Objectives-To investigate whether residents near cokeworks have a higher standardised mortality than those further away, particularly from cardiovascular and respiratory causes, which may be associated with pollution from cokeworks.
Method-Cross sectional small area study with routinely collected postcoded mortality data and small area census statistics.
Populations within 7.5 km of 22 cokeworks in Great Britain, 1981-92.
Expected numbers of deaths within 2 and 7.5 km of cokeworks, and in eight distance bands up to 7.5 km of cokeworks, were calculated by indirect standardisation from national rates stratified for age and sex and a small area deprivation index, and adjusted for region.
Age groups examined were all ages, 1-14,15-64,65-74, >=75.
Only the 1-14 and 15-44 age groups were examined for asthma mortality.
There was a 3% (95% confidence interval (95% CI) 1% to 4%) excess of all deaths within 2 km of cokeworks, and a significant decline in mortality with distance from cokeworks.
The excess of deaths within 2 km was slightly higher for females and elderly people, but excesses within 2 km and declines in risk with distance were significant for all adult age groups and both sexes.
The size of the excess within 2 km was 5% (95% CI 3% to 7%) for cardiovascular causes, 6% (95% CI 3% to 9%) for ischaemic heart disease, and 2% (95% CI - 2% to 6%) for respiratory deaths, with significant declines in risk with distance for all these causes. (...)
Mots-clés Pascal : Exposition, Environnement, Zone industrielle, Mortalité, Certificat décès, Homme, Industrie charbonnière, Etiologie, Pollution air, Epidémiologie, Royaume Uni, Europe, Facteur risque, Analyse statistique
Mots-clés Pascal anglais : Exposure, Environment, Industrial area, Mortality, Death certificate, Human, Coal industry, Etiology, Air pollution, Epidemiology, United Kingdom, Europe, Risk factor, Statistical analysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0100784
Code Inist : 002B03L03. Création : 16/11/1999.