Silicosis Prevalence and Incidence Among Medicare Beneficiaries

Details

• Personal Author:
  Casey ML ; Mazurek JM
• Description:
  Introduction: Existing epidemiologic information on silicosis relies on mortality data. Methods: We analyzed health insurance claims and enrollment information from 49,923,987 fee-for-service (FFS) Medicare beneficiaries aged ≥ 65 from 1999 to 2014. Three different definitions were developed to identify silicosis cases and results are presented as ranges of values for the three definitions. Results: Among FFS beneficiaries, 10,026-19,696 fit the silicosis case definitions (16-year prevalence: 20.1-39.5 per 100,000) with the highest prevalence among North American Natives (87.2-213.6 per 100,000) and those in New Mexico (83.9-203.4 per 100,000). The annual average prevalence had a significant (P < 0.05) 2-5% annual decline from 2005 to 2014. The average annual number of incident cases had a significant 3-16% annual decline from 2007 to 2014. Conclusions: Silicosis is a prevalent disease among Medicare beneficiaries aged ≥ 65, with variation across the country. Morbidity data from health insurance claims can provide a more complete picture of silicosis burden. [Description provided by NIOSH]
• Subjects:
  Epidemiology Health Care Facilities Workforce And Services Lung Diseases Morbidity Occupational Health Respiratory System Respiratory Tract Diseases Safety Silicosis
• Keywords:
  Author Keywords: Insurance Disease Incidence Health Services Lung Disease Medicare Morbidity Rates Respiratory Diseases Surveillance Programs
• ISSN:
  0271-3586
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  RHD - Respiratory Health Division
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  183-191
• Volume:
  62
• Issue:
  3
• NIOSHTIC Number:
  nn:20054384
• Citation:
  Am J Ind Med 2019 Mar; 62(3):183-191
• Contact Point Address:
  Megan L. Casey, RN, BSN, MPH, Surveillance Branch, Respiratory Health Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1095 Willowdale Road, Morgantown, WV 26505-2888
• Email:
  ydg7@cdc.gov
• Federal Fiscal Year:
  2019
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Industrial Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bef324ef237e3297e195ac7e7fb5829dcfd8a5a8a00c347c8d4a63a13cf76525eee7977b4643cd591c309158a8e1a6e8af533429a83b5efe81c72a847223690e
• Download URL:
  https://stacks.cdc.gov/view/cdc/216964/cdc_216964_DS1.pdf
• File Type:
  [PDF - 1.01 MB ]