University of Western Australia, Perth, WA, Australia.
Med J Aust. 2011 Sep 5;195(5):271-4. doi: 10.5694/mja11.10125.
To determine trends in incidence of malignant mesothelioma (MM) caused by exposure to asbestos during home maintenance and renovation.
DESIGN, SETTING AND PARTICIPANTS: Using the Western Australian Mesothelioma Register, we reviewed all cases of MM diagnosed in WA from 1960 to the end of 2008, and determined the primary source of exposure to asbestos. Categories of exposure were collapsed into seven groups: asbestos miners and millers from Wittenoom; all other asbestos workers; residents from Wittenoom; home maintenance/renovators; other people exposed but not through their occupation; and people with unknown asbestos exposure; or no known asbestos exposure. Latency periods and age at diagnosis for each group were calculated and compared.
In WA, 1631 people (1408 men, 223 women) were diagnosed with MM between 1960 and 2008. Since 1981, there have been 87 cases (55 in men) of MM attributed to asbestos exposure during home maintenance and renovation, and an increasing trend in such cases, in both men and women. In the last 4 years of the study (2005-2008), home renovators accounted for 8.4% of all men and 35.7% of all women diagnosed with MM. After controlling for sex and both year and age at diagnosis, the latency period for people exposed to asbestos during home renovation was significantly shorter than that for all other exposure groups, but the shorter follow-up and difficulty recalling when exposure first occurred in this group may partly explain this.
MM after exposure to asbestos during home renovation is an increasing problem in WA, and these cases seem to have a shorter latency period than other types of exposure. MM cases related to renovation will probably continue to increase because of the many homes that have contained, and still contain, asbestos building products.
确定在家居维护和装修过程中因接触石棉而导致恶性间皮瘤（MM）的发病率趋势。
设计、环境和参与者：利用西澳大利亚间皮瘤登记处，我们回顾了 1960 年至 2008 年底在西澳大利亚诊断的所有 MM 病例，并确定了接触石棉的主要来源。暴露类别被合并为七个组：来自威滕姆的石棉矿工和轧棉工；所有其他石棉工人；来自威滕姆的居民；家居维护/装修工；其他非职业性暴露者；以及未知石棉暴露者；或无已知石棉暴露者。为每个组计算并比较潜伏期和诊断时的年龄。
在西澳大利亚，1960 年至 2008 年间有 1631 人（1408 名男性，223 名女性）被诊断患有 MM。自 1981 年以来，有 87 例（男性 55 例）MM 归因于在家居维护和装修过程中接触石棉，且此类病例呈上升趋势，无论男性还是女性。在研究的最后 4 年（2005-2008 年），装修工人占所有男性和所有女性 MM 诊断病例的 8.4%和 35.7%。在控制性别以及诊断时的年份和年龄后，暴露于家中装修用石棉的人群的潜伏期明显短于其他所有暴露组，但由于该组随访时间较短，且首次暴露的时间难以回忆，可能部分解释了这一点。
在西澳大利亚，因在家居装修中接触石棉而导致的 MM 是一个日益严重的问题，这些病例的潜伏期似乎比其他类型的暴露更短。由于含有石棉建筑产品的房屋数量众多，且仍在继续增加，与装修相关的 MM 病例可能会继续增加。
