Does coal mine dust present a risk for lung cancer? A case-control study of U.S. coal miners.

This paper evaluates the relationship between the risk of lung cancer mortality and coal mine dust exposure under control by cigarette smoking status. Two case-control studies based on 317 white male lung cancer mortality cases are presented. A one-to-one matched-case design allows examination of the risk of coal mine dust exposure and cigarette smoking. A two-to-one matched-case design was employed to examine the lung cancer risk of coal mine dust exposure independent of cigarette smoking. Based upon these data, no evidence of a coal mine dust exposure-lung cancer risk was found, although the expected increased risk for lung cancer in cigarette smokers was observed. There was no evidence of an interactive effect between cigarette smoking and coal mine dust exposure.