Mortality in an Italian cohort of former asbestos cement workers.

Annali dell'Istituto superiore di sanita Pub Date : 2024-04-01 DOI:10.4415/ANN_24_02_06

Amerigo Zona, Caterina Bruno, Achille Cernigliaro, Marco De Santis, Salvatore Scondotto, Lucia Fazzo

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Abstract

Background: A pooled study on Italian asbestos cement plant cohorts observed mortality risk for asbestos-related diseases. This study analysed the mortality of workers cohort of an asbestos cement plant in Syracuse, Italy.

Methods: Workers' vital status and causes of death, during 1970-2018, were identified in regional health databases. Standardized mortality ratios (SMRs) by sex and temporal variables were calculated.

Results: Of the 900 cohort's subjects (636 men, 259 women, 5 unknown sex), for 867 the vital ascertainment was possible: 505 died during study period. All-cause mortality is similarly to the expected among men and lower among women. Pleural and lung malignant neoplasms (MN) exceeded in men (SMR=27.1, SMR=1.95), retroperitoneal and peritoneal MN in both sexes, no cases of larynx MN were observed. Mortality excess for ovarian MN (SMR=1.5) and asbestosis in both sexes (men: SMR=431.9, women: SMR=116.6) were found.

Conclusions: Exceeding mortality from asbestos-related diseases, particularly in men was highlighted.

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意大利前石棉水泥工人队列中的死亡率。

背景：一项关于意大利石棉水泥厂队列的综合研究发现了石棉相关疾病的死亡风险。本研究分析了意大利锡拉库萨一家石棉水泥厂工人队列的死亡率：从地区健康数据库中确定了 1970-2018 年期间工人的生命状态和死亡原因。计算了按性别和时间变量划分的标准化死亡率（SMR）：在 900 名队列对象（636 名男性，259 名女性，5 名性别未知）中，有 867 人的生命体征可以确定：505 人在研究期间死亡。男性的全因死亡率与预期的相似，而女性的全因死亡率较低。男性胸膜和肺部恶性肿瘤（MN）的死亡率高于女性（SMR=27.1，SMR=1.95），腹膜后和腹膜恶性肿瘤的死亡率高于男性，没有发现喉部恶性肿瘤病例。发现卵巢MN（SMR=1.5）和石棉沉滞症（男性：SMR=431.9，女性：SMR=116.6）的男女死亡率均超标：结论：与石棉有关的疾病，特别是男性的死亡率超标问题突出。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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