Malignant mesothelioma mortality in women, by industry and occupation - United States, 1999-2014

Details

• Personal Author:
  Hendricks SA ; Mazurek JM ; Weston A ; Wood JM
• Description:
  Malignant mesothelioma is a cancer of the mesothelium, the thin layer of tissues surrounding the internal organs, and is most often caused by occupational exposure to asbestiform fibers. Disease latency from first exposure to asbestiform fibers to malignant mesothelioma diagnosis usually is considered to range from 20-40 years. Despite actions that regulate occupational exposure, potential exposures of workers' family members may still exist in the United States, especially in the construction industry, during maintenance operations and remediation of buildings containing asbestos. Overall malignant mesotheliomas in women that are attributable to work-related exposure is wide (23-90%, AJIM 43:461-482). To examine industry and occupation associated with malignant mesothelioma mortality among women, we analyzed multiple cause-of-death records for 1999-2014 for persons aged 25 years and older. Malignant mesothelioma deaths were identified using International Classification of Diseases, 10th Revision codes C45.0-C45.2, C45.7, and C45.9. During 1999-2014, 8,579 cases of malignant mesothelioma occurred among women. Industry and occupation information was available from 367 death certificates for decedents reported from 23 states for 1999, 2003, 2004, and 2007. Most frequently reported deaths were among unemployed or non-paid workers (n=116). Malignant mesothelioma deaths among women were most frequently associated with educational services (n=35) and health care (n=33) industries. By industry, the significant proportional mortality ratios were for legal services (3.8; CI=1.5-7.8), insurance carriers and related activities (2.4; CI=1.1-4.5), and elementary and secondary schools (1.5; 1.0-2.2). By occupation, the significant proportional mortality ratios were for accountants and auditors (2.9, CI=1.2-5.9), sewing machine operators (2.3, CI=1.1-4.3), and elementary and middle school teachers only (2.0, CI=1.3-3.0). These results are consistent with previous findings that most women with malignant mesothelioma had an indirect exposure to asbestiform fibers at work or through household contact with asbestos workers. [Description provided by NIOSH]
• Subjects:
  Asbestos Carcinogens Education Family Inorganic Chemicals Mortality Neoplasms Occupational Health Safety Toxicology Women

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• Keywords:
  Asbestos Abatement Asbestos Fibers Asbestos Removal Asbestos Workers Author Keywords: Carcinogenesis Cancer Cancer Rates Carcinogenesis Death Certificates Families Health Care Information Systems Malignant Neoplasms Mesothelial Cells Mesothelioma Mortality Data Mortality Rates Mortality Studies Occupations Statistical Analysis Surveillance Take-home Toxins

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• ISSN:
  1096-6080
• Document Type:
  Text
• Genre:
  Abstract or Summary
• Place as Subject:
  Maryland ; OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division ; DSR - Division of Safety Research
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  57
• Volume:
  156
• Issue:
  1
• NIOSHTIC Number:
  nn:20049494
• Citation:
  Toxicologist 2017 Mar; 156(1)(Abstract Suppl):57
• CAS Registry Number:
  Asbestos (CAS RN 1332-21-4)
• Federal Fiscal Year:
  2017
• Peer Reviewed:
  False
• Source Full Name:
  The Toxicologist. Society of Toxicology 56th Annual Meeting and ToxExpo, March 12-16, 2017, Baltimore, Maryland
• Supplement:
  Abstract Suppl
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:47e6d9c738b895780ed65ff6afd9e2e2b516e9d2ca3564cf07edb4e0c6fdcbe4706b359acc4af2460d06c03e0e5a04fefa18cbbc9b7856bc4ec566591ed218e0
• Download URL:
  https://stacks.cdc.gov/view/cdc/203935/cdc_203935_DS1.pdf
• File Type:
  [PDF - 1.47 MB ]