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Excess Risk of Lung Cancer Among Agriculture and Construction Workers in Indonesia Cover

Excess Risk of Lung Cancer Among Agriculture and Construction Workers in Indonesia

Open Access
|Jan 2021

Figures & Tables

Table 1

Characteristics of subjects.

NO. OF SUBJECTS (%)NO. OF SUBJECTS (%)
Age
      Mean (SD)58.1 (10.23)54.8 (10.23)0.00
Age categories
      <45 years35 (10.3)82 (22.2)0.00
      45–55 years97 (28.5)106 (28.6)
      56–65 years126 (37.1)117 (31.6)
      66–75 years68 (20)52 (14.1)
      >75 years14 (4.1)13 (3.5)
Gender
      Female128 (37.8)164 (44.3)0.08
      Male212 (62.2)206 (55.7)
Duration of work
      <10 years49 (14.4)87 (23.5)0.003
      10–30 years156 (45.9)168 (45.4)
      >30 years135 (39.7)115 (31.1)
Education
      Illiterate10 (2.9)10 (2.7)0.09
      Elementary77 (22.6)67 (18.1)
      Junior High School32 (9.4)40 (10.8)
      Senior High School132 (38.8)177 (47.8)
      Bachelor78 (22.9)71 (19.2)
      Postgraduate11 (3.2)5 (1.4)
Smoking
      0 to 10 pack-years174 (51.2)240 (64.9)0.001
      >10 to 40 pack-years107 (31.5)85 (23.0)
      >40 pack-years59 (17.4)45 (12.2)
Histological cell type
      Adenocarcinoma190 (55.9)
      Large cell16 (4.7)
      Squamous cell73 (21.5)
      Unidentified3 (0.9)
      Small cell13 (3.8)
      Others45 (13.2)
Diagnoses of controls
No abnormality30 (8.1)
Tuberculosis and other lung infections202 (54.6)
Chronic lung diseases66 (17.8)
Mediastinal mass and other malignancies40 (10.8)
Other diseases32 (8.6)

[i] * The t test was used for continues variables and χ2 test for categorical variables.

Table 2

Distribution of gender in each section of Indonesian Standard of Industrial Classification 2015.

N (%)N (%)N (%)
Housewife83 (28.4)0 (0)83 (11.7)
Unemployed3 (1.0)2 (0.5)5 (0.7)
A: Agriculture, forestry and fishing6 (2.1)23 (5.5)29 (4.1)
B: Mining and quarrying1 (1.3)8 (1.9)9 (1.3)
C: Manufacturing47 (16.1)47 (11.3)94 (13.2)
D: Electricity, gas, steam and air conditioning supply0 (0)5 (1.2)5 (0.7)
E: Water supply; sewage, waste management, material recovery0 (0)3 (0.7)3 (0.4)
F: Construction5 (1.7)50 (12.0)55 (7.7)
G: Wholesale and retail trade; repair of motor vehicles and motorcycle48 (16.4)91 (21.8)139 (19.6)
H: Transportation and storage2 (0.7)64 (15.3)67 (9.4)
I: Accommodation and food service activity6 (2.1)11 (2.6)17 (2.4)
J: Information and communication5 (1.7)6 (1.4)11 (1.5)
K: Financial and insurance activities12 (4.1)8 (1.9)20 (2.8)
L: Real estate activities3 (1.0)0 (0)3 (0.4)
M: Professional, scientific and technical activities2 (0.7)4 (1.0))6 (0.8)
O: Public administration and defense; compulsory social security10 (3.4)35 (8.4)45 (6.3)
P: Education17 (5.8)18 (4.3)35 (4.9)
Q: Human health and social work activities15 (5.1)8 (1.9)23 (3.2)
R: Arts, sports and recreation related services2 (0.7)7 (1.7)9 (1.3)
S: Membership organization, repair and other personal services13 (4.5)27 (6.5)40 (5.6)
T: Activities of household as employers; undifferentiated goods-and services-producing activities of households for own use12 (4.1)0 (0)12 (1.6)
Table 3

Adjusted odds ratio of the association between occupational backgrounds in sections of the Indonesian Standard of Industrial Classification 2015 and lung cancer.

N (%)N (%)
Housewife31 (9.1)52 (14.1)ReferenceNot included
Unemployed1 (0.3)4 (1.1)0.6 (0.05–5.81)Not included
A: Agriculture, forestry and fishing21 (6.2)8 (2.2)3.8 (1.42–10.6) *3.6 (1.20–10.43) *
B: Mining and quarrying5 (1.5)4 (1.1)3.7 (0.82–16.90)2.6 (0.56–11.95)
C: Manufacturing42 (12.4)52 (14.1)2.8 (0.64–12.86)1.7 (0.76–3.70)
D: Electricity, gas, steam and air conditioning supply2 (0.6)3 (0.8)1.9 (0.96–3.66)1.1 (0.16–7.93)
E: Water supply; sewage, waste management, material recovery2 (0.6)1 (0.3)4.2 (0.33–54.53)3.8 (0.29–48.75)
F: Construction35 (10.3)20 (5.4)2.9 (1.27–6.54) *2.6 (1.06–6.20) *
G: Wholesale and retail trade; repair of motor vehicles and motorcycle61 (17.9)79 (21.4)1.4 (0.75–2.67)1.3 (0.60–2.67)
H: Transportation and storage32 (9.4)33 (8.9)1.7 (0.75–3.78)1.5 (0.65–3.44)
I: Accommodation and food service activity7 (2.1)10 (2.7)1.2 (0.39–3.82)1.1 (0.33–3.59)
J: Information and communication4 (1.2)7 (1.9)1.3 (0.33–5.16)1.2 (0.28–4.93)
K: Financial and insurance activities12 (3.5)8 (2.2)2.8 (0.98–8.28)2.6 (0.82–8.10)
L: Real estate activities0 (0)3 (0.8)00
M: Professional, scientific and technical activities2 (0.6)4 (1.1)0.5 (0.09–4.02)0.5 (0.08–3.83)
O: Public administration and defense; compulsory social security25 (7.4)21 (5.7)1.7 (0.71–3.95)1.5 (0.61–3.86)
P: Education17 (5.0)18 (4.9)1.3 (0.53–3.43)1.2 (0.44–3.40)
Q: Human health and social work activities15 (4.4)8 (2.2)2.8 (0.89–8.5)2.8 (0.89–8.51)
R: Arts, sports and recreation related services5 (1.5)4 (1.1)2.5 (0.58–11.13)2.3 (0.51–10.35)
S: Membership organization, repair computer and household, and other personal services15 (4.4)25 (6.8)1.1 (0.48–2.62)Reference
T: Activities of household as employers; undifferentiated goods-and services-producing activities of households for own use6 (1.8)6 (1.6)1.8 (0.53–6.51)1.7 (0.41–6.55)

[i] The OR was calculated using logistic regression adjusted for age, gender, education, and smoking.

# Reference group: “Housewife”.

## Reference group: Section S (Membership organization, repair computer and household, and other personal services)

*Statistically significant, i.e. p ≤ 0.05

Table 4

Adjusted odds ratios of the association between occupational backgrounds classified in sections, divisions, or groups based on the Indonesian Standard of Industrial Classification 2015 and lung cancer.

N (%)N (%)
Housewife31 (9.1)52 (14.1)ReferenceNot included
Unemployed1 (0.3)4 (1.1)0.6 (0.05–5.86)Not included
A: Agriculture, forestry and fishing
A 01: Crop, animal production and hunting19 (5.6)7 (1.9)3.9 (1.36–11.25)*3.7 (1.20–11.31)*
A 02 & 03: Forestry and fishing2 (0.6)1 (0.3)2.8 (0.22–35.52)2.5 (0.20–32.35)
B: Mining and quarrying
B 610: Oil and gas mining4 (1.2)(0.0)~~
B 510: Coal and lignite mining1 (0.3)4 (1.1)0.5 (0.05–4.80)0.4 (0.04–4.53)
C: Manufacturing
C 10: Food industry5 (1.4)5 (1.4)2.5 (0.63–9.80)2.3 (0.54–9.65)
C 14: Manufacture of wearing apparel12 (3.5)17 (4.6)1.6 (0.67–4.06)1.5 (0.54–4.10)
C 15: Industry of leather, synthetic, footwear1 (0.3)4 (1.2)0.7 (0.07–6.98)0.7 (0.07–6.58)
C 17: Industry of pulp, paper, paper board4 (1.2)0 (0.0)~~
C 20: Chemical and chemical product7 (2.1)3 (0.8)4.8 (1.09–21.60) *4.5 (0.96 (20.73)
C 21: Pharmaceuticals, medicinal chemical and botanical products3 (0.9)0 (0.0)~~
C 23: Non-metal mining goods3 (0.94 (1.2)1.7 (0.32–8.50)1.6 (0.29–8.39)
C 24: Industry of iron and steel4 (1.2)5 (1.4)1.8 (0.41–8.30)1.7 (0.37–7.81)
C 26: Computer, electronic and optic industry, semiconductor, and other electronic components1 (0.3)4 (1.2)0.5 (0.05–4.52)0.4 (0.04–4.36)
C 2910: Four Wheels vehicle industry4 (1.2)0 (0)00
C 31: Furniture industry1 (0.3)3 (0.8)0.6 (0.06–6.80)0.6 (0.05–0.38)
C 32: Other industries1 (0.3)3 (0.8)0.9 (0.09–9.73)0.8 (0.07-–9.02)
D: Electricity, gas, steam and AC supply2 (0.6)3 (0.8)1.2 (0.18–8.68)1.1 (0.16–7.82)
E: Water supply; sewage, waste management, material recovery2 (0.6)1 (0.3)4.2 (0.34–53.69)3.8 (0.29–49.51)
F: Construction35 (10.3)20 (5.4)2.8 (1.20–6.37) *2.6 (1.07–6.14) *
G: Wholesale and retail trade; repair of motor vehicles and motorcycle
G 45: Repair of motor vehicles9 (2.6)9 (2.4)1.8 (0.57–5.52)1.6 (0.51–5.23)
G 47: Retail trade52 (15.3)70 (18.9)1.3 (0.69–2.54)1.2 (0.57–2.59)
H: Transportation and storage
H 49: Railroad transportation25 (7.4)23 (6.2)1.8 (0.75–4.23)1.6 (0.66–3.94)
H 501: Sea and air transport and warehouse, transportation support7 (2.1)10 (2.7)1.3 (0.39–4.20)1.1 (0.34–3.83)
I: Accommodation and food service activity7 (2.1)10 (2.7)1.2 (0.37–4.01)1.1 (0.33–3.56)
J: Information and communication4 (1.2)7 (1.9)1.3 (0.32–5.07)1.2 (0.28–4.95)
K: Financial and insurance activities12 (3.5)8 (2.2)2.8 (0.95–8.13)2.5 (0.81–8.11)
L: Real estate activities0 (0)3 (0.8)00
M: Professional, scientific and technical activities2 (0.6)4 (1.2)0.6 (0.08–3.86)0.5 (0.07–3.75)
O: Public administration and defense; compulsory social security25 (7.4)21 (5.7)1.6 (0.66–3.78)1.5 (0.59–3.78)
P: Education17 (5.0)18 (4.9)1.3 (0.50–3.36)1.2 (0.43–3.39)
Q: Human health and social work activities
Q 861: Hospital and medical activities11 (3.2)6 (1.6)2.7 (0.83–8.68)2.5 (0.72–8.67)
Q 869: Nonhospital health-related activities4 (1.2)2 (0.6)3.9 (0.64–23.5)3.5 (0.54–22.85)
R: Arts, sports and recreation related services5 (1.5)4 (1.2)2.5 (0.56–10.9)2.3 (0.50–10.38)
S: Membership organization, repair and other personal services15 (4.4)25 (6.8)1.1 (0.46–2.59)Reference
T: Activities of household as employers; undifferentiated goods-and services-producing activities of households for own use6 (1.8)6 (1.6)1.9 (0.54–6.70)1.7 (0.44–6.92)

[i] The OR was calculated using logistic regression *adjusted for age, gender, education, and smoking habits.

~ is infinite.

# Reference group: “Housewife”.

## Reference group: Section S (Membership organization, repair computer and household, and other personal services).

* Statistically significant, i.e. p ≤ 0.05.

Table 5

Odds ratio and adjusted odds ratio of the association between lung cancer and occupational backgrounds in Division A01, Division C20, and Section F of the Indonesian Standard of Industrial Classification 2015.

N (%)N (%)
Reference236 (76.6)278 (88.5)1
A 01: Crop, animal production and hunting19 (6.2)7 (2.2)2.7 (1.05–6.76)*
F: Construction35 (11.4)20 (6.4)1.9 (1.03–3.40)*
C 20: Chemical and chemical products7 (2.3)3 (1.0)3.2 (0.79–12.79)

[i] The OR was calculated using logistic regression adjusted for age, gender, education, and smoking.

* Statistically significant, i.e. p ≤ 0.05.

DOI: https://doi.org/10.5334/aogh.3155 | Journal eISSN: 2214-9996
Language: English
Published on: Jan 6, 2021
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2021 Anna Suraya, Dennis Nowak, Astrid Widajati Sulistomo, Aziza Ghanie Icksan, Ursula Berger, Elisna Syahruddin, Stephan Bose-O’Reilly, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.