Low Dose Radiation and Solid Tumors Mortality Risk

J Occup Environ Med. 2024 Jun 1;66(6):e230-e237. doi: 10.1097/JOM.0000000000003099. Epub 2024 Mar 25.

Abstract

Background: US nuclear capable shipyard workers have increased potential for occupational radiation exposure.

Objective: The aim of the study is to examine solid tumor mortality risks at low doses.

Method: 437,937 workers working from 1957 to 2004 at eight US shipyards were studied.

Results: Radiation workers with a median life-time dose at 0.82 mSv had a significantly lower solid tumor mortality risk (relative risk [RR]: 0.96, 95% confidence interval [CI]: 0.94-0.98) than nonradiation workers. Among 153,930 radiation workers, the RRs of solid tumors increased with increasing dose categories without statistical significance. The dose category >0-<25 mSv had significantly lower RR (0.95, 95% CI: 0.91-0.99) versus 0 dose and the excess relative risk was 0.05/100 mSv (95% CI: 0.01-0.08).

Conclusions: Solid tumor risk might increase with radiation dose, but not linearly at low doses. Actual mortality risk may be dependent on dose received.

MeSH terms

  • Adult
  • Aged
  • Dose-Response Relationship, Radiation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasms / mortality
  • Neoplasms, Radiation-Induced* / mortality
  • Occupational Diseases / mortality
  • Occupational Exposure* / adverse effects
  • Radiation Dosage
  • Risk Assessment
  • Ships
  • United States / epidemiology