Asbestosis mortality surveillance in the United States, 1970 - 2004.
Bang KM; Mazurek JM; Syamlal G; Wood JM
Int J Occup Environ Health 2008 Jul/Sep; 14(3):161-169
To describe the demographic, geographic, and occupational distribution of asbestosis mortality in the United States during 1970-2004, we identified a total of 25,413 asbestosis deaths. We calculated national, state, and county death rates, age-adjusted to the 2000 U.S. standard population. We also calculated industry- and occupation-specific proportionate mortality ratios (PMRs), adjusted for age, sex, and race, and corresponding confidence intervals (CIs) using available data. The overall U.S. age-adjusted asbestosis death rate was 4.1 per million population per year; the rate for males (10.4) was nearly 35-fold higher than that for females (0.3). It increased significantly from 0.6 to 6.9 per million population from 1970 to 2000 (p < 0.001), and then declined to 6.3 in 2004 (p=0.014). High asbestosis death rates occurred predominantly, though not exclusively, in coastal areas. Industries with highest PMRs included ship and boat building and repairing (18.5; 95% CI 16.3-20.9) and miscellaneous nonmetallic mineral and stone products (15.9; 95% CI 13.0-19.5). Occupations with highest PMRs included insulation workers (109.2; 95% CI 93.8-127.2) and boilermakers (21.3; 95% CI 17.0-26.6).
Respiratory-system-disorders; Asbestosis; Mortality-data; Mortality-rates; Demographic-characteristics; Occupations; Lung-disease; Lung-fibrosis; Shipbuilding-industry; Boat-manufacturing-industry; Nonmetallic-minerals; Insulation-workers; Boiler-furnaces; Age-groups; Surveillance
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International Journal of Occupational and Environmental Health