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Title: Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey

Abstract

The prevalence of occupational pleural thickening in the United States in the mid-1970s was estimated; since asbestos often reduces pleural thickening, this estimate in turn was used to estimate the presence of asbestos exposure. Chest x-rays obtained by the 1971-1975 National Health and Nutrition Examination Survey were reread by three readers using the International Labour Office criteria for diagnosis of pleural thickening consistent with dust exposure. All 289 x-rays showing any pleural abnormalities plus a 3-to-1 age-, sex-, and race-matched control series were reread. Using two of three readings as positive, and extrapolating to the US population from this defined sample, the authors showed that 2.3% of males and 0.2% of females had occupational pleural thickening on x-ray, with a strong increase with age in white males. This provides a US population estimate of 1.3 million people with occupational pleural thickening and approximately 8 million people with asbestos exposure in the mid-1970s. This cohort might make a substantial contribution to cancer mortality into the next century.

Authors:
; ; ;
Publication Date:
Research Org.:
National Institute of Environmental Health Sciences, Research Triangle Park, NC (USA)
OSTI Identifier:
7024570
Resource Type:
Journal Article
Journal Name:
Am. J. Epidemiol.; (United States)
Additional Journal Information:
Journal Volume: 126:5
Country of Publication:
United States
Language:
English
Subject:
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.; 62 RADIOLOGY AND NUCLEAR MEDICINE; ASBESTOS; TOXICITY; CHEST; BIOMEDICAL RADIOGRAPHY; LUNGS; PATHOLOGICAL CHANGES; RESPIRATORY SYSTEM DISEASES; DIAGNOSIS; AGE DEPENDENCE; INHALATION; OCCUPATIONAL EXPOSURE; SEX DEPENDENCE; X RADIATION; BODY; BODY AREAS; DIAGNOSTIC TECHNIQUES; DISEASES; ELECTROMAGNETIC RADIATION; INTAKE; IONIZING RADIATIONS; MEDICINE; NUCLEAR MEDICINE; ORGANS; RADIATIONS; RADIOLOGY; RESPIRATORY SYSTEM; 560300* - Chemicals Metabolism & Toxicology; 550602 - Medicine- External Radiation in Diagnostics- (1980-)

Citation Formats

Rogan, W J, Gladenn, B C, Ragan, B, and Anderson, H A. Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey. United States: N. p., 1987. Web.
Rogan, W J, Gladenn, B C, Ragan, B, & Anderson, H A. Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey. United States.
Rogan, W J, Gladenn, B C, Ragan, B, and Anderson, H A. Sun . "Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey". United States.
@article{osti_7024570,
title = {Prevalence of occupational pleural thickening: a look at chest x-rays from the first National Health and Nutrition Examination Survey},
author = {Rogan, W J and Gladenn, B C and Ragan, B and Anderson, H A},
abstractNote = {The prevalence of occupational pleural thickening in the United States in the mid-1970s was estimated; since asbestos often reduces pleural thickening, this estimate in turn was used to estimate the presence of asbestos exposure. Chest x-rays obtained by the 1971-1975 National Health and Nutrition Examination Survey were reread by three readers using the International Labour Office criteria for diagnosis of pleural thickening consistent with dust exposure. All 289 x-rays showing any pleural abnormalities plus a 3-to-1 age-, sex-, and race-matched control series were reread. Using two of three readings as positive, and extrapolating to the US population from this defined sample, the authors showed that 2.3% of males and 0.2% of females had occupational pleural thickening on x-ray, with a strong increase with age in white males. This provides a US population estimate of 1.3 million people with occupational pleural thickening and approximately 8 million people with asbestos exposure in the mid-1970s. This cohort might make a substantial contribution to cancer mortality into the next century.},
doi = {},
journal = {Am. J. Epidemiol.; (United States)},
number = ,
volume = 126:5,
place = {United States},
year = {1987},
month = {11}
}