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Radiation Protection Dosimetry Advance Access originally published online on July 16, 2009
Radiation Protection Dosimetry 2009 136(4):232-239; doi:10.1093/rpd/ncp125
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© The Author 2009. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Epidemiological studies of cancer in aircrew

Gaël P. Hammer*, Maria Blettner and Hajo Zeeb

Institute for Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Center, Johannes Gutenberg-University, Langenbeckstr. 1, D-55101 Mainz, Germany

* Corresponding author: hammer{at}imbei.uni-mainz.de, http://www.imbei.uni-mainz.de/

Exposure to cosmic ionising radiation, in addition to other specific occupational risks, is of concern to aircrew members. Epidemiological studies provide an objective way to assess the health of this occupational group. We systematically reviewed the epidemiological literature on health of aircrew members since 1990, focusing on cancer as the endpoint of interest. Sixty-five relevant publications were identified and reviewed. Whereas overall cancer incidence and mortality was generally lower than in the comparison population, consistently elevated risks were reported for breast cancer incidence in female aircrew members and for melanoma in both male and female aircrew members. Brain cancer was increased in some studies among pilots. Occasionally trends of increasing cancer mortality or incidence with increasing estimated radiation dose were reported. Ionising radiation is considered to contribute little if at all to the elevated risks for cancers among aircrew, whereas excess ultraviolet radiation is a probable cause of the increased melanoma risk.


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