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Per Gustavsson

Professor/senior physician

Organisational affiliation

Occupational medicine

Department

Institute of Environmental Medicine (IMM), C6

Visiting address : Solnavägen 4, Plan 10 113 65 Stockholm, Sweden
Postal address : Institute of Environmental Medicine (IMM), C6, Occupational medicine, Solnavägen 4, Plan 10 113 65 Stockholm, Sweden
Delivery address : Solnavägen 4, Plan 10 113 65 Stockholm, Sweden

Research description

Occupational epidemiology

The research is focussed on identification of chemical and physical health hazards in the work environment, for risk assessment and prevention. We employ epidemiological methods in the search for causes of chronic diseases like cancer and cardiovascular disease. We use case-control studies, occupational cohorts as well as registry based population studies.

A central research topic is health effects of motor exhaust and particles. We have shown that exposure to motor exhaust causes lung cancer already at levels well below the Swedish occupational exposure limit, and an increased risk of myocardial infarction from exposure to combustion products. Ongoing studies investigate the effects of particles from various sources, like organic and inorganic particles, small vs. large particles, combustion vs. non- combustion particles etc. One group of studies deal with the increased risk of cancer and myocardial infarction in various occupational groups like chimney sweeps and professional drivers. A series of register-based studies deal with causes to specific diseases like Multiple sclerosis, Alzheimers disease, malignancies of the blood, skin, endocrine organs and breast, etc.

The quality of the information on exposure to occupational agents is methodologically very important. We aim to improve the methods for assessment of chemical and physical agents by developing and using job-exposure matrices, so called expert assessment, and combinations of these. Using effective epidemiological methods in linking exposure to diseases is a high priority. We also perform field studies of exposure conditions in various occupational groups, regarding the exposure to particles, motor exhaust, and combustion products.

Financing

The Swedish Council for Working Life and Social Research

Publications

Age at occupational exposure to combustion products and lung cancer risk among men in Stockholm, Sweden
Bottai M, Selander J, Pershagen G, Gustavsson P
International archives of occupational and environmental health 2016;89(2):271-5

IARC monographs: 40 years of evaluating carcinogenic hazards to humans
Pearce N, Blair A, Vineis P, Ahrens W, Andersen A, Anto Jm, et al
Environmental health perspectives 2015;123(6):507-14

Lung cancer among coal miners, ore miners and quarrymen: smoking-adjusted risk estimates from the synergy pooled analysis of case-control studies
Taeger D, Pesch B, Kendzia B, Behrens T, Jockel Kh, Dahmann D, et al
Scandinavian journal of work, environment & health 2015;41(5):467-77

Lung cancer risk among bricklayers in a pooled analysis of case-control studies
Consonni D, De Matteis S, Pesatori Ac, Bertazzi Pa, Olsson Ac, Kromhout H, et al
International journal of cancer 2015;136(2):360-71

Lung cancer risk among cooks when accounting for tobacco smoking: a pooled analysis of case-control studies from Europe, Canada, New Zealand, and China
Bigert C, Gustavsson P, Straif K, Pesch B, Bruning T, Kendzia B, et al
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 2015;57(2):202-9

Effect modification of the association of cumulative exposure and cancer risk by intensity of exposure and time since exposure cessation: a flexible method applied to cigarette smoking and lung cancer in the SYNERGY Study
Vlaanderen J, Portengen L, Schuz J, Olsson A, Pesch B, Kendzia B, et al
American journal of epidemiology 2014;179(3):290-8

Myocardial infarction and occupational exposure to motor exhaust: a population-based case-control study in Sweden
Ilar A, Lewne M, Plato N, Hallqvist J, Alderling M, Bigert C, et al
European journal of epidemiology 2014;29(7):517-25

A job-exposure matrix for occupational noise: development and validation
Sjostrom M, Lewne M, Alderling M, Willix P, Berg P, Gustavsson P, et al
The Annals of occupational hygiene 2013;57(6):774-83

Cancer incidence in a cohort of Swedish chimney sweeps, 1958-2006
Hogstedt C, Jansson C, Hugosson M, Tinnerberg H, Gustavsson P
American journal of public health 2013;103(9):1708-14

Incidence of myocardial infarction among cooks and other restaurant workers in Sweden 1987-2005
Bigert C, Lonn M, Feychting M, Sjogren B, Lewne M, Gustavsson P
Scandinavian journal of work, environment & health 2013;39(2):204-11

Incidence of myocardial infarction in Swedish chimney sweeps 1991-2005: a prospective cohort study
Gustavsson P, Jansson C, Hogstedt C
Occupational and environmental medicine 2013;70(7):505-7

Lung cancer risk among bakers, pastry cooks and confectionary makers: the SYNERGY study
Behrens T, Kendzia B, Treppmann T, Olsson A, Jockel Kh, Gustavsson P, et al
Occupational and environmental medicine 2013;70(11):810-4

Lung cancer risk among hairdressers: a pooled analysis of case-control studies conducted between 1985 and 2010
Olsson Ac, Xu Y, Schuz J, Vlaanderen J, Kromhout H, Vermeulen R, et al
American journal of epidemiology 2013;178(9):1355-65

Occupational exposure to particles and incidence of stroke
Sjogren B, Lonn M, Fremling K, Feychting M, Nise G, Kauppinen T, et al
Scandinavian journal of work, environment & health 2013;39(3):295-301

Welding and lung cancer in a pooled analysis of case-control studies
Kendzia B, Behrens T, Jockel Kh, Siemiatycki J, Kromhout H, Vermeulen R, et al
American journal of epidemiology 2013;178(10):1513-25

Cigarette smoking and lung cancer--relative risk estimates for the major histological types from a pooled analysis of case-control studies
Pesch B, Kendzia B, Gustavsson P, Jockel Kh, Johnen G, Pohlabeln H, et al
International journal of cancer 2012;131(5):1210-9

Mortality among Swedish chimney sweeps (1952-2006): an extended cohort study
Jansson C, Alderling M, Hogstedt C, Gustavsson P
Occupational and environmental medicine 2012;69(1):41-7

Occupational exposure to organic dust increases lung cancer risk in the general population
Peters S, Kromhout H, Olsson Ac, Wichmann He, Bruske I, Consonni D, et al
Thorax 2012;67(2):111-6

Occupational exposure to particles and incidence of acute myocardial infarction and other ischaemic heart disease
Wiebert P, Lonn M, Fremling K, Feychting M, Sjogren B, Nise G, et al
Occupational and environmental medicine 2012;69(9):651-7

The Impact of Selection Bias Due to Increasing Response Rates among Population Controls in Occupational Case-Control Studies Response
Olsson A, Vermeulen R, Kromhout H, Peters S, Gustavsson P, Bruske I, et al
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE 2012;185(1):106-107

Diesel Motor Exhaust and Lung Cancer: Additional Perspectives
Synergy Grp, Olsson A, Vermeulen R, Kromhout H, Peters S, Gustavsson P, et al
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE 2011;184(5):619-620

Exposure to diesel motor exhaust and lung cancer risk in a pooled analysis from case-control studies in Europe and Canada
Olsson Ac, Gustavsson P, Kromhout H, Peters S, Vermeulen R, Bruske I, et al
American journal of respiratory and critical care medicine 2011;183(7):941-8

Lung cancer risk attributable to occupational exposures in a multicenter case-control study in Central and Eastern Europe
Olsson Ac, Gustavsson P, Zaridze D, Mukeriya A, Szeszenia-dabrowska N, Rudnai P, et al
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 2011;53(11):1262-7

No short-term respiratory effects among particle-exposed employees in the Stockholm subway
Bigert C, Alderling M, Svartengren M, Plato N, Gustavsson P
Scandinavian journal of work, environment & health 2011;37(2):129-35

Occupational exposure to motor exhaust in Stockholm, Sweden--different grouping strategies using variability in NO₂ to create homogenous groups
Lewne M, Plato N, Bellander T, Alderling M, Gustavsson P
International journal of hygiene and environmental health 2011;214(1):47-52

Occupational exposure to chemicals and risk of thyroid cancer in Sweden
Lope V, Perez-gomez B, Aragones N, Lopez-abente G, Gustavsson P, Plato N, et al
International archives of occupational and environmental health 2009;82(2):267-74

Occupational exposure to UV light and mortality from multiple sclerosis
Westberg M, Feychting M, Jonsson F, Nise G, Gustavsson P
American journal of industrial medicine 2009;52(5):353-7

Blood markers of inflammation and coagulation and exposure to airborne particles in employees in the Stockholm underground
Bigert C, Alderling M, Svartengren M, Plato N, De Faire U, Gustavsson P
Occupational and environmental medicine 2008;65(10):655-8

Do sex and site matter? Different age distribution in melanoma of the trunk among Swedish men and women
Perez-gomez B, Aragones N, Gustavsson P, Lope V, Lopez-abente G, Pollan M
The British journal of dermatology 2008;158(4):766-72

Incidence of lung cancer among subway drivers in Stockholm
Gustavsson P, Bigert C, Pollan M
American journal of industrial medicine 2008;51(7):545-7

Occupation, exposure to chemicals, sensitizing agents, and risk of multiple myeloma in Sweden
Lope V, Perez-gomez B, Aragones N, Lopez-abente G, Gustavsson P, Plato N, et al
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 2008;17(11):3123-7

Socio-economic class, rurality and risk of cutaneous melanoma by site and gender in Sweden
Perez-gomez B, Aragones N, Gustavsson P, Lope V, Lopez-abente G, Pollan M
BMC public health 2008;8():33-

Exposure to particles, elemental carbon and nitrogen dioxide in workers exposed to motor exhaust
Lewne M, Plato N, Gustavsson P
The Annals of occupational hygiene 2007;51(8):693-701

Myocardial infarction in Swedish subway drivers
Bigert C, Klerdal K, Hammar N, Gustavsson P
Scandinavian journal of work, environment & health 2007;33(4):267-71

Exposure to particles and nitrogen dioxide among taxi, bus and lorry drivers
Lewne M, Nise G, Lind Ml, Gustavsson P
International archives of occupational and environmental health 2006;79(3):220-6

Low-dose occupational exposure to asbestos and lung cancer risk
Gustavsson P, Albin M
La Medicina del lavoro 2006;97(2):357-

Occupational exposure to ionizing radiation and electromagnetic fields in relation to the risk of thyroid cancer in Sweden
Lope V, Perez-gomez B, Aragones N, Lopez-abente G, Gustavsson P, Floderus B, et al
Scandinavian journal of work, environment & health 2006;32(4):276-84

Arc and resistance welding and tumours of the endocrine glands: a Swedish case-control study with focus on extremely low frequency magnetic fields
Hakansson N, Stenlund C, Gustavsson P, Johansen C, Floderus B
Occupational and environmental medicine 2005;62(5):304-8

Cutaneous melanoma in Swedish women: Occupational risks by anatomic site
Perez-gomez B, Aragones N, Gustavsson P, Plato N, Lopez-abente G, Pollan M
American journal of industrial medicine 2005;48(4):270-81

Intoxication from an accidentally ingested lead shot retained in the gastrointestinal tract
Gustavsson P, Gerhardsson L
Environmental health perspectives 2005;113(4):491-3

Occupation and thyroid cancer risk in Sweden
Lope V, Pollan M, Gustavsson P, Plato N, Perez-gomez B, Aragones N, et al
Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 2005;47(9):948-57

Cutaneous melanoma: hints from occupational risks by anatomic site in Swedish men
Perez-gomez B, Pollan M, Gustavsson P, Plato N, Aragones N, Lopez-abente G
Occupational and environmental medicine 2004;61(2):117-26

Incidence of cancer among Swedish military and civil personnel involved in UN missions in the Balkans 1989-99
Gustavsson P, Talback M, Lundin A, Lagercrantz B, Gyllestad Pe, Fornell L
Occupational and environmental medicine 2004;61(2):171-3

Time trends in the incidence of myocardial infarction among professional drivers in Stockholm 1977-96
Bigert C, Klerdal K, Hammar N, Hallqvist J, Gustavsson P
Occupational and environmental medicine 2004;61(12):987-91

Calculation of fractions of lung cancer incidence attributable to occupational exposure to asbestos and combustion products in Stockholm, Sweden
Gustavsson P, Ahlbom A, Andersson T, Scheele P
European journal of epidemiology 2003;18(10):937-40

Myocardial infarction among professional drivers
Bigert C, Gustavsson P, Hallqvist J, Hogstedt C, Lewne M, Plato N, et al
Epidemiology (Cambridge, Mass.) 2003;14(3):333-9

Neurodegenerative diseases in welders and other workers exposed to high levels of magnetic fields
Hakansson N, Gustavsson P, Johansen C, Floderus B
Epidemiology (Cambridge, Mass.) 2003;14(4):420-6

Occupational exposure to extremely low frequency magnetic fields and mortality from cardiovascular disease
Hakansson N, Gustavsson P, Sastre A, Floderus B
American journal of epidemiology 2003;158(6):534-42

Occupations with increased risk of pancreatic cancer in the Swedish population
Alguacil J, Pollan M, Gustavsson P
Occupational and environmental medicine 2003;60(8):570-6

Cancer incidence and magnetic field exposure in industries using resistance welding in Sweden
Hakansson N, Floderus B, Gustavsson P, Johansen C, Olsen Jh
Occupational and environmental medicine 2002;59(7):481-6

Interactive effect of chemical substances and occupational electromagnetic field exposure on the risk of gliomas and meningiomas in Swedish men
Navas-acien A, Pollan M, Gustavsson P, Floderus B, Plato N, Dosemeci M
Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology 2002;11(12):1678-83

Low-dose exposure to asbestos and lung cancer: dose-response relations and interaction with smoking in a population-based case-referent study in Stockholm, Sweden
Gustavsson P, Nyberg F, Pershagen G, Scheele P, Jakobsson R, Plato N
American journal of epidemiology 2002;155(11):1016-22

Occupation, exposure to chemicals and risk of gliomas and meningiomas in Sweden
Navas-acien A, Pollan M, Gustavsson P, Plato N
American journal of industrial medicine 2002;42(3):214-27

Stomach cancer and occupation in Sweden: 1971-89
Aragones N, Pollan M, Gustavsson P
Occupational and environmental medicine 2002;59(5):329-37

A population-based case-referent study of myocardial infarction and occupational exposure to motor exhaust, other combustion products, organic solvents, lead, and dynamite. Stockholm Heart Epidemiology Program (SHEEP) Study Group
Gustavsson P, Plato N, Hallqvist J, Hogstedt C, Lewne M, Reuterwall C, et al
Epidemiology (Cambridge, Mass.) 2001;12(2):222-8

Breast cancer, occupation, and exposure to electromagnetic fields among Swedish men
Pollan M, Gustavsson P, Floderus B
American journal of industrial medicine 2001;39(3):276-85

Cancer incidence and work place exposure among Swedish biomedical research personnel
Wennborg H, Yuen J, Nise G, Sasco Aj, Vainio H, Gustavsson P
International archives of occupational and environmental health 2001;74(8):558-64

Incidence of testicular cancer and occupation among Swedish men gainfully employed in 1970
Pollan M, Gustavsson P, Cano Mi
Annals of epidemiology 2001;11(8):554-62

Occupational sunlight exposure and cancer incidence among Swedish construction workers
Hakansson N, Floderus B, Gustavsson P, Feychting M, Hallin N
Epidemiology (Cambridge, Mass.) 2001;12(5):552-7

Re: "Occupational exposure and lung cancer risk: A population-based case-referent study in Sweden" - The first two authors reply
Gustavsson P, Jakobsson R
AMERICAN JOURNAL OF EPIDEMIOLOGY 2001;153(10):1029-1029

Urban air pollution and lung cancer in Stockholm - Four of the authors reply
Nyberg F, Bellander T, Pershagen G, Gustavsson P
EPIDEMIOLOGY 2001;12(5):591-592

Using geographic information systems to assess individual historical exposure to air pollution from traffic and house heating in Stockholm
Bellander T, Berglind N, Gustavsson P, Jonson T, Nyberg F, Pershagen G, et al
Environmental health perspectives 2001;109(6):633-9

Employment as butcher and cancer risk in a record-linkage study from Sweden
Boffetta P, Gridley G, Gustavsson P, Brennan P, Blair A, Ekstrom Am, et al
Cancer causes & control : CCC 2000;11(7):627-33

Mortality and cancer incidence among Swedish lumberjacks exposed to phenoxy herbicides
Thorn A, Gustavsson P, Sadigh J, Westerlund-hannestrand B, Hogstedt C
Occupational and environmental medicine 2000;57(10):718-20

Occupational exposure and lung cancer risk: a population-based case-referent study in Sweden
Gustavsson P, Jakobsson R, Nyberg F, Pershagen G, Jarup L, Scheele P
American journal of epidemiology 2000;152(1):32-40

Urban air pollution and lung cancer in Stockholm
Nyberg F, Gustavsson P, Jarup L, Bellander T, Berglind N, Jakobsson R, et al
Epidemiology (Cambridge, Mass.) 2000;11(5):487-95

High-risk occupations for breast cancer in the Swedish female working population
Pollan M, Gustavsson P
American journal of public health 1999;89(6):875-81

Mortality and cancer incidence among laboratory technicians in medical research and routine laboratories (Sweden)
Gustavsson P, Reuterwall C, Sadigh J, Soderholm M
Cancer causes & control : CCC 1999;10(1):59-64

Mortality and cancer incidence in biomedical laboratory personnel in Sweden
Wennborg H, Yuen J, Axelsson G, Ahlbom A, Gustavsson P, Sasco Aj
American journal of industrial medicine 1999;35(4):382-9

Urban air pollution and lung cancer - A population-based case-control study from Stockholm.
Nyberg F, Gustavsson P, Jarup L, Bellander T, Berglind N, Jakobsson R, et al
EPIDEMIOLOGY 1999;10(4):S145-S145

Occupational exposures and squamous cell carcinoma of the oral cavity, pharynx, larynx, and oesophagus: a case-control study in Sweden
Gustavsson P, Jakobsson R, Johansson H, Lewin F, Norell S, Rutkvist Le
Occupational and environmental medicine 1998;55(6):393-400

Smoking tobacco, oral snuff, and alcohol in the etiology of squamous cell carcinoma of the head and neck: a population-based case-referent study in Sweden
Lewin F, Norell Se, Johansson H, Gustavsson P, Wennerberg J, Biorklund A, et al
Cancer 1998;82(7):1367-75

A cohort study of Swedish capacitor manufacturing workers exposed to polychlorinated biphenyls (PCBs)
Gustavsson P, Hogstedt C
American journal of industrial medicine 1997;32(3):234-9

Assessment of past exposure to man-made vitreous fibers in the Swedish prefabricated house industry
Plato N, Gustavsson P, Krantz S
American journal of industrial medicine 1997;32(4):349-54

Increased risk of lung cancer among male professional drivers in urban but not rural areas of Sweden
Jakobsson R, Gustavsson P, Lundberg I
Occupational and environmental medicine 1997;54(3):189-93

Myocardial infarction among male bus, taxi, and lorry drivers in middle Sweden
Gustavsson P, Alfredsson L, Brunnberg H, Hammar N, Jakobsson R, Reuterwall C, et al
Occupational and environmental medicine 1996;53(4):235-40

Cancer incidence, mortality and exposure-response among Swedish man-made vitreous fiber production workers
Plato N, Westerholm P, Gustavsson P, Hemmingsson T, Hogstedt C, Krantz S
Scandinavian journal of work, environment & health 1995;21(5):353-61

Characterization of current exposure to man-made vitreous fibres (MMVF) in the prefabricated house industry in Sweden
Plato N, Krantz S, Andersson L, Gustavsson P, Lundgren L
The Annals of occupational hygiene 1995;39(2):167-79

Fiber exposure assessment in the Swedish rock wool and slag wool production industry in 1938-1990
Plato N, Krantz S, Gustavsson P, Smith Tj, Westerholm P
Scandinavian journal of work, environment & health 1995;21(5):345-52

Surveillance of mortality and cancer incidence among Swedish graphite electrode workers
Gustavsson P, Bellander T, Johansson L, Salmonsson S
Environmental research 1995;70(1):7-10

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