Patterns of pneumoconiosis mortality in Kentucky: analysis of death certificate data

Details

• Personal Author:
  Beggs JA ; Bunn TL ; Slavova S
• Description:
  Background: Mortality rates associated with total pneumoconiosis, including coal worker's pneumoconiosis (CWP), have remained elevated. Methods: 2003-2013 pneumoconiosis mortality data obtained from National Center for Health Statistics and 2011-2013 Kentucky death certificates were analyzed. Results: Total pneumoconiosis mortality rates showed significant linear decreases in West Virginia, Pennsylvania, Kentucky, and the U.S. from 2003 to 2013; Pennsylvania and Kentucky had comparable rates in 2003 but while Pennsylvania rates significantly decreased 3.0 deaths/million annually, Kentucky rates decreased only 0.5/million annually. Kentucky and Pennsylvania CWP fatality rates were also comparable in 2003 but while Pennsylvania rates decreased 82% over the study period, Kentucky rates decreased only 26%. Kentucky pneumoconiosis deaths primarily occurred in white Appalachian males in-hospital. Diseases leading to pneumoconiosis death were largely respiratory and cardiovascular, with autopsies rarely performed. Conclusions: Coal worker environmental exposure protection should be enhanced and pneumoconiosis surveillance improvements, including enhanced management of comorbid conditions like COPD, should be considered. [Description provided by NIOSH]
• Subjects:
  Autopsy Cardiovascular Diseases Cardiovascular System Coal Coal Mining Epidemiology Lung Lung Diseases Men Mining Mortality Occupational Health Pneumoconiosis Respiratory System Respiratory Tract Diseases Safety

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• Keywords:
  Author Keywords: Mortality Rates Autopsies Cardiovascular-disease Cardiovascular-system Cardiovascular-system-disease Cardiovascular-system-disorders Coal-workers Coal-workers-pneumoconiosis Coal Worker's Pneumoconiosis Comorbid Conditions Humans Mortality-rates Pulmonary-function Pulmonary-system Pulmonary-system-disorders Respiration Respiratory-system-disorders Statistical-analysis

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Kentucky ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  58
• Issue:
  10
• NIOSHTIC Number:
  nn:20046660
• Citation:
  Am J Ind Med 2015 Oct; 58(10):1075-1082
• Contact Point Address:
  Terry L. Bunn, PhD, Kentucky Injury Prevention and Research Center, University of Kentucky, College of PublicHealth, 333 Waller Ave., Suite 242, Lexington, KY 40504
• Email:
  tlbunn2@uky.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  University of Kentucky
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f68f25e6f4c3f1119ad35420531b98cad11129d1193bbabfae9911b0c4bad9f836bf0e922fdc4cde08f0d947cb13183fd6158434a4b40f6de1f1744607f96516
• Download URL:
  https://stacks.cdc.gov/view/cdc/202018/cdc_202018_DS1.pdf
• File Type:
  [PDF - 247.84 KB ]