Wegman D H, Eisen E A
J Occup Med. 1981 Nov;23(11):748-54. doi: 10.1097/00043764-198111000-00008.
Analysis of the causes of death among workers employed in the manufacture of synthetic abrasive products was performed using data from death certificates and employment records. The subjects were 1,030 white male workers who had been employed by a single manufacturer and who were identified through a review of death certificates issued during a 20-year period. Proportional mortality analysis revealed excess digestive cancer and respiratory disease deaths. Personnel records permitted refinement of the study population to 968 with classification of each individual into one of seven employment categories. Case-control analysis of workers ever employed in the individual categories revealed elevated odds ratios for respiratory disease deaths among those most exposed to the synthetic abrasive dust. The excesses were greatest in those exposed 20 or more years. Excesses of esophageal and rectal cancers were noted in two manufacturing areas although the numbers were small. Review of the literature further supports the findings that synthetic abrasive exposures may be associated with elevated respiratory morbidity and mortality.
利用死亡证明和就业记录中的数据,对合成磨料产品制造行业工人的死因进行了分析。研究对象为1030名白人男性工人,他们受雇于同一家制造商,并通过对20年期间开具的死亡证明进行审查得以确认。比例死亡率分析显示,消化系统癌症和呼吸系统疾病死亡人数过多。人事记录使研究人群细化至968人,并将每个人归入七个就业类别之一。对曾在各个类别就业的工人进行病例对照分析发现,接触合成磨料粉尘最多的工人呼吸系统疾病死亡的优势比升高。在接触20年或更长时间的工人中,这种过量情况最为严重。在两个制造区域发现食管癌和直肠癌的死亡人数过多,尽管数量较少。文献综述进一步支持了以下研究结果:接触合成磨料可能与呼吸系统发病率和死亡率升高有关。