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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 1073-449X</identifier><identifier>EISSN: 1535-4970</identifier><identifier>DOI: 10.1164/rccm.201210-1911OC</identifier><identifier>PMID: 23471464</identifier><language>eng</language><publisher>New York, NY: American Thoracic Society</publisher><subject>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</subject><ispartof>American journal of respiratory and critical care medicine, 2013-05, Vol.187 (9), p.977-982</ispartof><rights>2014 INIST-CNRS</rights><rights>Copyright American Thoracic Society May 1, 2013</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-647563e395e575ba6e1942c412db205817624975907d3ae266cdc1a45a1c16a3</citedby><cites>FETCH-LOGICAL-c395t-647563e395e575ba6e1942c412db205817624975907d3ae266cdc1a45a1c16a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,4025,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27302218$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23471464$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04818212$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>LACOURT, Aude</creatorcontrib><creatorcontrib>GRAMOND, Céline</creatorcontrib><creatorcontrib>AUDIGNON, Sabyne</creatorcontrib><creatorcontrib>DUCAMP, Stéphane</creatorcontrib><creatorcontrib>FEVOTTE, Joelle</creatorcontrib><creatorcontrib>ILG, Annabelle Gilg Soit</creatorcontrib><creatorcontrib>GOLDBERG, Marcel</creatorcontrib><creatorcontrib>IMBERNON, Ellen</creatorcontrib><creatorcontrib>BROCHARD, Patrick</creatorcontrib><title>Pleural Mesothelioma and Occupational Coexposure to Asbestos, Mineral Wool, and Silica</title><title>American journal of respiratory and critical care medicine</title><addtitle>Am J Respir Crit Care Med</addtitle><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.</description><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Asbestos</subject><subject>Asbestos - toxicity</subject><subject>Biological and medical sciences</subject><subject>Calcium Compounds - toxicity</subject><subject>Case-Control Studies</subject><subject>Classification</subject><subject>Confidence intervals</subject><subject>France</subject><subject>Health surveillance</subject><subject>Humans</subject><subject>Hypotheses</subject><subject>Intensive care medicine</subject><subject>Life Sciences</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mesothelioma</subject><subject>Mesothelioma - chemically induced</subject><subject>Middle Aged</subject><subject>Occupational Diseases - chemically induced</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupations</subject><subject>Odds Ratio</subject><subject>Pleural Neoplasms - chemically induced</subject><subject>Pneumology</subject><subject>Public health</subject><subject>Regression analysis</subject><subject>Risk</subject><subject>Santé publique et épidémiologie</subject><subject>Silicates - toxicity</subject><subject>Silicon Dioxide - toxicity</subject><issn>1073-449X</issn><issn>1535-4970</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkV1rFDEUhoMotq7-AS9kQAQLnZqTr5lcLovawpYVLOpdOJvJ0pTMZE1mxP57s862glfnkDzv4SQPIa-BXgAo8SFZ218wCgxoDRpgs3pCTkFyWQvd0Kelpw2vhdA_TsiLnO9oQVugz8kJ46IBocQp-fYluClhqK5djuOtCz72WOHQVRtrpz2OPg7ldhXd733MU3LVGKtl3ro8xnxeXfvBHdLfYwznf2NfffAWX5JnOwzZvTrWBbn59PFmdVmvN5-vVst1bbmWY61EIxV3pXeykVtUDrRgVgDrtozKFhrFylukpk3H0TGlbGcBhUSwoJAvyNk89haD2SffY7o3Eb25XK7N4YyKFloG7BcU9v3M7lP8OZX9Te-zdSHg4OKUDXDRCq200AV9-x96F6dU_qFQguuWclHqgrCZsinmnNzucQOg5iDIHASZWZCZBZXQm-Poadu77jHyYKQA744AZothl3CwPv_jGk4Zg5b_AaGnlmY</recordid><startdate>20130501</startdate><enddate>20130501</enddate><creator>LACOURT, Aude</creator><creator>GRAMOND, Céline</creator><creator>AUDIGNON, Sabyne</creator><creator>DUCAMP, Stéphane</creator><creator>FEVOTTE, Joelle</creator><creator>ILG, Annabelle Gilg Soit</creator><creator>GOLDBERG, Marcel</creator><creator>IMBERNON, Ellen</creator><creator>BROCHARD, Patrick</creator><general>American Thoracic Society</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20130501</creationdate><title>Pleural Mesothelioma and Occupational Coexposure to Asbestos, Mineral Wool, and Silica</title><author>LACOURT, Aude ; GRAMOND, Céline ; AUDIGNON, Sabyne ; DUCAMP, Stéphane ; FEVOTTE, Joelle ; ILG, Annabelle Gilg Soit ; GOLDBERG, Marcel ; IMBERNON, Ellen ; BROCHARD, Patrick</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-647563e395e575ba6e1942c412db205817624975907d3ae266cdc1a45a1c16a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Asbestos</topic><topic>Asbestos - toxicity</topic><topic>Biological and medical sciences</topic><topic>Calcium Compounds - toxicity</topic><topic>Case-Control Studies</topic><topic>Classification</topic><topic>Confidence intervals</topic><topic>France</topic><topic>Health surveillance</topic><topic>Humans</topic><topic>Hypotheses</topic><topic>Intensive care medicine</topic><topic>Life Sciences</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mesothelioma</topic><topic>Mesothelioma - chemically induced</topic><topic>Middle Aged</topic><topic>Occupational Diseases - chemically induced</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupations</topic><topic>Odds Ratio</topic><topic>Pleural Neoplasms - chemically induced</topic><topic>Pneumology</topic><topic>Public health</topic><topic>Regression analysis</topic><topic>Risk</topic><topic>Santé publique et épidémiologie</topic><topic>Silicates - toxicity</topic><topic>Silicon Dioxide - toxicity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>LACOURT, Aude</creatorcontrib><creatorcontrib>GRAMOND, Céline</creatorcontrib><creatorcontrib>AUDIGNON, Sabyne</creatorcontrib><creatorcontrib>DUCAMP, Stéphane</creatorcontrib><creatorcontrib>FEVOTTE, Joelle</creatorcontrib><creatorcontrib>ILG, Annabelle Gilg Soit</creatorcontrib><creatorcontrib>GOLDBERG, Marcel</creatorcontrib><creatorcontrib>IMBERNON, Ellen</creatorcontrib><creatorcontrib>BROCHARD, Patrick</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>American journal of respiratory and critical care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>LACOURT, Aude</au><au>GRAMOND, Céline</au><au>AUDIGNON, Sabyne</au><au>DUCAMP, Stéphane</au><au>FEVOTTE, Joelle</au><au>ILG, Annabelle Gilg Soit</au><au>GOLDBERG, Marcel</au><au>IMBERNON, Ellen</au><au>BROCHARD, Patrick</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pleural Mesothelioma and Occupational Coexposure to Asbestos, Mineral Wool, and Silica</atitle><jtitle>American journal of respiratory and critical care medicine</jtitle><addtitle>Am J Respir Crit Care Med</addtitle><date>2013-05-01</date><risdate>2013</risdate><volume>187</volume><issue>9</issue><spage>977</spage><epage>982</epage><pages>977-982</pages><issn>1073-449X</issn><eissn>1535-4970</eissn><abstract>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.</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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source | MEDLINE; Journals@Ovid Complete; American Thoracic Society (ATS) Journals Online; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
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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