Literature DB >> 27604876

Mortality and cancer morbidity among cement production workers: a meta-analysis.

Francesca Donato1, Giacomo Garzaro1, Enrico Pira1, Paolo Boffetta2.   

Abstract

OBJECTIVES: To analyze overall and cause-specific mortality, especially from cancer, among cement production workers.
INTRODUCTION: Results from some epidemiological studies suggested an increased risk of overall mortality and of stomach cancer associated with employment in the cement production, but the presence of a hazard and, if present, the magnitude of a risk have not been precisely quantified. We conducted a systematic review and meta-analysis of data on mortality from all causes, cardiovascular or respiratory diseases, and cancer among cement workers.
METHODS: The literature search in PubMed and Scopus up to February 2016 and with appropriate keywords on mortality among cement workers revealed 188 articles which were screened. A total of 117 articles were reviewed in full text and 12 articles, referring to 11 study populations, were found to be relevant and of sufficient quality for further analysis. Meta-analyses were performed using a random-effects model.
RESULTS: Eight cohort studies, one proportionate mortality study, and two case-control studies were identified. The summary RRs were 0.89 [95 % confidence interval (CI) 0.76-1.01] for all-cause mortality, 0.94 (95 %, CI 0.80-1.08) for cancer mortality, 1.07 (95 % CI 0.79-1.35) for lung cancer mortality, and 0.93 (95 % CI 0.70-1.17) for stomach cancer mortality, respectively. Significant heterogeneity in results was observed among studies.
CONCLUSION: The present meta-analysis does not provide evidence of increased risk of overall mortality, as well as cancer, cardiovascular or respiratory mortality in relation to employment in cement production.

Entities:  

Keywords:  Cancer; Cement dust; Cement production; Epidemiology; Mortality

Mesh:

Year:  2016        PMID: 27604876     DOI: 10.1007/s00420-016-1167-x

Source DB:  PubMed          Journal:  Int Arch Occup Environ Health        ISSN: 0340-0131            Impact factor:   3.015


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