Abstract：
BACKGROUND:A medical screening program began in 1986 for sheet metal workers exposed to asbestos, primarily while working alongside insulators applying spray-on asbestos materials, a practice banned in 1973. Exposure continues during maintenance, renovation, and repair. METHODS:Radiographic abnormalities among 26 397 sheet metal workers examined from 1986 to 2016 were analyzed by year of entry into the trade. Logistic regression was used to examine risk factors for parenchymal and pleural abnormalities among the overall study population and among the subcohort who entered the trade after 1973. RESULTS:Prevalence of parenchymal disease was 17.4% for those starting work before 1950 compared with 0.8% for those starting work after 1973 (adjusted prevalence odds ratio [pOR] = 26.65, 95% confidence interval [CI] = 18.46-38.46). For each calendar year after 1973, entering the trade 1 year later was associated with an estimated 12.7% decreased odds of acquiring asbestos-related disease (adjusted pOR = 0.873, 95% CI = 0.832-0.916). CONCLUSION:Sheet metal workers who began work after the US implemented environmental and occupational regulations develop asbestos-related disease at much reduced rates, consistent with regulatory projections made for nonmalignant asbestos-related disease by the Occupational Safety and Health Administration at the time. Cancer remains a concern among this cohort, and lung cancer screening recommendations should consider year of entry into the trade. This study highlights the importance of regulatory intervention and of continued surveillance.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
West GH,Sokas RK,Welch LSdoi
10.1002/ajim.22998subject
Has Abstractpub_date
2019-07-01 00:00:00pages
609-615issue
7eissn
0271-3586issn
1097-0274journal_volume
62pub_type
杂志文章abstract：:A case-control study on work with video screen equipment during pregnancy has been made for three cohorts of women, identified with the aid of occupational codes in the census, linked to the Medical Birth Registry and a registry containing information on women hospitalized for spontaneous abortion. Five hundred and tw...
journal_title：American journal of industrial medicine
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更新日期：2012-04-01 00:00:00
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更新日期：1995-07-01 00:00:00
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journal_title：American journal of industrial medicine
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更新日期：2002-09-01 00:00:00
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journal_title：American journal of industrial medicine
pub_type： 杂志文章
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更新日期：2015-12-01 00:00:00
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pub_type： 历史文章,杂志文章
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更新日期：2005-02-01 00:00:00
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journal_title：American journal of industrial medicine
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pub_type： 杂志文章
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更新日期：2009-12-01 00:00:00
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更新日期：2020-07-01 00:00:00
