Residential Proximity to Naturally Occurring Asbestos and Mesothelioma Risk in California
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2005/10/15
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Description:Rationale: Little is known about environmental exposure to low levels of naturally occurring asbestos (NOA) and malignant mesothelioma (MM) risk. OBJECTIVES: To conduct a cancer registry-based case control study of residential proximity to NOA with MM in California. Methods: Incident MM cases (n = 2,908) aged 35 yr or more, diagnosed between 1988 and 1997, were selected from the California Cancer Registry and frequency matched to control subjects with pancreatic cancer (n = 2,908) by 5-yr age group and sex. Control subjects were selected by stratified random sampling from 28,123 incident pancreatic cancers in the same time period. We located 93.7% of subjects at the house or street level at initial diagnosis. Individual occupational exposure to asbestos was derived from the longest held occupation, available for 74% of MM cases and 63% of pancreatic cancers. Occupational exposure to asbestos was determined by a priori classification and confirmed by association with mesothelioma. Main results: The adjusted odds ratios and 95% confidence interval for low, medium, and high probabilities of occupational exposures to asbestos were 1.71 (1.32-2.21), 2.51 (1.91-3.30), and 14.94 (8.37-26.67), respectively. Logistic regression analysis from a subset of 1,133 mesothelioma cases and 890 control subjects with pancreatic cancer showed that the odds of mesothelioma decreased approximately 6.3% for every 10 km farther from the nearest asbestos source, an odds ratio of 0.937 (95% confidence interval = 0.895-0.982), adjusted for age, sex, and occupational exposure to asbestos. Conclusions: These data support the hypothesis that residential proximity to NOA is significantly associated with increased risk of MM in California. [Description provided by NIOSH]
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ISSN:1073-449X
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Volume:172
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Issue:8
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NIOSHTIC Number:nn:20033324
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Citation:Am J Respir Crit Care Med 2005 Oct; 172(8):1019-1025
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Contact Point Address:Xue-lei Pan, Department of Public Health Sciences, University of California at Davis, Davis, CA 95616-8638
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Email:mbschenker@ucdavis.edu
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Federal Fiscal Year:2006
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Performing Organization:University of California - Davis
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Peer Reviewed:True
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Start Date:20010930
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Source Full Name:American Journal of Respiratory and Critical Care Medicine
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End Date:20270929
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Main Document Checksum:urn:sha-512:bcc1c6d988e189ad023e62140d58e6521922d831a24fc38386cb9271fbf623c09c590968ec37ec7bd2dca1d21ad762e42026a8460b1de01b96636c77dac31ecb
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