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Cohort mortality study of 57,000 painters and union members: a 15 year update.

Authors
Steenland-K; Palu-S
Source
Occup Environ Med 1999 May; 56(5):315-321
NIOSHTIC No.
20025612
Abstract
To study mortality patterns in the largest existing cohort of painters. 15 years of follow up were added to a study of 42,170 painters and 14,316 non-painters based on union records. There were 23,458 deaths, compared with 5313 in the earlier follow up. Comparisons with the United States population showed significantly increased rates in painters for lung cancer (standardised mortality ratio (SMR) 1.23, 95% confidence interval (95% CI) 1.17 to 1.29), bladder cancer (SMR 1.23, 95% CI 1.05 to 1.43), liver cancer (SMR 1.25, 95% CI 1.03 to 1.50), and stomach cancer (SMR 1.39, 95% CI 1.20 to 1.59). However, in direct comparisons with non-painters only the excesses for lung cancer (SRR 1.23, 95% CI 1.11 to 1.35, increasing to 1.32, 95% CI 16 to 1.93 with 20 years latency) and bladder cancer (SRR 1.77, 95% CI 1.13 to 2.77) were confirmed. Some confounding by smoking may affect these two outcomes, particularly with external referents. Cirrhosis of the liver was increased for both painters and non-painters (SMRs 1.21, 95% CI 1.07 to 1.35, and 1.26, 95% CI 1.03 to 1.51, respectively), possibly indicating high alcohol consumption. Suicide (SMR 1.21, 95% CI 1.05 to 1.38) and homicide (SMR 1.36, 95% CI 1.04 to 1.75) were increased for painters but not for non-painters; neuropsychiatric diseases have been associated with painters in earlier studies. The results suggest modest occupational risks for lung and bladder cancer; these results are consistent with existing publications. The International Agency for Research on Cancer has classified painting as an occupation definitely associated with cancer.
Keywords
Mortality-rates; Mortality-data; Painters; Lung-cancer; Pulmonary-system-disorders; Respiratory-system-disorders; Bladder-cancer; Liver-cancer; Stomach-cancer; Risk-factors; Risk-analysis; Occupational-exposure; Occupational-health
CODEN
OEMEEM
Publication Date
19990501
Document Type
Journal Article
Fiscal Year
1999
NTIS Accession No.
NTIS Price
Issue of Publication
5
ISSN
1351-0711
NIOSH Division
DSHEFS
Source Name
Occupational and Environmental Medicine
State
OH
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