Trends in lung cancer mortality were evaluated for women employed in all sectors of U.S industry. Analyses of 3,974,622 deaths from 28 U.S. states for 1984-1998 revealed elevated proportionate mortality ratios(PMRs) for lung cancer among 194,382 U.S. white, 18,225 black, and 1,515 Hispanic women by usual industry sector. The highest significantly elevated proportionate mortality was experienced by women in a striking number of manufacturing sub-sectors--sawmills and plaining mills (PMR ¼ 142), household appliance manufacturing (PMR ¼ 135), motor vehicle and motor vehicle equipment manufacturing (PMR ¼ 130), and in the wholesale machinery and equipment sector (PMR ¼ 145). When trends were evaluated, mortality increased over the fifteen year interval for only the trucking service sector and the household appliance manufacturing sector. For black women, mortality was highest among workers usually employed in the transportation sector (trucking PMR ¼ 244, bus services and urban transit PMR ¼ 182, and the U.S. Postal Service PMR ¼ 139); utilities (electric light and power PMR ¼ 199); and in the communications sub-sector, telephone, wire and radio (PMR ¼ 149). Among black women, the public administration sector experienced a 47% excess mortality. While based on a small number of deaths, the highest excess lung cancer mortality among Hispanic women occurred in the banking industry (PMR ¼ 333) and the manufacturing sector (industrial chemicals (PMR ¼ 590); rubber and plastics (PMR ¼ 278); and printing and publishing (PMR ¼ 330). Smoking prevalence by sector was reviewed in the context of these results. Further follow-up is recommended to investigate mortality in industrial settings where lung cancer mortality appears to be increasing or has remained consistently elevated.
Health-hazards; Environmental-hazards; Environmental-factors; Environmental-exposure; Women; Genetic-factors; Sawmill-workers; Factory-workers; Motor-vehicles; Truck-drivers; Electrical-industry; Electrical-workers; Transportation-workers; Transportation-industry; Pulmonary-disorders; Pulmonary-function; Pulmonary-system-disorders; Lung-disorders; Mortality-data; Mortality-rates; Mortality-surveys; Work-environment; Worker-health; Workplace-studies; Surveillance
American Journal of Epidemiology. Abstracts of the 40th Annual Meeting Society for Epidemiologic Research Boston, Massachusetts, June 19-22, 2007