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德克萨斯州潘帕市塞拉尼斯工厂员工队列死亡率研究。

Cohort mortality study of employees at the Celanese plant in Pampa, Texas.

作者信息

Mandel Jack S, Chapman Pamela, Amsel Jon

机构信息

Exponent Health Group, Menlo Park, California 94025, USA.

出版信息

Am J Ind Med. 2003 Jun;43(6):656-61. doi: 10.1002/ajim.10221.

Abstract

BACKGROUND

The mortality experience of chemical workers from the Pampa, Texas Celanese Ltd. plant through 1991 has been previously reported. This study updates that effort and presents an additional seven years of data and follow-up that provided 268 additional cohort members and 71 new deaths.

METHODS

Mortality was determined through December 31, 1998, the period for which the National Death Index could provide information on deaths. The mortality experience of Celanese Ltd. employees was compared to that of the general population of the United States. All cause and cause-specific standardized mortality ratios (SMRs) were calculated.

RESULTS

For the entire cohort, several causes of death including all causes (SMR = 65.9; 95% confidence interval (CI) = 56.9-76.0), heart disease (SMR = 69.1; 95% CI = 53.6-87.8), and all malignant neoplasms (SMR = 74.2; 95% CI = 56.3-95.9) were significantly less than expected. SMRs were also calculated separately for white men, non-white men, and women. Unlike the initial study, the SMR for prostate cancer among white males was not significantly elevated (SMR=176.1; 95% CI = 76.0-347.0) and was much lower than the prior SMR of 330.4. This suggests that the initial findings, which were based on a small number of deaths, were likely due to chance.

CONCLUSIONS

Overall, Celanese Ltd. employees from the Pampa plant have significantly lower than expected SMRs for several causes of death, and no causes of death that are significantly elevated.

摘要

背景

此前已报告了得克萨斯州潘帕市塞拉尼斯有限公司工厂化工工人截至1991年的死亡情况。本研究更新了这一工作,并提供了另外七年的数据和随访情况,新增了268名队列成员和71例新死亡病例。

方法

确定截至1998年12月31日的死亡率,这是国家死亡指数能够提供死亡信息的时间段。将塞拉尼斯有限公司员工的死亡情况与美国总体人群进行比较。计算了全因和特定病因的标准化死亡比(SMR)。

结果

对于整个队列,包括全因(SMR = 65.9;95%置信区间(CI)= 56.9 - 76.0)、心脏病(SMR = 69.1;95% CI = 53.6 - 87.8)和所有恶性肿瘤(SMR = 74.2;95% CI = 56.3 - 95.9)在内的几种死因显著低于预期。还分别计算了白人男性、非白人男性和女性的SMR。与最初的研究不同,白人男性前列腺癌的SMR没有显著升高(SMR = 176.1;95% CI = 76.0 - 347.0),且远低于之前的330.4。这表明基于少量死亡病例的最初发现可能是偶然因素导致的。

结论

总体而言,潘帕工厂的塞拉尼斯有限公司员工在几种死因的SMR显著低于预期,且没有死因显著升高。

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