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Occupational prestige, social mobility and the association with lung cancer in men.

Thomas Behrens 1 Isabelle Groß 1 Jack Siemiatycki 2 David I Conway 3 Ann Olsson 4, 5 Isabelle Stücker 6 Florence Guida 6 Karl-Heinz Jöckel 7 Hermann Pohlabeln 8 Wolfgang Ahrens 9, 8 Irene Brüske 10 Heinz-Erich Wichmann 11, 10 Per Gustavsson 5 Dario Consonni 12 Franco Merletti 13 Lorenzo Richiardi 13 Lorenzo Simonato 14 Cristina Fortes 15 Marie-Elise Parent 16 John Mclaughlin 17 Paul Demers 18 Maria Teresa Landi 19 Neil Caporaso 19 David Zaridze 20 Neonila Szeszenia-Dabrowska 21 Peter Rudnai 22 Jolanta Lissowska 23 Eleonora Fabianova 24 Adonina Tardón 25 John K Field 26 Rodica Stanescu Dumitru 27 Vladimir Bencko 28 Lenka Foretova 29 Vladimir Janout 30 Hans Kromhout 31 Roel Vermeulen 31 Paolo Boffetta 32, 33 Kurt Straif 4 Joachim Schüz 4 Jan Hovanec 1 Benjamin Kendzia 1 Beate Pesch 1 Thomas Brüning 1
1 IPA - Institute for Prevention and Occupational Medicine of the German Social Accident Insurance
2 CR CHUM - Centre de Recherche du Centre Hospitalier de l’Université de Montréal
3 University of Glasgow
4 CIRC - IARC - Centre International de Recherche contre le Cancer - International Agency for Research on Cancer
5 IMM - The Institute of Environmental Medicine [Stockholm]
6 CESP - Centre de recherche en épidémiologie et santé des populations
7 Universität Duisburg-Essen [Essen]
8 Leibniz Institute for Prevention Research and Epidemiology - BIPS
9 University of Bremen
10 HZM - Helmholtz-Zentrum München
11 TUM - Technical University of Munich
12 Fondazione IRCCS Ca' Granda - Ospedale Maggiore Policlinico
13 Unit of Cancer Epidemiology
14 Universita degli Studi di Padova
15 IDI-IRCCS - Istituto dermopatico dell'immacolata
16 INRS-IAF - Institut Armand Frappier
17 Samuel Lunenfeld Research Institute
18 Occupational Cancer Research Centre
19 NCI-NIH - National Cancer Institute [Bethesda]
20 Institute of Carcinogenesis
21 The Nofer Institute of Occupational Medicine
22 National Institutes of Environmental Health Sciences
23 The M Sklodowska-Curie Cancer Center and Institute of Oncology
24 RAPH - Regional Authority of Public Health [Slovaquia]
25 CIBER de Epidemiología y Salud Pública (CIBERESP)
26 University of Liverpool
27 National Institute of Public Health
28 Institute of Hygiene and Epidemiology
29 Masaryk Memorial Cancer Institute and Medical Faculty of Masaryk University
30 Department of Optics [Univ Palacký]
31 Institute for Risk Assessment Sciences
32 IPRI - International Prevention Research Institute
33 MSSM - Icahn School of Medicine at Mount Sinai [New York]
Abstract : The nature of the association between occupational social prestige, social mobility, and risk of lung cancer remains uncertain. Using data from the international pooled SYNERGY case-control study, we studied the association between lung cancer and the level of time-weighted average occupational social prestige as well as its lifetime trajectory. We included 11,433 male cases and 14,147 male control subjects. Each job was translated into an occupational social prestige score by applying Treiman's Standard International Occupational Prestige Scale (SIOPS). SIOPS scores were categorized as low, medium, and high prestige (reference). We calculated odds ratios (OR) with 95 % confidence intervals (CI), adjusting for study center, age, smoking, ever employment in a job with known lung carcinogen exposure, and education. Trajectories in SIOPS categories from first to last and first to longest job were defined as consistent, downward, or upward. We conducted several subgroup and sensitivity analyses to assess the robustness of our results. We observed increased lung cancer risk estimates for men with medium (OR = 1.23; 95 % CI 1.13-1.33) and low occupational prestige (OR = 1.44; 95 % CI 1.32-1.57). Although adjustment for smoking and education reduced the associations between occupational prestige and lung cancer, they did not explain the association entirely. Traditional occupational exposures reduced the associations only slightly. We observed small associations with downward prestige trajectories, with ORs of 1.13, 95 % CI 0.88-1.46 for high to low, and 1.24; 95 % CI 1.08-1.41 for medium to low trajectories. Our results indicate that occupational prestige is independently associated with lung cancer among men.
Keywords : Occupational history SYNERGY Social prestige Socio-economic status Transitions Life course
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Thomas Behrens, Isabelle Groß, Jack Siemiatycki, David I Conway, Ann Olsson, et al.. Occupational prestige, social mobility and the association with lung cancer in men.. BMC Cancer, BioMed Central, 2016, 16, pp.395. ⟨10.1186/s12885-016-2432-9⟩. ⟨pasteur-01350828⟩

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