Robinson C F, Petersen M, Palu S
National Institute for Occupational Safety and Health (NIOSH), Division of Surveillance, Hazard Evaluations and Field Studies, Cincinnati, Ohio 45226, USA.
Am J Ind Med. 1999 Dec;36(6):630-7. doi: 10.1002/(sici)1097-0274(199912)36:6<630::aid-ajim5>3.0.co;2-6.
Studies of electrical workers in the utility and manufacturing industries have reported excess site-specific cancer. No previous studies of electrical workers in the construction industry have been conducted.
Our study evaluated the mortality patterns of 31,068 U.S. members of the International Brotherhood of Electrical Workers who primarily worked in the construction industry and died 1982-1987.
Comparison to the U.S. population by using the NIOSH life table showed significantly elevated proportionate mortality for many causes. Excess mortality for leukemia (proportionate mortality ratio (PMR)=115) and brain tumors (PMR=136) is similar to reports of electrical workers with occupational exposure to electric and magnetic fields in the electric utility or manufacturing industry. Excess deaths due to melanoma skin cancer (PMR=123) are consistent with findings of other PCB-exposed workers. A significantly elevated PMR was observed for the diseases caused by asbestos: lung cancer (PMR=117), asbestosis (PMR=247), and malignant mesothelioma (PMR=356) and from fatal injuries, particularly electrocutions (PMR=1180). The findings of statistically significant excess deaths for prostate cancer (PMR=107), musculoskeletal disease (PMR=130), suicide (PMR=113), and disorders of the blood-forming organs (PMR=141) were unexpected.
Results suggest that more detailed investigations of occupational risk factors and evaluation of preventive practices are needed to prevent excess mortality in this hazardous occupation. Am. J. Ind. Med. 36:630-637, 1999. Published 1999 Wiley-Liss, Inc.
针对公用事业和制造业电气工人的研究报告了特定部位癌症的超额发病情况。此前尚未对建筑业电气工人开展过研究。
我们的研究评估了主要从事建筑业且于1982年至1987年间死亡的31,068名美国国际电气工人兄弟会成员的死亡模式。
通过使用美国国家职业安全与健康研究所(NIOSH)生命表与美国人群进行比较,发现多种病因的比例死亡率显著升高。白血病(比例死亡率(PMR)=115)和脑肿瘤(PMR=136)的超额死亡率与公用事业或制造业中职业接触电场和磁场的电气工人报告相似。皮肤黑色素瘤导致的超额死亡(PMR=123)与其他接触多氯联苯工人的研究结果一致。石棉所致疾病的PMR显著升高:肺癌(PMR=117)、石棉肺(PMR=247)和恶性间皮瘤(PMR=356),以及致命伤害,尤其是触电(PMR=1180)。前列腺癌(PMR=107)、肌肉骨骼疾病(PMR=130)、自杀(PMR=113)和造血器官疾病(PMR=1,41)的统计学显著超额死亡结果出乎意料。
结果表明,需要对职业风险因素进行更详细的调查,并评估预防措施,以防止这一危险职业出现超额死亡情况。《美国工业医学杂志》36:630 - 637, 1999年。1999年由威利 - 利斯公司出版