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National Health Interview Survey mortality among US farmers and pesticide applicators.

Authors
Fleming-LE; Gomez-Marin-O; Zheng-D; Ma-F; Lee-D
Source
Am J Ind Med 2003 Feb; 43(2):227-233
NIOSHTIC No.
20029173
Abstract
The mortality experience of pesticide-exposed workers across the US has not been thoroughly studied. Cox regression mortality analyses adjusted for the complex sample survey design were performed on mortality-linked 1986-1994 National Health Interview Survey (NHIS) data. Nine thousand four hundred seventy-one farmers and pesticide applicators with 571 deaths were compared to 438,228 other US workers with 11,992 deaths. Age-adjusted risk of accidental death, as well as cancers of the nervous and lymphatic/hematopoietic systems, was significantly elevated in male and female pesticide-exposed workers; breast, prostate, and testicular cancer mortality risks were not elevated. Compared to all other workers, farmers and pesticide applicators were at greater risk of accidental mortality. These pesticide-exposed workers were not at an increased risk of cancers possibly associated with exposure to estrogen analogue compounds, but were at an increased risk of hematopoietic and nervous system cancers. NHIS mortality follow-up represents an important occupational health surveillance instrument.
Keywords
Farmers; Agricultural-industry; Agricultural-workers; Agricultural-chemicals; Pesticides; Pesticides-and-agricultural-chemicals; Pesticide-industry; Cancer; Mortality-rates; Mortality-data; Occupational-exposure; Occupational-hazards; Occupational-diseases; Nervous-system-disorders; Lymphatic-system-disorders; Lymphatic-cancer; Demographic-characteristics; Age-factors; Sex-factors; Risk-factors; Risk-analysis; Occupational-health; Health-hazards; Hematopoietic-system
Contact
Lora E. Fleming, Department of Epidemiology and Public Health, University of Miami School of Medicine, 1801 NW 9th Avenue, Suite 200, Highland Professional Building, Miami, FL 33136
CODEN
AJIMD8
Publication Date
20030201
Document Type
Journal Article
Email Address
lfleming@med.miami.edu
Funding Type
Grant
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003915
Issue of Publication
2
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
FL
Performing Organization
University of Miami School of Medicine, Miami, Florida
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