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They were divided into high exposure (&gt;5\u2009mg\/m<jats:sup>3<\/jats:sup> for &gt;1 year) or lower exposure to soft paper dust based on a validated job\u2010exposure matrix. They were followed from 1960 to 2019, and person\u2010years at risk were stratified according to gender, age, and calendar\u2010year. The expected numbers of incident tumors were calculated using the Swedish population as the reference, and standardized incidence ratios (SIR) with 95% confidence intervals (95% CI) were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among high\u2010exposure workers with more than 10 years of employment, there was an increased incidence of colon cancer (SIR 1.66, 95% CI 1.20\u22122.31), small intestine cancer (SIR 3.27, 95% CI 1.36\u22127.86), and thyroid gland cancer (SIR 2.68, 95% CI 1.11\u22126.43), as well as lung cancer (SIR 1.56, 95% CI 1.12\u22122.19). Among the lower\u2010exposed workers there was an increased incidence of connective tissue tumors (sarcomas) (SIR 2.26, 95% CI 1.13\u22124.51) and pleural mesothelioma (SIR 3.29, 95% CI 1.37\u22127.91).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Workers in soft paper mills with high exposure to soft paper dust have an increased incidence of large and small intestine tumors. Whether the increased risk is caused by paper dust exposure or some unknown associated factors is unclear. The increased incidence of pleural mesothelioma is probably linked to asbestos exposure. The reason for increased incidence of sarcomas is unknown.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23508","type":"journal-article","created":{"date-parts":[[2023,6,11]],"date-time":"2023-06-11T12:38:57Z","timestamp":1686487137000},"page":"728-735","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cancer incidence among workers in soft paper mills:\u00a0A cohort study"],"prefix":"10.1002","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8509-7603","authenticated-orcid":false,"given":"Kjell","family":"Tor\u00e9n","sequence":"first","affiliation":[{"name":"School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, Occupational and Environmental Medicine University of Gothenburg Gothenburg Sweden"},{"name":"Department of Occupational and Environmental Medicine Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5500-2589","authenticated-orcid":false,"given":"Richard L.","family":"Neitzel","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Sciences University of Michigan  Ann Arbor Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena P.","family":"Eriksson","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Andersson","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Medicine Sahlgrenska University Hospital  Gothenburg Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199602)29:2<111::AID-AJIM1>3.0.CO;2-V"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-020-01574-x"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/annhyg\/34.1.55"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199602)29:2<123::AID-AJIM2>3.0.CO;2-T"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.2064"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700130504"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200206000-00022"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199607)30:1<87::AID-AJIM15>3.0.CO;2-4"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1179\/oeh.1998.4.3.147"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.44.9.580"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199907)36:1<108::AID-AJIM15>3.0.CO;2-N"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.518"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-012-0785-1"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-015-1042-2"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2019-106394"},{"key":"e_1_2_10_17_1","unstructured":"World Health Organization. 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