Occupational exposure to respirable crystalline silica and acute myocardial infarction among men and women in Sweden
ObjectivesOccupational exposure to respirable crystalline silica (RCS) is common. The study aimed to assess the risk for acute myocardial infarction (AMI) after long-term exposure to RCS and to explore differences in risk between men and women.MethodsThe cohort included all manual workers identified...
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| Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2023-01, Vol.80 (1), p.21-26 |
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| creator | Wiebert, Pernilla Andersson, Tomas Feychting, Maria Sjögren, Bengt Plato, Nils Gustavsson, Per |
| description | ObjectivesOccupational exposure to respirable crystalline silica (RCS) is common. The study aimed to assess the risk for acute myocardial infarction (AMI) after long-term exposure to RCS and to explore differences in risk between men and women.MethodsThe cohort included all manual workers identified from the Swedish National Census in 1980 using data on job titles and demography altogether from five censuses from 1960 to 1990, in total 605 246 men and 480 607 women. Information on AMI was obtained from nationwide registers from 1992 to 2006. Exposure to RCS was assessed with a job-exposure matrix. HRs and 95% CIs were estimated by Cox regression, adjusted for age, socioeconomic status and urbanisation index.ResultsAmong manual workers ever exposed to RCS, the adjusted risk of AMI was HR 1.29 (95% CI 1.15 to 1.46) in women, and HR 1.02 (95% CI 1.00 to 1.04) in men. In the highest quartile of cumulative exposure, the risk of AMI was HR 1.66 (95% CI 1.27 to 2.18) for women, and HR 1.06 (95% CI 1.03 to 1.10) for men, respectively. The risk of AMI increased with cumulative exposure to RCS both in women (p=0.001) and in men (p=0.016). An interaction analysis showed that the relative risk from exposure to RCS was statistically significantly lower in men than in women at similar exposure levels.ConclusionsOccupational exposure to RCS was related to the risk of AMI. Women were more sensitive to exposure to RCS than men. |
| doi_str_mv | 10.1136/oemed-2022-108505 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_D8T</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_448611</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2754575211</sourcerecordid><originalsourceid>FETCH-LOGICAL-b461t-2e9fdfa663de93eb9fb49551c0490d79d7c131e17a142b7bf9d61444b7eab7673</originalsourceid><addsrcrecordid>eNp9UU1v1DAUtBCIloUfwAVZ4hzwsx27uSChii-pUg_A2bKdl-IlsYOdsOy_J9ldWnqAk0d-M_PsGUKeA3sFINTrhAO2FWecV8AualY_IOcgNat0w9XDBYsaKqYBzsiTUraMgdCCPyZnQinGlIRzMl17P492CinanuKvMZU5I50SzVjGkK3rkfq8L5Pt-xCRltAHb6mNLbV-npAO--RtbsMiD7Gz2a9e1A4p3tAB44G5SysKkX7eYYvxKXnU2b7gs9O5IV_fv_ty-bG6uv7w6fLtVeWkgqni2HRtZ5USLTYCXdM52dQ1eCYb1uqm1R4EIGgLkjvtuqZVIKV0Gq3TSosNqY6-ZYfj7MyYw2Dz3iQbzOnq-4LQSHmhlkQ35M2Rv0yWZD3GKdv-nuz-JIZv5ib9NI1WAupmMXh5Msjpx4xlMts05yXZYriuZa1rfljzXxbjsPptCBxZPqdSMna37wBm1vrNoX6z1m-O9S-aF39_4Fbxp--7RNywvdv6b8Pf0xO9Yg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2754021976</pqid></control><display><type>article</type><title>Occupational exposure to respirable crystalline silica and acute myocardial infarction among men and women in Sweden</title><source>SWEPUB Freely available online</source><creator>Wiebert, Pernilla ; Andersson, Tomas ; Feychting, Maria ; Sjögren, Bengt ; Plato, Nils ; Gustavsson, Per</creator><creatorcontrib>Wiebert, Pernilla ; Andersson, Tomas ; Feychting, Maria ; Sjögren, Bengt ; Plato, Nils ; Gustavsson, Per</creatorcontrib><description>ObjectivesOccupational exposure to respirable crystalline silica (RCS) is common. The study aimed to assess the risk for acute myocardial infarction (AMI) after long-term exposure to RCS and to explore differences in risk between men and women.MethodsThe cohort included all manual workers identified from the Swedish National Census in 1980 using data on job titles and demography altogether from five censuses from 1960 to 1990, in total 605 246 men and 480 607 women. Information on AMI was obtained from nationwide registers from 1992 to 2006. Exposure to RCS was assessed with a job-exposure matrix. HRs and 95% CIs were estimated by Cox regression, adjusted for age, socioeconomic status and urbanisation index.ResultsAmong manual workers ever exposed to RCS, the adjusted risk of AMI was HR 1.29 (95% CI 1.15 to 1.46) in women, and HR 1.02 (95% CI 1.00 to 1.04) in men. In the highest quartile of cumulative exposure, the risk of AMI was HR 1.66 (95% CI 1.27 to 2.18) for women, and HR 1.06 (95% CI 1.03 to 1.10) for men, respectively. The risk of AMI increased with cumulative exposure to RCS both in women (p=0.001) and in men (p=0.016). An interaction analysis showed that the relative risk from exposure to RCS was statistically significantly lower in men than in women at similar exposure levels.ConclusionsOccupational exposure to RCS was related to the risk of AMI. Women were more sensitive to exposure to RCS than men.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2022-108505</identifier><identifier>PMID: 36600641</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Cardiology ; Cardiovascular disease ; Census ; Chronic obstructive pulmonary disease ; Demography ; Drug dosages ; Dust ; Epidemiology ; Exposure ; Heart attacks ; Ischemia ; Manual workers ; Myocardial infarction ; Occupational exposure ; Occupational health ; Occupations ; Population ; Public health ; Retrospective exposure assessment ; Risk assessment ; Silica ; Silicon dioxide ; Socioeconomic factors ; Socioeconomics ; Statistical analysis ; Urbanization ; Womens health ; Workplace</subject><ispartof>Occupational and environmental medicine (London, England), 2023-01, Vol.80 (1), p.21-26</ispartof><rights>Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2022 Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b461t-2e9fdfa663de93eb9fb49551c0490d79d7c131e17a142b7bf9d61444b7eab7673</citedby><cites>FETCH-LOGICAL-b461t-2e9fdfa663de93eb9fb49551c0490d79d7c131e17a142b7bf9d61444b7eab7673</cites><orcidid>0000-0002-6367-0701 ; 0000-0003-2221-8599</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,550,776,881</link.rule.ids><linktorsrc>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:151482917$$EView_record_in_Swedish_Publication_Index_(SWEPUB)$$FView_record_in_$$GSwedish_Publication_Index_(SWEPUB)$$Hfree_for_read</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36600641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:151482917$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Wiebert, Pernilla</creatorcontrib><creatorcontrib>Andersson, Tomas</creatorcontrib><creatorcontrib>Feychting, Maria</creatorcontrib><creatorcontrib>Sjögren, Bengt</creatorcontrib><creatorcontrib>Plato, Nils</creatorcontrib><creatorcontrib>Gustavsson, Per</creatorcontrib><title>Occupational exposure to respirable crystalline silica and acute myocardial infarction among men and women in Sweden</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><addtitle>Occup Environ Med</addtitle><description>ObjectivesOccupational exposure to respirable crystalline silica (RCS) is common. The study aimed to assess the risk for acute myocardial infarction (AMI) after long-term exposure to RCS and to explore differences in risk between men and women.MethodsThe cohort included all manual workers identified from the Swedish National Census in 1980 using data on job titles and demography altogether from five censuses from 1960 to 1990, in total 605 246 men and 480 607 women. Information on AMI was obtained from nationwide registers from 1992 to 2006. Exposure to RCS was assessed with a job-exposure matrix. HRs and 95% CIs were estimated by Cox regression, adjusted for age, socioeconomic status and urbanisation index.ResultsAmong manual workers ever exposed to RCS, the adjusted risk of AMI was HR 1.29 (95% CI 1.15 to 1.46) in women, and HR 1.02 (95% CI 1.00 to 1.04) in men. In the highest quartile of cumulative exposure, the risk of AMI was HR 1.66 (95% CI 1.27 to 2.18) for women, and HR 1.06 (95% CI 1.03 to 1.10) for men, respectively. The risk of AMI increased with cumulative exposure to RCS both in women (p=0.001) and in men (p=0.016). An interaction analysis showed that the relative risk from exposure to RCS was statistically significantly lower in men than in women at similar exposure levels.ConclusionsOccupational exposure to RCS was related to the risk of AMI. Women were more sensitive to exposure to RCS than men.</description><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Census</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Demography</subject><subject>Drug dosages</subject><subject>Dust</subject><subject>Epidemiology</subject><subject>Exposure</subject><subject>Heart attacks</subject><subject>Ischemia</subject><subject>Manual workers</subject><subject>Myocardial infarction</subject><subject>Occupational exposure</subject><subject>Occupational health</subject><subject>Occupations</subject><subject>Population</subject><subject>Public health</subject><subject>Retrospective exposure assessment</subject><subject>Risk assessment</subject><subject>Silica</subject><subject>Silicon dioxide</subject><subject>Socioeconomic factors</subject><subject>Socioeconomics</subject><subject>Statistical analysis</subject><subject>Urbanization</subject><subject>Womens 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exposure to respirable crystalline silica and acute myocardial infarction among men and women in Sweden</title><author>Wiebert, Pernilla ; Andersson, Tomas ; Feychting, Maria ; Sjögren, Bengt ; Plato, Nils ; Gustavsson, Per</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b461t-2e9fdfa663de93eb9fb49551c0490d79d7c131e17a142b7bf9d61444b7eab7673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Census</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Demography</topic><topic>Drug dosages</topic><topic>Dust</topic><topic>Epidemiology</topic><topic>Exposure</topic><topic>Heart attacks</topic><topic>Ischemia</topic><topic>Manual workers</topic><topic>Myocardial infarction</topic><topic>Occupational exposure</topic><topic>Occupational health</topic><topic>Occupations</topic><topic>Population</topic><topic>Public health</topic><topic>Retrospective exposure assessment</topic><topic>Risk assessment</topic><topic>Silica</topic><topic>Silicon dioxide</topic><topic>Socioeconomic factors</topic><topic>Socioeconomics</topic><topic>Statistical analysis</topic><topic>Urbanization</topic><topic>Womens health</topic><topic>Workplace</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wiebert, Pernilla</creatorcontrib><creatorcontrib>Andersson, Tomas</creatorcontrib><creatorcontrib>Feychting, Maria</creatorcontrib><creatorcontrib>Sjögren, Bengt</creatorcontrib><creatorcontrib>Plato, Nils</creatorcontrib><creatorcontrib>Gustavsson, Per</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & 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environmental medicine (London, England)</jtitle><stitle>Occup Environ Med</stitle><addtitle>Occup Environ Med</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>80</volume><issue>1</issue><spage>21</spage><epage>26</epage><pages>21-26</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>ObjectivesOccupational exposure to respirable crystalline silica (RCS) is common. The study aimed to assess the risk for acute myocardial infarction (AMI) after long-term exposure to RCS and to explore differences in risk between men and women.MethodsThe cohort included all manual workers identified from the Swedish National Census in 1980 using data on job titles and demography altogether from five censuses from 1960 to 1990, in total 605 246 men and 480 607 women. Information on AMI was obtained from nationwide registers from 1992 to 2006. Exposure to RCS was assessed with a job-exposure matrix. HRs and 95% CIs were estimated by Cox regression, adjusted for age, socioeconomic status and urbanisation index.ResultsAmong manual workers ever exposed to RCS, the adjusted risk of AMI was HR 1.29 (95% CI 1.15 to 1.46) in women, and HR 1.02 (95% CI 1.00 to 1.04) in men. In the highest quartile of cumulative exposure, the risk of AMI was HR 1.66 (95% CI 1.27 to 2.18) for women, and HR 1.06 (95% CI 1.03 to 1.10) for men, respectively. The risk of AMI increased with cumulative exposure to RCS both in women (p=0.001) and in men (p=0.016). An interaction analysis showed that the relative risk from exposure to RCS was statistically significantly lower in men than in women at similar exposure levels.ConclusionsOccupational exposure to RCS was related to the risk of AMI. Women were more sensitive to exposure to RCS than men.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>36600641</pmid><doi>10.1136/oemed-2022-108505</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6367-0701</orcidid><orcidid>https://orcid.org/0000-0003-2221-8599</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Cardiology Cardiovascular disease Census Chronic obstructive pulmonary disease Demography Drug dosages Dust Epidemiology Exposure Heart attacks Ischemia Manual workers Myocardial infarction Occupational exposure Occupational health Occupations Population Public health Retrospective exposure assessment Risk assessment Silica Silicon dioxide Socioeconomic factors Socioeconomics Statistical analysis Urbanization Womens health Workplace |
| title | Occupational exposure to respirable crystalline silica and acute myocardial infarction among men and women in Sweden |
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