A case-referent study of lung cancer, occupational exposures and smoking. II. Role of asbestos exposure.

Kjuus, Helge; Skjærven, Rolv; Langård, Sverre; Lien, J T; Aamodt, Terje

doi:10.5271/sjweh.2157

Cited by 59 publications

(20 citation statements)

References 23 publications

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“…Unfortunately, the type of asbestos fiber to which this population was exposed is rather difficult to assess, given the design employed. Other studies have reported an increased frequency of small-cell lung cancer in relation to rnixed and cornplex exposures to asbestos (13)(14).…”

Section: Discussionmentioning

confidence: 89%

Occupation and the risk of lung cancer in Uruguay

Stéfani¹,

Kogevinas²,

Boffetta³

et al. 1996

Scand J Work Environ Health

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Section: Discussionmentioning

confidence: 89%

Occupation and the risk of lung cancer in Uruguay

Stéfani¹,

Kogevinas²,

Boffetta³

et al. 1996

Scand J Work Environ Health

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“…These figures correspond to 8-10% of all lung cancers diagnosed annually in Finland. Previous Nordic studies have estimated the population attributable fraction of asbestos exposure in lung cancer among men to be 19% in the greater Helsinki area (22), 23% in Telemark (23), and 16% in Göteborg (24). These are all highly industrialized areas and the population attributable fraction has been estimated to be 14% and 0.6% for lung cancer among men and women, respectively, in Finland overall (8) and 5% for lung cancer among men in the Nordic countries overall (25).…”

Section: Discussionmentioning

confidence: 99%

Incidence of cancer among the participants of the Finnish Asbestos Screening Campaign

Koskinen¹,

Pukkala²,

Reijula³

et al. 2003

Scand J Work Environ Health

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Objectives Cancer risk has been estimated for asbestos production workers or other heavily exposed asbestos workers in numerous studies. The bulk of the asbestos epidemic results come, however, from past intermittent exposures during asbestos product use. This study concentrated on estimating the risk of cancer in such a population.Methods Altogether 23 285 men and 930 women invited to a nationwide screening campaign for benign asbestos-related diseases in 1990-1992 were followed for cancer through the Finnish Cancer Register up to 1998. Standardized incidence ratios (SIR) were calculated in comparison with the total Finnish population.Results Altogether 1392 cases of cancer were found among the men. The risk was slightly, but significantly elevated for lung cancer [SIR 1.14, 95% confidence interval (95% CI) 1.01-1.26), mesothelioma (SIR 2.77, 95% CI 1.66-4.31), and prostate cancer (SIR 1.21, 95% CI 1.09-1.34). The risk of lung cancer was slightly higher among the invited nonparticipants (SIR 1.48, 95% CI 1.20-1.79) than among the participants (SIR 1.02, 95% CI 0.88-1.17). About 98% of the lung cancers occurred in current or ex-smokers.Conclusions In a population of long-term construction workers, the risk of lung cancer and mesothelioma was increased, but considerably lower than among insulators, asbestos sprayers, or patients with asbestosis. As it was not possible to follow most of the invited nonparticipants in the original screening study, selection bias by smoking or other life-style factors possibly correlated to the individual's decision to participate in the health screening cannot be excluded.

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“…On the other hand, it is likely that asbestos has also been extensively used in other parts of the country with similar industrial structures. In a study on the distribution of occupational determinants for lung cancer in Telemark and the neighboring county, Vestfold, Kjuus et al (11) found that previous asbestos exposure was present to the same extent among lung cancer patients in both counties. When studying the occurrence of mesothelioma in Norway, Mowe (15) observed considerable regional variations, but cases of the disease were found in all but one of the 19 counties in the country.…”

Section: Discussionmentioning

confidence: 99%

Asbestos-related findings in chest radiographs of the male population of the county of Telemark, Norway--a cross-sectional study.

Hilt¹,

Lien²,

Lund‐Larsen³

et al. 1986

Scand J Work Environ Health

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S. Asbestos-related findings in chest radiographs of the male population of the county of Telemark, Norway -A cross-sectional study. Scand J Work Environ Health 12 (1986) 567-573. In order to investigate the prevalence of asbestos-related diseases, a cross-sectional population study was conducted among 28 216 men aged 40 years in nine municipalities of the county of Telemark, Norway. In a primary radiographic screening 10 x IO-cm chest radiographs were taken of 21 483 persons. In two independent readings of the radiographs, pleural changes were observed in 6.9 and 8.5 % of the study subjects. Radiographic findings in the primary screening led to 1 431 subjects being selected for a reexamination. On the basis of occupational histories and 40 x 4O-cm chest radiographs, it was concluded that 470 of these subjects (2.2 010 of the screened population) had radiographic changes consistent with an asbestos-related disorder. Among these, 86 had lung fibrosis (82 in combination with pleural plaques) and 384 had pleural plaques only. There were marked differences in the occurrence of asbestos-related disorders between the seven urban and two rural communities studied, and agreement was observed between the occurrence of such disorders and the degree and duration of the reported asbestos exposure. The study presents evidence that asbestos-related disorders may be more prevalent in the general male population than has been recognized earlier.

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A case-referent study of lung cancer, occupational exposures and smoking. II. Role of asbestos exposure.

Cited by 59 publications

References 23 publications

Occupation and the risk of lung cancer in Uruguay

Occupation and the risk of lung cancer in Uruguay

Incidence of cancer among the participants of the Finnish Asbestos Screening Campaign

Asbestos-related findings in chest radiographs of the male population of the county of Telemark, Norway--a cross-sectional study.

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