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Document ID (ISN)78513
CIS number 02-678
ISSN - Serial title 1076-2752 - Journal of Occupational and Environmental Medicine
Year 2001
Convention or series no.
Author(s) Park R.M.
Title Medical insurance claims and surveillance for occupational disease: Analysis of respiratory, cardiac, and cancer outcomes in auto industry tool grinding operations
Bibliographic information Apr. 2001, Vol.43, No.4, p.335-346. 41 ref.
Abstract To evaluate medical insurance claims for chronic disease investigation, claims from eight automotive machining plants (1984 to 1993) were linked with work histories (1967 to 1993), and associations with respiratory, cardiac, and cancer conditions were investigated in a case-control study. The primary focus was tool grinding, but metalworking, welding, forging, heat treating, engine testing, and diverse-skilled trades work were also investigated. Asthma incidence increased in tool grinding (at mean cumulative duration: odds ratio (OR), 3.0), as did non-ischaemic heart disease (OR 3.1). These trends appeared in models with deficits (OR <1.0) for those ever exposed to tool grinding because of exposure-response miss-specification, demographic confounding, or removal of high-risk workers from the exposed group. The apparent cancer rates identified from claims greatly exceeded the expected rates from a cancer registry, suggesting that diagnostic, "rule-out," and surveillance functions were contributing.
Descriptors (primary) morbidity; respiratory diseases; motor vehicle industry; heart diseases; cancer; tool grinders
Descriptors (secondary) asthma; frequency rates; cohort study
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Metal production and metalworking
Broad subject area(s) Occupational medicine, epidemiology
Browse category(ies) Cardiovascular diseases
Motor vehicle manufacturing industry
Diseases of the respiratory system (except for pneumoconiosis & similar)