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Proportionate mortality among construction laborers.

Authors
Stern-F; Schulte-P; Sweeney-MH; Fingerhut-M; Vossenas-P; Burkhardt-G; Kornak-F
Source
Am J Ind Med 1995 Apr; 27(4):485-509
NIOSHTIC No.
00225952
Abstract
An analysis of mortality was performed among 11,915 construction workers of the Laborers International Union of North America who died between January 1, 1985 and December 31, 1988 and had achieved at least 1 year of active service in the union. Death certificates of the decedents were obtained and analyzed. Proportionate mortality (PMR) and proportionate cancer mortality ratios (PCMRs) were computed using mortality rates for the general United States population as the reference. Mortality from all cancers, fatal transportation and nontransportation injuries, and falls were significantly increased, with respective PMRs of 1.13, 1.37, 1.61, and 1.34. The rise in total cancer mortality was due to increases in the number of deaths from stomach, rectal, lung, and thyroid cancer, with respective PMRs of 1.63, 1.35, 1.26, and 2.50. Mortality from causes associated with smoking, such as heart disease and lung diseases, excluding lung cancer, approached expected values. The PCMR analysis also indicated significant increases from stomach, lung, and thyroid cancer mortality. When examined by race and years of union membership, the PCMRs for stomach, lung, thyroid, and rectal cancer were still elevated. No statistically significant trends with years of union membership were detected. The risk of death from all cancers and lung, stomach, and thyroid cancer increased with age at death, after the age of 30. Twenty deaths attributed to mesothelioma, indicative of probable asbestos (1332214) exposure, were also noted. A PMR and PCMR could not be computed since expected rates of mesothelioma in the general population were unavailable. The authors conclude that the study confirms previous findings of increased risks of lung and stomach cancer and fatal injuries among construction laborers, and recommend conducting more detailed analyses of the types of injuries, developing a surveillance database, and initiating smoking cessation and other health promotion programs for construction laborers.
Keywords
NIOSH-Author; Construction-workers; Epidemiology; Mortality-data; Occupational-accidents; Accident-statistics; Cancer-rates; Occupational-exposure; Risk-factors
CODEN
AJIMD8
CAS No.
1332-21-4
Publication Date
19950401
Document Type
Journal Article
Fiscal Year
1995
NTIS Accession No.
NTIS Price
Issue of Publication
4
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
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