Adjustment for smoking, alcohol consumption, and socioeconomic status in the California occupational mortality study.
Beaumont-JJ; Singleton-JA; Doebbert-G; Riedmiller-KR; Brackbill-RM; Kizer-KW
Am J Ind Med 1992 Apr; 21(4):491-506
Methods were presented which allow further adjustment for smoking habits, alcohol consumption, and socioeconomic status in occupational mortality studies. Data were taken from the National Health Interview Survey and the U.S. Census to indirectly adjust for these factors. Alcohol consumption data were taken from interviews of 23,000 persons, 20 years of age or more. Smoking data were obtained from a combined sample of 49,715 individuals. Smoking, drinking and socioeconomic status scores were compiled for 68 white male occupational groups. Similar plots were constructed for other race/sex combinations. Predicted rates for lung cancer, cirrhosis of the liver and all causes of death combined were prepared as a function of smoking habits, alcohol consumption and socioeconomic status. Most of the significantly high standardized mortality ratios (SMR) in the original age adjusted California Occupational Mortality Study analysis remained significantly high after further adjustment. Many SMR became nonsignificant with further adjustment. A few became significantly high that originally were not.
NIOSH-Author; Epidemiology; Risk-factors; Racial-factors; Cancer-rates; Cigarette-smoking; Alcoholism; Demographic-characteristics; Sociological-factors; Occupational-sociology
American Journal of Industrial Medicine