A study of Florida pesticide applicators.
Department of Epidemiology and Public Health, University of Miami School of Science, Miami, Florida 1997 May; :1-310
A retrospective cohort analysis was performed of the cancer incidence and general mortality among a cohort of Florida licensed pesticide applicators. Proportional mortality ratio studies and mortality odds ratio were performed. The cohort included 33,669 licensed pesticide applicators. From January 1, 1975 to January 1, 1994 there were 1,874 deaths and 1,266 incident cancer cases in this cohort. The pesticide applicators were consistently and significantly healthier compared to the general Florida population. The risk of cardiovascular disease and of diseases associated with alcohol and tobacco use were significantly decreased. Prostate cancer mortality and incidence and testicular cancer incidence were significantly elevated. No confirmed cases of soft tissue sarcoma were noted and nonHodgkin's lymphoma incidence was not increased. While the number of female pesticide applicators was small, cervical cancer incidence was significantly increased. Breast cancer incidence and mortality were not elevated. The author notes that a possible recommendation from these findings would be to include screening of male pesticide applicators for testicular and prostate cancer, and screening of female pesticide applicators for cervical cancer, as well as providing specific risk avoidance instruction for aerial applicators.
NIOSH-Grant; Agriculture; Cancer; Agricultural-chemicals; Pesticides; Prostate-cancer; Cancer-rates; Risk-factors; Risk-analysis; Epidemiology; Occupational-exposure
Epidemiology and Public Health University of Miami PO Box 016069, R-669 Miami, FL 33101
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Department of Epidemiology and Public Health, University of Miami School of Science, Miami, Florida
University of Miami, Miami, Florida