Occupational Risk Factors for Laryngeal Cancer in Tunisia: A Case Control Study.

Asma Gaddour, Aicha Brahem, Hiba Mosbah, Chaima Sridi, Maroua Saidane, Mouna Belakhdher, Asma Chouchene, Imen Kacem, Maher Maoua, Houda Kalboussi, Olfa El Maalel, Souheil Chatti, Wassim Kermani, Mrizek Najib
Author Information
  1. Asma Gaddour: Department of Occupational Medicine, Faculty of Medicine of Sousse, University of Sousse, Tunisia. asmaagaddour@gmail.com.
  2. Aicha Brahem: Department of Occupational Medicine, University Farhat Hached hospital, Sousse, Tunisia. aichabrahem@gmail.com.
  3. Hiba Mosbah: Department of Occupational Medicine, Faculty of Medicine of Sousse, University of Sousse, Tunisia. hibamsbh@gmail.com.
  4. Chaima Sridi: Department of Occupational Medicine, University Sahloul hospital, Sousse, Tunisia. chaimasridi@gmail.com.
  5. Maroua Saidane: Department of Occupational Medicine, University Farhat Hached hospital, Sousse, Tunisia. marwasaidane@gmail.com.
  6. Mouna Belakhdher: ENT Department, University Farhat Hached Hospital, Sousse, Tunisia. belakhdhermouna@yahoo.fr.
  7. Asma Chouchene: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. asmachouchen@gmail.com.
  8. Imen Kacem: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. imenkacem@gmail.com.
  9. Maher Maoua: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. mahermaoua@yahoo.fr.
  10. Houda Kalboussi: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. houdakalb@gmail.com.
  11. Olfa El Maalel: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. olfamaalel@gmail.com.
  12. Souheil Chatti: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. souheilchati@gmail.com.
  13. Wassim Kermani: ENT Department, University Farhat Hached Hospital, Sousse, Tunisia. wassimkrmn@gmail.com.
  14. Mrizek Najib: Department of Occupational Medicine, University Farhat Hached Hospital, Sousse, Tunisia. mrizeknjib@gmail.com.

Abstract

BACKGROUND: Tobacco use and alcohol consumption are the primary risk factors for laryngeal cancer (LC). In most populations, occupational exposures are likely to play a minor role in laryngeal carcinogenesis. We aimed to investigate the association between occupational exposure and laryngeal cancer.
METHODS: It is a case-control study that included 140 cases diagnosed between January 2013 and December 2016 and 140 controls matched by sex, age, alcohol consumption, and tobacco consumption.
RESULTS: Significantly increased risks were found amongst workers of the building sector (OR=4.621; 95% CI [1.826-11.693]) and the mechanical industry sector (OR=5.074; 95% CI [1.425-18.072]). Significant association of laryngeal cancer with various carcinogens was observed such as asbestos (p=0.009; OR=3.68; 95% CI [1.29-10.46]), paint vapors (p=0.005; OR=3.35; 95% CI [1.37-8.16]), solvents (p=0.001; OR=3.29: 95% CI [1.61-6.68]) and cement dust (p=0.003; OR=3.19: 95% CI [1.43-7.12]). After binary logistic regression, cement dust was independently correlated with LC (p=0.042; OR=3.93; 95% CI [1.04-14.78]. The administration sector was associated with decreased risk (p=0.001; OR=0.07; 95% CI [0.03-0.15]) as well as the health sector (p=0.001; OR=0.098; 95% CI [0.02-0.43]).
CONCLUSIONS: Our results supported the role of occupational factors in developing LC. Further studies enabling an in-depth analysis of occupational exposures are necessary to provide a clearer definition of the etiological associations between single agents and circumstances of exposure and the genesis of LC.

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MeSH Term

Humans
Laryngeal Neoplasms
Case-Control Studies
Tunisia
Risk Factors
Occupational Exposure
Asbestos
Dust
Occupational Diseases

Chemicals

Asbestos
Dust

Word Cloud

Created with Highcharts 10.0.095%CI[1p=0OR=3laryngealLCoccupationalsectorconsumptioncancer001alcoholriskfactorsexposuresroleassociationexposure140cementdustOR=0[0BACKGROUND:TobaccouseprimarypopulationslikelyplayminorcarcinogenesisaimedinvestigateMETHODS:case-controlstudyincludedcasesdiagnosedJanuary2013December2016controlsmatchedsexagetobaccoRESULTS:SignificantlyincreasedrisksfoundamongstworkersbuildingOR=4621826-11693]mechanicalindustryOR=5074425-18072]Significantvariouscarcinogensobservedasbestos0096829-1046]paintvapors0053537-816]solvents29:61-668]00319:43-712]binarylogisticregressionindependentlycorrelated0429304-1478]administrationassociateddecreased0703-015]wellhealth09802-043]CONCLUSIONS:resultssupporteddevelopingstudiesenablingin-depthanalysisnecessaryprovideclearerdefinitionetiologicalassociationssingleagentscircumstancesgenesisOccupationalRiskFactorsLaryngealCancerTunisia:CaseControlStudy

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