Organophosphate insecticide use and cancer incidence among spouses of pesticide applicators in the Agricultural Health Study.

Abstract

OBJECTIVES:

Organophosphates (OPs) are among the most commonly used insecticides. OPs have been linked to cancer risk in some epidemiological studies, which have been largely conducted in predominantly male populations. We evaluated personal use of specific OPs and cancer incidence among female spouses of pesticide applicators in the prospective Agricultural Health Study cohort.

METHODS:

At enrolment (1993-1997), spouses provided information about ever use of specific pesticides, including 10 OPs, demographic information, reproductive health history and other potential confounders. We used Poisson regression to estimate relative risks (RRs) and 95% CIs for all cancers diagnosed through 2010 for North Carolina and through 2011 for Iowa.

RESULTS:

Among 30,003 women, 25.9% reported OP use, and 718 OP-exposed women were diagnosed with cancer during the follow-up period. Any OP use was associated with an elevated risk of breast cancer (RR=1.20, 95% CI 1.01 to 1.43). Malathion, the most commonly reported OP, was associated with increased risk of thyroid cancer (RR=2.04, 95% CI 1.14 to 3.63) and decreased risk of non-Hodgkin lymphoma (RR=0.64, 95% CI 0.41 to 0.99). Diazinon use was associated with ovarian cancer (RR=1.87, 95% CI 1.02 to 3.43).

CONCLUSIONS:

We observed increased risk with OP use for several hormonally-related cancers, including breast, thyroid and ovary, suggesting potential for hormonally-mediated effects. This study represents the first comprehensive analysis of OP use and cancer risk among women, and thus demonstrates a need for further evaluation.

• Authors: Catherine C Lerro, Stella Koutros, Gabriella Andreotti, Melissa C Friesen, Michael C Alavanja, Aaron Blair, Jane A Hoppin, Dale P Sandler, Jay H Lubin, Xiaomei Ma, Yawei Zhang, Laura E Beane Freeman
• Journal: Occupational and environmental medicine (Occup Environ Med) Vol. 72 Issue 10 Pg. 736-44 (Oct 2015) ISSN: 1470-7926 [Electronic] England
• PMID: 26150671 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
• Copyright: Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Chemical References

• Insecticides
• Organophosphates
• Diazinon

Topics

• Adult
• Age Distribution
• Agricultural Workers' Diseases (chemically induced, epidemiology)
• Cohort Studies
• Diazinon (adverse effects)
• Female
• Humans
• Incidence
• Insecticides (adverse effects)
• Iowa (epidemiology)
• Male
• Middle Aged
• Neoplasms (chemically induced, epidemiology)
• North Carolina (epidemiology)
• Occupational Exposure (adverse effects, statistics & numerical data)
• Organophosphates (adverse effects)
• Retrospective Studies
• Risk Assessment
• Spouses (statistics & numerical data)
• Survival Rate
• Young Adult