Bladder cancer in the textile industry

Objectives This study examined the occupations and industries at high risk for bladder cancer in an area whew the textile industry is plentiful and th e incidence of the disease is very high. Methods A case-referent study concerning 218 incident bladder cancer cases diagnosed during 1993-1995 in the county of Valles Occidental, Barcelona, w as carried out. A reference group (N=344) was selected from municipal lists matched to the cases by age, gender, and area of residence. All the subjec ts were personally interviewed, and a complete occupational history was abs tracted together with other sociodemographic and Life-style factors. All od ds ratios (OR) and 95% confidence intervals (95% CI) were adjusted for age, gender, and smoking. Results No overall excess risk was found for ever having worked in the text ile industry (OR 1.13, 95% CI 0.79-1.63) nor for specific sectors of this i ndustry tie cotton, wool, silk). An excess risk was observed for spinners a nd winders employed for more than 20 years (OR 3.28, 95% CI 1.08-9.97) and for machine setters employed between 1960 and 1974 (OR 4.26, 95% CI 1.09-16 .7). Conclusions The results of this study do not support the findings of some e arlier studies for an increased bladder cancer risk in the textile industry . However, some elevated risks were observed among the workers with the hig hest exposures.