Mh. Ward et al., MORTALITY FROM GASTRIC CARDIA AND LOWER ESOPHAGUS CANCER AND OCCUPATION, Journal of occupational medicine, 36(11), 1994, pp. 1222-1227
The incidence of adenocarcinoma of the gastric cardia and esophagus is
increasing steadily in the United States. Little is known about the e
tiology of these cancers. We used occupation and industry information
on the death certificates from 24 states (1984 to 1989) to conduct a c
ase-control analysis of gastric cardia and gastric cardia/lower esopha
gus cancer. Risks were also calculated for other gastric cancers combi
ned. Controls were deaths from other causes except cancer and gastroin
testinal disorders. Increased risks of gastric cardia and cardia/lower
esophagus among white women were found for administrative jobs (cardi
a odds ratio (OR) = 3.9; 95% confidence interval (CI), 1.5-9.8) and he
alth professionals (cardia OR = 1.8; 95% CI, 0.6-5.3). Occupations ass
ociated with a lower socioeconomic status showed no significant excess
risks. A similar pattern in risks was seen for men.