The DOI matches its Crossref record; 1 of the 1 references it cites were found in a registry or an index.
Malignant mesothelioma: attributable risk of asbestos exposure.
Abstract
OBJECTIVES--To evaluate a case-control study of malignant mesothelioma through patterns of exposure to asbestos based upon information from telephone interviews with next of kin. METHODS--Potential cases, identified from medical files and death certificates, included all people diagnosed with malignant mesothelioma and registered during 1975-1980 by the Los Angeles County Cancer Surveillance Program, the New York State Cancer Registry (excluding New York City), and 39 large Veterans Administration hospitals. Cases whose diagnosis was confirmed in a special pathology review as definite or probable mesothelioma (n = 208) were included in the analysis. Controls (n = 533) had died of other causes, excluding cancer, respiratory disease, suicide, or violence. Direct exposure to asbestos was determined from responses to three types of questions: specific queries as to any exposure to asbestos; occupational or non-vocational participation in any of nine specific activities thought to entail exposure to asbestos; and analysis of life-time work histories. Indirect exposures were assessed through residential histories and reported contact with family members exposed to asbestos. RESULTS--Among men with pleural mesothelioma the attributable risk (AR) for exposure to asbestos was 88% (95% confidence interval (95% CI) 76-95%). For men, the AR of peritoneal cancer was 58% (95% CI 20-89%). For women (both sites combined), the AR was 23% (95% CI 3-72%). The large differences in AR by sex are compatible with the explanations: a lower background incidence rate in women, lower exposure to asbestos, and greater misclassification among women. CONCLUSIONS--Most of the pleural and peritoneal mesotheliomas in the men studied were attributable to exposure to asbestos. The situation in women was less definitive.
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“Our review included 14 case-control studies, of which 10 reported relative risk estimates or provided enough information to calculate a crude relative risk estimate [2-5,49-54,56], ranging from 1.4 [54] to 16.75 [2,3].”
From Domestic asbestos exposure: a review of epidemiologic and exposure data (2013) · cites this paper as [49]
In the citing paper
“Vianna and Polan [4], Spirtas et al. [49], and Welch et al. [53] combine the activity of brake lining work/repair with traditionally highly exposed asbestos activities (e.g., insulation, shipyard work); thus, any observed increase in risk cannot be attributed to automobile mechanic work or solely to chrysotile exposure, and instead is highly likely attributable to the other activities (e.g., [108]”
From Domestic asbestos exposure: a review of epidemiologic and exposure data (2013) · cites this paper as [49]
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Cites
Estimating the population attributable risk for multiple risk factors using case-control data.
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Metadata
- Authors
- Spirtas, R., Heineman, E. F., Bernstein, L., Beebe, G. W., Keehn, R. J., Stark, A., Harlow, B. L., & Benichou, J.
- Venue
- Occupational and Environmental Medicine
- Publisher
- BMJ
- Published
- 1994-12
- Volume
- 51
- Issue
- 12
- Pages
- 804-811
- ISSN
- 1351-0711
- 1470-7926
- Cited by
- 248
- References
- 1
- Language
- en
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