Objectives-To investigate the question of whether there is an association between exposure to silica or respirable glass fibre and mortality from nephritis or nephrosis among workers in fibrous glass wool manufacturing facilities.
Methods-A case-control study with cases and controls derived from the Owens Corning mortality surveillance system.
Two case-control analyses were carried out, one where the cases are defined with nephritis or nephrosis as the underlying cause of death and one where cases are defined as those where nephritis or nephrosis is either the underlying or a contributing cause of death.
There is no consistent relation between respirable fibres or respirable silica and nephritis or nephrosis when the analysis is based either on underlying cause only or on underlying plus contributing cause of death.
None of the socio-demographic variables considered suggests an increased risk when considering both underlying and contributing cause of death.
Conclusions-These data would seem to support the contention that the most accurate picture of renal disease will be gained from the use of all information on the death certificate and not only the underlying cause.
For these data, all odds ratios (ORs) for respirable fibres and silica based on both underlying and contributing cause of death are<1 with the exception of the highest exposure to silica which is slightly>1 (OR=1.04)). (...)
Mots-clés Pascal : Exposition professionnelle, Médecine travail, Fibre verre, Rein pathologie, Mortalité, Certificat décès, Recherche rétrospective, Toxicité, Industrie matériau construction, Homme, Facteur risque, Silice, Appareil urinaire pathologie
Mots-clés Pascal anglais : Occupational exposure, Occupational medicine, Glass fiber, Kidney disease, Mortality, Death certificate, Retrospective searching, Toxicity, Building material industry, Human, Risk factor, Silica, Urinary system disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0158384
Code Inist : 002B03L03. Création : 16/11/1999.