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Is outdoor work associated with elevated rates of cerebrovascular disease mortality? : a cohort study based on iron-ore mining

Björ, Ove (author)
Umeå universitet,Onkologi
Jonsson, Håkan (author)
Umeå universitet,Onkologi
Damber, Lena (author)
Umeå universitet,Onkologi
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Burström, Lage (author)
Umeå universitet,Yrkes- och miljömedicin,Arcum
Nilsson, Tohr (author)
Umeå universitet,Yrkes- och miljömedicin,Arcum
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 (creator_code:org_t)
2016-08-26
2016
English.
In: Journal of Occupational Medicine and Toxicology. - : Springer Science and Business Media LLC. - 1745-6673. ; 11
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • BACKGROUND: A cohort study that examined iron ore mining found negative associations between cumulative working time employed underground and several outcomes, including mortality of cerebrovascular diseases. In this cohort study, and using the same group of miners, we examined whether work in an outdoor environment could explain elevated cerebrovascular disease rates.METHODS: This study was based on a Swedish iron ore mining cohort consisting of 13,000 workers. Poisson regression models were used to generate smoothed estimates of standardized mortality ratios and adjusted rate ratios, both models by cumulative exposure time in outdoor work.RESULTS: The adjusted rate ratio between employment classified as outdoor work ≥25 years and outdoor work 0-4 years was 1.62 (95 % CI 1.07-2.42). The subgroup underground work ≥15 years deviated most in occurrence of cerebrovascular disease mortality compared with the external reference population: SMR (0.70 (95 % CI 0.56-0.85)).CONCLUSIONS: Employment in outdoor environments was associated with elevated rates of cerebrovascular disease mortality. In contrast, work in tempered underground employment was associated with a protecting effect.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Poisson regression
Occupation
Standardized mortality ratio
Mortality
Cohort study
Mining

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ref (subject category)
art (subject category)

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Björ, Ove
Jonsson, Håkan
Damber, Lena
Burström, Lage
Nilsson, Tohr
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MEDICAL AND HEALTH SCIENCES
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Umeå University

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