All-cause and cause specific mortality in a cohort of 20 000 construction workers; results from a 10 year follow up.
نویسندگان
چکیده
BACKGROUND Construction workers are potentially exposed to many health hazards, including human carcinogens such as asbestos, silica, and other so-called "bystander" exposures from shared work places. The construction industry is also a high risk trade with respect to accidents. METHODS A total of 19 943 male employees from the German construction industry who underwent occupational health examinations between 1986 and 1992 were followed up until 1999/2000. RESULTS A total of 818 deaths occurred during the 10 year follow up (SMR 0.71; 95% CI 0.66 to 0.76). Among those were 299 deaths due to cancer (SMR 0.89; 95% CI 0.79 to 1.00) and 312 deaths due to cardiovascular diseases (SMR 0.59; 95% CI 0.51 to 0.68). Increased risk of mortality was found for non-transport accidents (SMR 1.61; 95% CI 1.15 to 2.27), especially due to falls (SMR 1.87; 95% CI 1.18 to 2.92) and being struck by falling objects (SMR 1.90; 95% CI 0.88 to 3.64). Excess mortality due to non-transport accidents was highest among labourers and young and middle-aged workers. Risk of getting killed by falling objects was especially high for foreign workers (SMR 4.28; 95% CI 1.17 to 11.01) and labourers (SMR 6.01; 95% CI 1.63 to 15.29). CONCLUSION Fatal injuries due to falls and being struck by falling objects pose particular health hazards among construction workers. Further efforts are necessary to reduce the number of fatal accidents and should address young and middle-aged, semi-skilled and foreign workers, in particular. The lower than expected cancer mortality deserves careful interpretation and further follow up of the cohort.
منابع مشابه
بررسی اپیدمیولوژیک مرگ های ناشی از حوادث شغلی...
Background & Aim: Trauma is the leading cause of death in patients has 3-44 of years olds. According to the report of the International Labor Organization (ILO), 1.1 million work-related deaths occur every year. Severity and prevalence of work related hazards are more obvious in developing countries. We conducted the study for better understanding of work-related mortality in Tehran. Materi...
متن کاملConstruction work and risk of occupational disability: a ten year follow up of 14,474 male workers.
AIMS Most industrialised countries have public income maintenance programmes to protect workers in case of disability but studies addressing disability risk of specific professional groups are rare. The objective of this study was to establish a detailed pattern of the nature and extent of occupational disability among construction workers. METHODS A cohort study was set up including 14,474 m...
متن کاملAge at exposure to ionising radiation and cancer mortality among Hanford workers: follow up through 1994.
BACKGROUND Studies of workers at the plutonium production factory in Hanford, WA have led to conflicting conclusions about the role of age at exposure as a modifier of associations between ionising radiation and cancer. AIMS To evaluate the influence of age at exposure on radiation risk estimates in an updated follow up of Hanford workers. METHODS A cohort of 26 389 workers hired between 19...
متن کاملA 37-year observation of mortality in Chinese chrysotile asbestos workers.
OBJECTIVES This 37-year prospective cohort study was undertaken to provide additional evidence for mortality risks associated with exposure to chrysotile asbestos. METHODS 577 asbestos workers and 435 control workers in original cohorts were followed from 1972 to 2008, achieving a follow-up rate of 99% and 73%, respectively. Morality rates were determined based on person-years of observation....
متن کاملPostservice mortality in Vietnam veterans: 30-year follow-up.
BACKGROUND During the 1980s, the postservice mortality component of the Vietnam Experience Study was conducted to examine the health effects of the Vietnam experience. This study was limited by the relatively short follow-up and the young age of the veterans. Thus, a follow-up mortality investigation on this cohort was undertaken to further assess the impact of the Vietnam experience on chronic...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Occupational and environmental medicine
دوره 61 5 شماره
صفحات -
تاریخ انتشار 2004