Objectives-To study mortality patterns in the largest existing cohort of painters.
Methods-15 years of follow up were added to a study of 42 170 painters and 14 316 non-painters based on union records.
There were 23 458 deaths, compared with 5313 in the earlier follow up.
Comparisons with the United States population showed significantly increased rates in painters for lung cancer (standardised mortality ratio (SMR) 1.23,95% confidence interval (95% CI) 1.17 to 1.29), bladder cancer (SMR 1.23,95% CI 1.05 to 1.43), liver cancer (SMR 1.25,95% CI 1.03 to 1.50), and stomach cancer (SMR 1.39,95% CI 1.20 to 1.59).
However, in direct comparisons with non-painters only the excesses for lung cancer (SRR 1.23,95% CI 1.11 to 1.35, increasing to 1.32,95% Cl 16 to 1.93 with 20 years latency) and bladder cancer (SRR 1.77,95% CI 1.13 to 2.77) were confirmed.
Some confounding by smoking may affect these two outcomes, particularly with external referents.
Cirrhosis of the liver was increased for both painters and non-painters (SMRs 1.21,95% CI 1.07 to 1.35, and 1.26,95% CI 1.03 to 1.51, respectively), possibly indicating high alcohol consumption.
Suicide (SMR 1.21,95% CI 1.05 to 1.38) and homicide (SMR 1.36,95% CI 1.04 to 1.75) were increased for painters but not for non-painters ; neuropsychiatric diseases have been associated with painters in earlier studies. (...)
Mots-clés Pascal : Exposition professionnelle, Médecine travail, Composé chimique, Toxique, Toxicité, Tumeur maligne, Mortalité, Peintre en bâtiment, Homme, Etude cohorte, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Etiologie, Risque, Evaluation, Etude longitudinale
Mots-clés Pascal anglais : Occupational exposure, Occupational medicine, Chemical compound, Poison, Toxicity, Malignant tumor, Mortality, House painter, Human, Cohort study, Epidemiology, United States, North America, America, Etiology, Risk, Evaluation, Follow up study
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0233670
Code Inist : 002B03L06. Création : 16/11/1999.