Too Soon to Breathe Easy: Trends in Asbestosis Morbidity and Mortality in Wisconsin.

Paul D Creswell, Katherine E McCoy, Komi K S Modji, Collin R Morris, Sheryl Bedno
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Abstract

Objectives: This study aimed to describe asbestosis morbidity and mortality in two statewide samples. We considered trends, demographic disparities, and excess mortality.

Methods: We assessed trends and demographic differences in asbestosis morbidity using hospital and emergency department (ED) visits. We calculated asbestosis mortality rates using vital records data and computed proportional mortality ratios (PMRs) to assess excess deaths by standardized industry and occupation codes.

Results: Asbestosis diagnoses peaked in 2008 and have declined since that time. Several occupations and industry codes, including those in Production/Manufacturing, Construction, and Transportation, were associated with an excess burden of asbestosis mortality.

Conclusions: Despite declining diagnoses, asbestosis remains a risk for workers. Our findings of excess mortality for Transportation-related industry and occupation codes are unique and may indicate previously unrecognized risks in these jobs.

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过早呼吸轻松:威斯康星州石棉沉滞病发病率和死亡率的趋势。
目的:本研究旨在描述石棉沉滞的发病率和死亡率在两个州的样本。我们考虑了趋势、人口差异和过高的死亡率。方法:我们通过医院和急诊科(ED)就诊评估石棉沉滞发病率的趋势和人口统计学差异。我们使用生命记录数据计算石棉沉滞死亡率,并通过标准化行业和职业代码计算比例死亡率(pmr)来评估超额死亡率。结果:石棉沉滞症的诊断在2008年达到顶峰,此后有所下降。包括生产/制造业、建筑业和运输业在内的一些职业和行业规范与石棉沉滞死亡率的过度负担有关。结论:尽管石棉沉滞症的诊断率在下降,但石棉沉滞症对工人仍然存在风险。我们关于交通相关行业和职业代码的高死亡率的发现是独一无二的,可能表明这些工作中存在以前未被认识到的风险。
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