Occupational silica exposure and risk of various diseases: an analysis using death certificates from 27 states of the United States

Background: Although crystalline silica exposure is associated with silicosis, lung cancer, pulmonary tuberculosis, and chronic obstructive pulmonary disease (COPD), there is less support for an association with autoimmune disease, and renal disease. Methods: Using data from the US National Occupati...

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Veröffentlicht in:Occupational and environmental medicine (London, England) England), 2003-02, Vol.60 (2), p.122-129
Hauptverfasser: Calvert, G M, Rice, F L, Boiano, J M, Sheehy, J W, Sanderson, W T
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Rice, F L
Boiano, J M
Sheehy, J W
Sanderson, W T
description Background: Although crystalline silica exposure is associated with silicosis, lung cancer, pulmonary tuberculosis, and chronic obstructive pulmonary disease (COPD), there is less support for an association with autoimmune disease, and renal disease. Methods: Using data from the US National Occupational Mortality Surveillance (NOMS) system, a matched case-control design was employed to examine each of several diseases (including silicosis, lung cancer, stomach cancer, oesophageal cancer, COPD, pulmonary tuberculosis, sarcoidosis, systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis, and various types of renal disease). Cases were subjects whose death certificate mentioned the disease of interest. A separate control group for each of the diseases of interest was selected from among subjects whose death certificate did not mention the disease of interest or any of several diseases reported to be associated with crystalline silica exposure. Subjects were assigned into a qualitative crystalline silica exposure category based on the industry/occupation pairing found on their death certificate. We also investigated whether silicotics had a higher risk of disease compared to those without silicosis. Results: Those postulated to have had detectable crystalline silica exposure had a significantly increased risk for silicosis, COPD, pulmonary tuberculosis, and rheumatoid arthritis. In addition, a significant trend of increasing risk with increasing silica exposure was observed for these same conditions and for lung cancer. Those postulated to have had the greatest crystalline silica exposure had a significantly increased risk for silicosis, lung cancer, COPD, and pulmonary tuberculosis only. Finally, those with silicosis had a significantly increased risk for COPD, pulmonary tuberculosis, and rheumatoid arthritis. Conclusions: This study corroborates the association between crystalline silica exposure and silicosis, lung cancer, COPD, and pulmonary tuberculosis. In addition, support is provided for an association between crystalline silica exposure and rheumatoid arthritis.
doi_str_mv 10.1136/oem.60.2.122
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Methods: Using data from the US National Occupational Mortality Surveillance (NOMS) system, a matched case-control design was employed to examine each of several diseases (including silicosis, lung cancer, stomach cancer, oesophageal cancer, COPD, pulmonary tuberculosis, sarcoidosis, systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis, and various types of renal disease). Cases were subjects whose death certificate mentioned the disease of interest. A separate control group for each of the diseases of interest was selected from among subjects whose death certificate did not mention the disease of interest or any of several diseases reported to be associated with crystalline silica exposure. Subjects were assigned into a qualitative crystalline silica exposure category based on the industry/occupation pairing found on their death certificate. We also investigated whether silicotics had a higher risk of disease compared to those without silicosis. Results: Those postulated to have had detectable crystalline silica exposure had a significantly increased risk for silicosis, COPD, pulmonary tuberculosis, and rheumatoid arthritis. In addition, a significant trend of increasing risk with increasing silica exposure was observed for these same conditions and for lung cancer. Those postulated to have had the greatest crystalline silica exposure had a significantly increased risk for silicosis, lung cancer, COPD, and pulmonary tuberculosis only. Finally, those with silicosis had a significantly increased risk for COPD, pulmonary tuberculosis, and rheumatoid arthritis. Conclusions: This study corroborates the association between crystalline silica exposure and silicosis, lung cancer, COPD, and pulmonary tuberculosis. 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Toxic occupational diseases ; Chronic Disease ; Chronic kidney failure ; Chronic obstructive pulmonary disease ; COPD ; Disease risk ; end stage renal disease ; Epidemiology ; ESRD ; Exposure ; Female ; Glomerulonephritis ; Health aspects ; Health risks ; Humans ; IARC ; ICD ; Inhalation Exposure ; Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.) ; International Agency for Research on Cancer ; International Classification of Diseases ; Kidney diseases ; Kidney Diseases - etiology ; Kidney Diseases - mortality ; Logistic Models ; Lung cancer ; Lung neoplasms ; Lupus ; Male ; Medical sciences ; Middle Aged ; MOR ; Mortality ; mortality odds ratio ; National Institute for Occupational Safety and Health ; National Occupational Mortality Surveillance ; NIOSH ; NOMS ; Occupational Diseases - etiology ; Occupational Diseases - mortality ; Occupational Exposure - adverse effects ; Occupational health and safety ; Occupational mortality ; Odds Ratio ; Original ; PEL ; permissible exposure limit ; Pulmonary tuberculosis ; Rheumatoid arthritis ; Risk Factors ; Sarcoidosis ; Scleroderma ; Silica ; Silicon Dioxide - adverse effects ; Silicosis ; SLE ; Systemic lupus erythematosus ; Toxicology ; Tuberculosis ; United States - epidemiology</subject><ispartof>Occupational and environmental medicine (London, England), 2003-02, Vol.60 (2), p.122-129</ispartof><rights>Copyright 2003 Occupational and Environmental Medicine</rights><rights>Copyright 2003 BMJ Publishing Group</rights><rights>2003 INIST-CNRS</rights><rights>COPYRIGHT 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2003 Copyright 2003 Occupational and Environmental Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b765t-faa07fceb8a897efb2c303e19d6e0527f10775bf8e202c624f2979c3246fef523</citedby><cites>FETCH-LOGICAL-b765t-faa07fceb8a897efb2c303e19d6e0527f10775bf8e202c624f2979c3246fef523</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27731872$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27731872$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=14485049$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12554840$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>WCA</contributor><creatorcontrib>Calvert, G M</creatorcontrib><creatorcontrib>Rice, F L</creatorcontrib><creatorcontrib>Boiano, J M</creatorcontrib><creatorcontrib>Sheehy, J W</creatorcontrib><creatorcontrib>Sanderson, W T</creatorcontrib><title>Occupational silica exposure and risk of various diseases: an analysis using death certificates from 27 states of the United States</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>Background: Although crystalline silica exposure is associated with silicosis, lung cancer, pulmonary tuberculosis, and chronic obstructive pulmonary disease (COPD), there is less support for an association with autoimmune disease, and renal disease. Methods: Using data from the US National Occupational Mortality Surveillance (NOMS) system, a matched case-control design was employed to examine each of several diseases (including silicosis, lung cancer, stomach cancer, oesophageal cancer, COPD, pulmonary tuberculosis, sarcoidosis, systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis, and various types of renal disease). Cases were subjects whose death certificate mentioned the disease of interest. A separate control group for each of the diseases of interest was selected from among subjects whose death certificate did not mention the disease of interest or any of several diseases reported to be associated with crystalline silica exposure. Subjects were assigned into a qualitative crystalline silica exposure category based on the industry/occupation pairing found on their death certificate. We also investigated whether silicotics had a higher risk of disease compared to those without silicosis. Results: Those postulated to have had detectable crystalline silica exposure had a significantly increased risk for silicosis, COPD, pulmonary tuberculosis, and rheumatoid arthritis. In addition, a significant trend of increasing risk with increasing silica exposure was observed for these same conditions and for lung cancer. Those postulated to have had the greatest crystalline silica exposure had a significantly increased risk for silicosis, lung cancer, COPD, and pulmonary tuberculosis only. Finally, those with silicosis had a significantly increased risk for COPD, pulmonary tuberculosis, and rheumatoid arthritis. Conclusions: This study corroborates the association between crystalline silica exposure and silicosis, lung cancer, COPD, and pulmonary tuberculosis. 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Methods: Using data from the US National Occupational Mortality Surveillance (NOMS) system, a matched case-control design was employed to examine each of several diseases (including silicosis, lung cancer, stomach cancer, oesophageal cancer, COPD, pulmonary tuberculosis, sarcoidosis, systemic lupus erythematosus, systemic sclerosis, rheumatoid arthritis, and various types of renal disease). Cases were subjects whose death certificate mentioned the disease of interest. A separate control group for each of the diseases of interest was selected from among subjects whose death certificate did not mention the disease of interest or any of several diseases reported to be associated with crystalline silica exposure. Subjects were assigned into a qualitative crystalline silica exposure category based on the industry/occupation pairing found on their death certificate. We also investigated whether silicotics had a higher risk of disease compared to those without silicosis. Results: Those postulated to have had detectable crystalline silica exposure had a significantly increased risk for silicosis, COPD, pulmonary tuberculosis, and rheumatoid arthritis. In addition, a significant trend of increasing risk with increasing silica exposure was observed for these same conditions and for lung cancer. Those postulated to have had the greatest crystalline silica exposure had a significantly increased risk for silicosis, lung cancer, COPD, and pulmonary tuberculosis only. Finally, those with silicosis had a significantly increased risk for COPD, pulmonary tuberculosis, and rheumatoid arthritis. Conclusions: This study corroborates the association between crystalline silica exposure and silicosis, lung cancer, COPD, and pulmonary tuberculosis. In addition, support is provided for an association between crystalline silica exposure and rheumatoid arthritis.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>12554840</pmid><doi>10.1136/oem.60.2.122</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source Jstor Complete Legacy; MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection
subjects Adult
Aged
Analysis
ANCA
antineutrophil cytoplasmic antibody
autoimmune
Autoimmune diseases
Autoimmune Diseases - etiology
Autoimmune Diseases - mortality
Biological and medical sciences
Case-Control Studies
Censuses
Ceramics
Chemical and industrial products toxicology. Toxic occupational diseases
Chronic Disease
Chronic kidney failure
Chronic obstructive pulmonary disease
COPD
Disease risk
end stage renal disease
Epidemiology
ESRD
Exposure
Female
Glomerulonephritis
Health aspects
Health risks
Humans
IARC
ICD
Inhalation Exposure
Inorganic dusts (pneumoconiosises) and organic dusts (byssinosis etc.)
International Agency for Research on Cancer
International Classification of Diseases
Kidney diseases
Kidney Diseases - etiology
Kidney Diseases - mortality
Logistic Models
Lung cancer
Lung neoplasms
Lupus
Male
Medical sciences
Middle Aged
MOR
Mortality
mortality odds ratio
National Institute for Occupational Safety and Health
National Occupational Mortality Surveillance
NIOSH
NOMS
Occupational Diseases - etiology
Occupational Diseases - mortality
Occupational Exposure - adverse effects
Occupational health and safety
Occupational mortality
Odds Ratio
Original
PEL
permissible exposure limit
Pulmonary tuberculosis
Rheumatoid arthritis
Risk Factors
Sarcoidosis
Scleroderma
Silica
Silicon Dioxide - adverse effects
Silicosis
SLE
Systemic lupus erythematosus
Toxicology
Tuberculosis
United States - epidemiology
title Occupational silica exposure and risk of various diseases: an analysis using death certificates from 27 states of the United States
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