Employment characteristics and cause-specific mortality at automotive electronics manufacturing plants in Huntsville, Alabama.


Journal

American journal of industrial medicine
ISSN: 1097-0274
Titre abrégé: Am J Ind Med
Pays: United States
ID NLM: 8101110

Informations de publication

Date de publication:
04 2019
Historique:
received: 23 06 2018
revised: 25 01 2019
accepted: 01 02 2019
pubmed: 23 2 2019
medline: 16 7 2020
entrez: 22 2 2019
Statut: ppublish

Résumé

This study was carried out in response to worker concerns over their exposure to lead solder and chlorinated solvents at automotive electronics manufacturing plants in Huntsville, Alabama. A study of 4396 United Autoworkers members ever-employed at the plants between 1972 and 1993 was conducted with mortality follow-up through 2016. Poisson regression was used to estimate mortality rate ratios (RR) according to employment characteristics, including calendar period of employment. Pre-1977 hires exhibited elevated adjusted rates of all-cause (RR, 1.29; 95% confidence interval [CI], 1.09-1.52), cardiovascular (RR, 1.38; 95% CI, 1.03-1.86), and digestive system (RR, 2.31; 95% CI, 1.04-5.10) disease mortality relative to the most recent hire group (1984-1993). Never- versus ever-employment in a skilled trade job was associated with elevated adjusted rates of all-cause, all-cancer, and cardiovascular disease mortality. Nervous system disorder mortality was greatest among 1977-1983 hires. Elevated mortality among pre-1977 hires is consistent with worker concerns over greater exposure to hazards at the original plant building.

Sections du résumé

BACKGROUND
This study was carried out in response to worker concerns over their exposure to lead solder and chlorinated solvents at automotive electronics manufacturing plants in Huntsville, Alabama.
METHODS
A study of 4396 United Autoworkers members ever-employed at the plants between 1972 and 1993 was conducted with mortality follow-up through 2016. Poisson regression was used to estimate mortality rate ratios (RR) according to employment characteristics, including calendar period of employment.
RESULTS
Pre-1977 hires exhibited elevated adjusted rates of all-cause (RR, 1.29; 95% confidence interval [CI], 1.09-1.52), cardiovascular (RR, 1.38; 95% CI, 1.03-1.86), and digestive system (RR, 2.31; 95% CI, 1.04-5.10) disease mortality relative to the most recent hire group (1984-1993). Never- versus ever-employment in a skilled trade job was associated with elevated adjusted rates of all-cause, all-cancer, and cardiovascular disease mortality. Nervous system disorder mortality was greatest among 1977-1983 hires.
CONCLUSIONS
Elevated mortality among pre-1977 hires is consistent with worker concerns over greater exposure to hazards at the original plant building.

Identifiants

pubmed: 30791109
doi: 10.1002/ajim.22963
doi:

Substances chimiques

Solvents 0
Trichloroethanes 0
fiberglass 0
1,1,1-trichloroethane 113C650IR1
Asbestos 1332-21-4
Trichloroethylene 290YE8AR51
Lead 2P299V784P

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

296-308

Subventions

Organisme : North Carolina Occupational Safety and Health Education Research Center
ID : 5-T42-OH008673-11
Pays : International

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Auteurs

Nathan DeBono (N)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

David Richardson (D)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Alex Keil (A)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Kaitlin Kelly-Reif (K)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Whitney Robinson (W)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Melissa Troester (M)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Stephen Marshall (S)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

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