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. 2012 Jan 10;106(3):575–584. doi: 10.1038/bjc.2011.563

Table 2. Cohorts with exposure to mixed asbestos fibres: lung cancer and mesothelioma mortality and ratio estimates.

No. Cohort description (reference) N % Male Smoking adjustment Total deaths Lung cancer deaths (OLC) Lung cancer SMR Mesothelioma deaths (OM) Ratio R1 Ratio R2
Mixed (or unspecified) asbestos types
 37 Belgian asbestos-cement factory (Lacquet et al, 1980) 1973 100 N 201 17 0.99 1 −0.2 −0.3
 38 Devonport dockyard, UK (Rossiter and Coles, 1980) 6292 100 N 1043 84 0.84 31 −0.5 −0.5
 39 Danish asbestos-cement factory (Clemmesen and Hjalgrim-Jensen, 1981) 6372 100 N 47 1.72 3 6.6
 40 Pennsylvania textile, USA. Mostly chrysotile, some amosite, small amounts crocidolite (McDonald et al, 1983) 4137 100 N 1392 57 1.05 13 0.2 0.5
 41 Ontario cement workers, Canada (Finkelstein, 1984) 535 100 N 108 26 4.89 17 1.2 1.6
 42 Swedish rail maintenance (Ohlson et al, 1984) 3297 100 N 925 37 1.16 5 1.0 3.0
 43 Pearl Harbour naval shipyard, USA (Kolonel et al, 1985) 5191 100 C 668 122 1.09 8 1.2 0.7
 44 Paray-Le-Monial cement factory, France (Alies-Patin and Valleron, 1985) 1506 100 N 206 12 2.18 4 1.6 5.8
  German asbestos workers (Woitowitz et al, 1986)   NS N            
 45  (a) Exposed before 1972 only 655     71 12 4.62 6 1.6 3.6
 46  (b) Exposed before and after 1972 3070     185 26 1.70 6 1.8 2.0
 47 Gothenburg shipyard, Sweden (Sanden and Jarvholm, 1987) 3787 100 N 11 1.12 4 0.3
 48 Mixed industry, Johns Manville retirees, USA (Enterline et al, 1987) 1074 100 N 944 77 2.71 8 6.1 20.2
 49 Cement, New Orleans Plant 1, USA. Primarily chrysotile, irregular use of amosite and crocidolite (Hughes et al, 1987) 1898 100 C 477 47 1.17 2 3.4 4.0
 50 Finnish shipyard workers (Tola et al, 1988) 7775 100 C 227 1.18 1 34.9
 51 Southern Sweden cement workers (Albin et al, 1990) 1465 100 N 592 35 1.80 13 1.2 3.5
 52 Asbestos insulation union, USA–Canada (Selikoff and Seidman, 1991) 17 800 100 N 4951 1168 4.35 458 2.0 2.6
 53 Italian rail carriage construction (Menegozzo et al, 1993) 1534 100 N 194 28 1.45 5 1.7 1.6
 54 Emilia Romagna cement factory, Italy. Chrysotile and 5–50% crocidolite (Giaroli et al, 1994) 3341 100 N 274 33 1.24 6 1.1 1.1
 55 Danish Eternit cement factory, 90% chrysotile, amosite and small amounts crocidolite (Raffn et al, 1996) 7996 100 C 1305 104 1.83 10 4.7 10.3
 56 East London asbestos workers UK (Berry et al, 2000) of which: 5100   N 1237 233 3.03 100 1.6 2.0
 57 As for 56: East London laggers 1400 100 N 38 3.67 13 2.1
 58 As for 56: East London men 3000 100 N 157 2.55 60 1.6
 59 As for 56: East London women 700 0 N 37 7.46 25 1.3
 60 Genoa shipyard, Italy (Puntoni et al, 2001) 3984 100 C 2376 298 1.77 60 2.2 2.8
 61 Lithuania cement, Naujoji Akmeme Lithuania (Smailyte et al, 2004) 2498 69 N 450 38 1.40 1 10.9 17.5
 62 Ontario pipe trade, Canada (Finkelstein and Verma, 2004) 25 285 100 N 2876 393 1.23 8 9.1 8.0
 63 US Coast Guard shipyard workers (Krstev et al, 2007) 4702 94 N 3331 314 1.26 6 11.0 14.4
 64 Grugliasco textile Italy. Mixed asbestos with crocidolite (Pira et al, 2007) 1966 45 N 730 109 3.11 68 1.1 1.8
 65 Breda Pistoia railway rolling factory, Italy (Gasparrini et al, 2008) 1146 100 N 1080 132 1.36 16 2.2 2.3
  Great Britain Asbestos Survey (Harding, 2010)                  
 66  Men 94 403 100 C 14 677 1802 1.28a 631 0.6 0.6
 67  Women 4509 0   880 84 1.29a 18 1.1 1.4
 68 Japanese shipyard (laggers and boiler repairers) (Tomioka et al, 2011) 249 100 C 158 15 1.97 1 7.4 14.5

Abbreviations: A=adjusted; C=smoking prevalence in cohort comparable to the general population; N=none or not mentioned; SMR=standardised mortality ratio.

a

Proportional mortality ratio reported rather than SMR.