Pleural Mesothelioma and Occupational Coexposure to Asbestos, Mineral Wool, and Silica

Occupational coexposure to asbestos and other fibers or particles could modify the carcinogenicity of asbestos with regard to pleural mesothelioma. To estimate associations between pleural mesothelioma and occupational mineral wool and silica exposure and to study the impact of occupational coexposu...

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Veröffentlicht in:American journal of respiratory and critical care medicine 2013-05, Vol.187 (9), p.977-982
Hauptverfasser: LACOURT, Aude, GRAMOND, Céline, AUDIGNON, Sabyne, DUCAMP, Stéphane, FEVOTTE, Joelle, ILG, Annabelle Gilg Soit, GOLDBERG, Marcel, IMBERNON, Ellen, BROCHARD, Patrick
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container_issue 9
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container_title American journal of respiratory and critical care medicine
container_volume 187
creator LACOURT, Aude
GRAMOND, Céline
AUDIGNON, Sabyne
DUCAMP, Stéphane
FEVOTTE, Joelle
ILG, Annabelle Gilg Soit
GOLDBERG, Marcel
IMBERNON, Ellen
BROCHARD, Patrick
description Occupational coexposure to asbestos and other fibers or particles could modify the carcinogenicity of asbestos with regard to pleural mesothelioma. To estimate associations between pleural mesothelioma and occupational mineral wool and silica exposure and to study the impact of occupational coexposure on the risk of pleural mesothelioma. A total of 1,199 male cases and 2,379 control subjects were included in a French pooled case-control study. Complete job histories were collected, and occupational exposure to asbestos, mineral wool (MW), and silica were assessed by three French job exposure matrices. Unconditional logistic regression models adjusted for age, birth date, and occupational asbestos exposure were used to estimate odds ratios (OR) and 95% confidence intervals (CIs). A significant association between mesothelioma and MW exposure was observed after adjustment for occupational asbestos exposure. OR for subjects exposed to less than 0.01 fibers·ml(-1)·yr(-1) was 1.6 (95% CI, 1.2-2.1) and increased to 2.5 (95% CI, 1.8-3.4) for subjects exposed to more than 0.32 fibers·ml(-1)·yr(-1). All ORs for silica exposure were around the null. Coexposure to either asbestos and MW or asbestos and silica seemed to increase the risk of pleural mesothelioma. ORs were 17.6 (95% CI, 11.8-26.2) and 9.8 (95% CI, 4.2-23.2) for subjects exposed to both asbestos and MW and for subjects exposed to both asbestos and silica, respectively, compared with 4.3 (95% CI, 1.9-9.8) for occupational asbestos exposure alone. Our results are in favor of an increased risk of pleural mesothelioma for subjects exposed to both asbestos and MW or asbestos and silica.
doi_str_mv 10.1164/rccm.201210-1911OC
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To estimate associations between pleural mesothelioma and occupational mineral wool and silica exposure and to study the impact of occupational coexposure on the risk of pleural mesothelioma. A total of 1,199 male cases and 2,379 control subjects were included in a French pooled case-control study. Complete job histories were collected, and occupational exposure to asbestos, mineral wool (MW), and silica were assessed by three French job exposure matrices. Unconditional logistic regression models adjusted for age, birth date, and occupational asbestos exposure were used to estimate odds ratios (OR) and 95% confidence intervals (CIs). A significant association between mesothelioma and MW exposure was observed after adjustment for occupational asbestos exposure. OR for subjects exposed to less than 0.01 fibers·ml(-1)·yr(-1) was 1.6 (95% CI, 1.2-2.1) and increased to 2.5 (95% CI, 1.8-3.4) for subjects exposed to more than 0.32 fibers·ml(-1)·yr(-1). All ORs for silica exposure were around the null. Coexposure to either asbestos and MW or asbestos and silica seemed to increase the risk of pleural mesothelioma. ORs were 17.6 (95% CI, 11.8-26.2) and 9.8 (95% CI, 4.2-23.2) for subjects exposed to both asbestos and MW and for subjects exposed to both asbestos and silica, respectively, compared with 4.3 (95% CI, 1.9-9.8) for occupational asbestos exposure alone. Our results are in favor of an increased risk of pleural mesothelioma for subjects exposed to both asbestos and MW or asbestos and silica.</abstract><cop>New York, NY</cop><pub>American Thoracic Society</pub><pmid>23471464</pmid><doi>10.1164/rccm.201210-1911OC</doi><tpages>6</tpages></addata></record>
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subjects Aged
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Asbestos
Asbestos - toxicity
Biological and medical sciences
Calcium Compounds - toxicity
Case-Control Studies
Classification
Confidence intervals
France
Health surveillance
Humans
Hypotheses
Intensive care medicine
Life Sciences
Logistic Models
Male
Medical sciences
Mesothelioma
Mesothelioma - chemically induced
Middle Aged
Occupational Diseases - chemically induced
Occupational Exposure - adverse effects
Occupations
Odds Ratio
Pleural Neoplasms - chemically induced
Pneumology
Public health
Regression analysis
Risk
Santé publique et épidémiologie
Silicates - toxicity
Silicon Dioxide - toxicity
title Pleural Mesothelioma and Occupational Coexposure to Asbestos, Mineral Wool, and Silica
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