menvielle (), Julien Dugas, Jeanna-eve Franck, Matthieu Carton, Brigitte Trétarre, Isabelle Stücker and Danièle Luce
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Gwenn Menvielle: Sorbonne Universités, UPMC Univ Paris 06
Julien Dugas: INSERM, U 1085_IRSET
Jeanna-eve Franck: Sorbonne Universités, UPMC Univ Paris 06
Matthieu Carton: PSL Research University, DRCI
Brigitte Trétarre: ICM Montpellier
Isabelle Stücker: University Paris Sud, Paris Saclay University
Danièle Luce: INSERM, U 1085_IRSET

International Journal of Public Health, 2018, vol. 63, issue 7, No 7, 833-845

Abstract: Abstract Objectives This study aimed at investigating the associations between occupational prestige trajectories and lung and head and neck (HN) cancer risk and to assess to what extent smoking, alcohol drinking, and occupational exposures contribute to these associations. Methods Using data from the ICARE case–control study (controls (2676 men/715 women), lung cancers (2019 men/558 women), HN cancers (1793 men/305 women), we defined occupational prestige trajectories using group-based modeling of longitudinal data. We conducted logistic regression models. Results Among men, a gradient was observed from the downward “low to very low” trajectory to the stable very high trajectory. The associations were reduced when adjusting for tobacco and alcohol consumption and occupational exposures. Among women, when compared to the stable high trajectory, there was an increased cancer risk in all trajectories. The associations remained globally unchanged or even increased after adjustment for tobacco and alcohol consumption and did not change when adjusting for occupational exposures. The ORs were smaller for lung than for HN cancers in men. Conclusions Occupational prestige trajectory is strongly associated with lung and HN cancer risk in men and women.

Keywords: Occupational prestige trajectory; Alcohol; Smoking; Occupational exposures; Respiratory cancer (search for similar items in EconPapers)
Date: 2018
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DOI: 10.1007/s00038-017-1063-5

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