In a hospital-based case-control study, 316 lung cancer cases and 536
controls were interviewed for their occupational, smoking, passive smo
king, cancer in the family and residential histories as well as social
economic status by trained interviewers, using a standardized questio
nnaire. Cases and controls were matched by hospital, sex and age. The
study was carried out between Ist July 1990 and 31st January 1991 in 1
4 hospitals in the Metropolitan Region of S. Paulo, the most highly in
dustrialized and urbanized region in Brazil. Score criteria were devel
oped for the ordering of the individuals of the study by occupational
exposure to know carcinogens to the lung, in order to evaluate this ex
posure during the occupational life of each person. The criteria accum
ulated information on exposure to carcinogens as regards type, sector
of work and time in each employment. The unconditional logistic regres
sion analysis showed an odds ratio of 1.97 (95% IC: 1.52 to 2.55) for
the highest exposure group. This result showed that workers linked to
the production sectors of several industries have about twice the risk
of developing lung cancer as workers involved in non-industrial activ
ities.