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Patterns of pneumoconiosis mortality in Kentucky: Analysis of death certificate data
Background Mortality rates associated with total pneumoconiosis, including coal worker's pneumoconiosis (CWP), have remained elevated. Methods 2003–2013 pneumoconiosis mortality data obtained from National Center for Health Statistics and 2011–2013 Kentucky death certificates were analyzed. Res...
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Published in: | American journal of industrial medicine 2015-10, Vol.58 (10), p.1075-1082 |
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container_title | American journal of industrial medicine |
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creator | Beggs, Jake A. Slavova, Svetla Bunn, Terry L. |
description | Background
Mortality rates associated with total pneumoconiosis, including coal worker's pneumoconiosis (CWP), have remained elevated.
Methods
2003–2013 pneumoconiosis mortality data obtained from National Center for Health Statistics and 2011–2013 Kentucky death certificates were analyzed.
Results
Total pneumoconiosis mortality rates showed significant linear decreases in West Virginia, Pennsylvania, Kentucky, and the U.S. from 2003 to 2013; Pennsylvania and Kentucky had comparable rates in 2003 but while Pennsylvania rates significantly decreased ∼3.0 deaths/million annually, Kentucky rates decreased only 0.5/million annually. Kentucky and Pennsylvania CWP fatality rates were also comparable in 2003 but while Pennsylvania rates decreased 82% over the study period, Kentucky rates decreased only 26%. Kentucky pneumoconiosis deaths primarily occurred in white Appalachian males in‐hospital. Diseases leading to pneumoconiosis death were largely respiratory and cardiovascular, with autopsies rarely performed.
Conclusions
Coal worker environmental exposure protection should be enhanced and pneumoconiosis surveillance improvements, including enhanced management of comorbid conditions like COPD, should be considered. Am. J. Ind. Med. 58:1075–1082, 2015. © 2015 Wiley Periodicals, Inc. |
doi_str_mv | 10.1002/ajim.22511 |
format | article |
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Mortality rates associated with total pneumoconiosis, including coal worker's pneumoconiosis (CWP), have remained elevated.
Methods
2003–2013 pneumoconiosis mortality data obtained from National Center for Health Statistics and 2011–2013 Kentucky death certificates were analyzed.
Results
Total pneumoconiosis mortality rates showed significant linear decreases in West Virginia, Pennsylvania, Kentucky, and the U.S. from 2003 to 2013; Pennsylvania and Kentucky had comparable rates in 2003 but while Pennsylvania rates significantly decreased ∼3.0 deaths/million annually, Kentucky rates decreased only 0.5/million annually. Kentucky and Pennsylvania CWP fatality rates were also comparable in 2003 but while Pennsylvania rates decreased 82% over the study period, Kentucky rates decreased only 26%. Kentucky pneumoconiosis deaths primarily occurred in white Appalachian males in‐hospital. Diseases leading to pneumoconiosis death were largely respiratory and cardiovascular, with autopsies rarely performed.
Conclusions
Coal worker environmental exposure protection should be enhanced and pneumoconiosis surveillance improvements, including enhanced management of comorbid conditions like COPD, should be considered. Am. J. Ind. Med. 58:1075–1082, 2015. © 2015 Wiley Periodicals, Inc.</description><identifier>ISSN: 0271-3586</identifier><identifier>EISSN: 1097-0274</identifier><identifier>DOI: 10.1002/ajim.22511</identifier><identifier>PMID: 26374490</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anthracosis - mortality ; autopsies ; Coal Mining ; coal worker's pneumoconiosis ; comorbid conditions ; Death Certificates ; Female ; Humans ; Kentucky - epidemiology ; Male ; Middle Aged ; mortality rates ; pneumoconiosis ; Pneumoconiosis - mortality ; Retrospective Studies ; Young Adult</subject><ispartof>American journal of industrial medicine, 2015-10, Vol.58 (10), p.1075-1082</ispartof><rights>2015 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4641-765e37f3e73b3472688469661a5c31b16cba3f9b2c843a7943d171251739414a3</citedby><cites>FETCH-LOGICAL-c4641-765e37f3e73b3472688469661a5c31b16cba3f9b2c843a7943d171251739414a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26374490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beggs, Jake A.</creatorcontrib><creatorcontrib>Slavova, Svetla</creatorcontrib><creatorcontrib>Bunn, Terry L.</creatorcontrib><title>Patterns of pneumoconiosis mortality in Kentucky: Analysis of death certificate data</title><title>American journal of industrial medicine</title><addtitle>Am. J. Ind. Med</addtitle><description>Background
Mortality rates associated with total pneumoconiosis, including coal worker's pneumoconiosis (CWP), have remained elevated.
Methods
2003–2013 pneumoconiosis mortality data obtained from National Center for Health Statistics and 2011–2013 Kentucky death certificates were analyzed.
Results
Total pneumoconiosis mortality rates showed significant linear decreases in West Virginia, Pennsylvania, Kentucky, and the U.S. from 2003 to 2013; Pennsylvania and Kentucky had comparable rates in 2003 but while Pennsylvania rates significantly decreased ∼3.0 deaths/million annually, Kentucky rates decreased only 0.5/million annually. Kentucky and Pennsylvania CWP fatality rates were also comparable in 2003 but while Pennsylvania rates decreased 82% over the study period, Kentucky rates decreased only 26%. Kentucky pneumoconiosis deaths primarily occurred in white Appalachian males in‐hospital. Diseases leading to pneumoconiosis death were largely respiratory and cardiovascular, with autopsies rarely performed.
Conclusions
Coal worker environmental exposure protection should be enhanced and pneumoconiosis surveillance improvements, including enhanced management of comorbid conditions like COPD, should be considered. Am. J. Ind. Med. 58:1075–1082, 2015. © 2015 Wiley Periodicals, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anthracosis - mortality</subject><subject>autopsies</subject><subject>Coal Mining</subject><subject>coal worker's pneumoconiosis</subject><subject>comorbid conditions</subject><subject>Death Certificates</subject><subject>Female</subject><subject>Humans</subject><subject>Kentucky - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mortality rates</subject><subject>pneumoconiosis</subject><subject>Pneumoconiosis - mortality</subject><subject>Retrospective Studies</subject><subject>Young Adult</subject><issn>0271-3586</issn><issn>1097-0274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNqN0cFO3DAQBmALtYIt5cIDVJF6QZUCHtux495WiKW0sO2BwtFyvI7qJYkX2xHN2zdLgEMPiNMc_M0vj36EDgEfA8bkRK9de0xIAbCDZoClyDER7B2ajQNyWpR8D32IcY0xAONsF-0RTgVjEs_Q9S-dkg1dzHydbTrbt974zvnoYtb6kHTj0pC5Lvthu9Sbu-FrNu90M2zfx42V1elPZmxIrnZGJ5utdNIf0ftaN9EePM199Htxdn36Lb_8eX5xOr_MzfgNyAUvLBU1tYJWlAnCy5JxyTnowlCogJtK01pWxJSMaiEZXYGA8U5BJQOm6T46mnI3wd_3NibVumhs0-jO-j4qEIRAiakkb6BACyIm-vk_uvZ9GI9-VIRKibEc1ZdJmeBjDLZWm-BaHQYFWG1rUdta1GMtI_70FNlXrV290OceRgATeHCNHV6JUvPvF1fPofm042Kyf192dLhTXFBRqNvluVqUt8sbuFmoJf0HRVmkMw</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Beggs, Jake A.</creator><creator>Slavova, Svetla</creator><creator>Bunn, Terry L.</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>C1K</scope><scope>7X8</scope><scope>7U2</scope></search><sort><creationdate>201510</creationdate><title>Patterns of pneumoconiosis mortality in Kentucky: Analysis of death certificate data</title><author>Beggs, Jake A. ; Slavova, Svetla ; Bunn, Terry L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4641-765e37f3e73b3472688469661a5c31b16cba3f9b2c843a7943d171251739414a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anthracosis - mortality</topic><topic>autopsies</topic><topic>Coal Mining</topic><topic>coal worker's pneumoconiosis</topic><topic>comorbid conditions</topic><topic>Death Certificates</topic><topic>Female</topic><topic>Humans</topic><topic>Kentucky - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>mortality rates</topic><topic>pneumoconiosis</topic><topic>Pneumoconiosis - mortality</topic><topic>Retrospective Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beggs, Jake A.</creatorcontrib><creatorcontrib>Slavova, Svetla</creatorcontrib><creatorcontrib>Bunn, Terry L.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>Safety Science and Risk</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beggs, Jake A.</au><au>Slavova, Svetla</au><au>Bunn, Terry L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of pneumoconiosis mortality in Kentucky: Analysis of death certificate data</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am. J. Ind. Med</addtitle><date>2015-10</date><risdate>2015</risdate><volume>58</volume><issue>10</issue><spage>1075</spage><epage>1082</epage><pages>1075-1082</pages><issn>0271-3586</issn><eissn>1097-0274</eissn><abstract>Background
Mortality rates associated with total pneumoconiosis, including coal worker's pneumoconiosis (CWP), have remained elevated.
Methods
2003–2013 pneumoconiosis mortality data obtained from National Center for Health Statistics and 2011–2013 Kentucky death certificates were analyzed.
Results
Total pneumoconiosis mortality rates showed significant linear decreases in West Virginia, Pennsylvania, Kentucky, and the U.S. from 2003 to 2013; Pennsylvania and Kentucky had comparable rates in 2003 but while Pennsylvania rates significantly decreased ∼3.0 deaths/million annually, Kentucky rates decreased only 0.5/million annually. Kentucky and Pennsylvania CWP fatality rates were also comparable in 2003 but while Pennsylvania rates decreased 82% over the study period, Kentucky rates decreased only 26%. Kentucky pneumoconiosis deaths primarily occurred in white Appalachian males in‐hospital. Diseases leading to pneumoconiosis death were largely respiratory and cardiovascular, with autopsies rarely performed.
Conclusions
Coal worker environmental exposure protection should be enhanced and pneumoconiosis surveillance improvements, including enhanced management of comorbid conditions like COPD, should be considered. Am. J. Ind. Med. 58:1075–1082, 2015. © 2015 Wiley Periodicals, Inc.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26374490</pmid><doi>10.1002/ajim.22511</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Anthracosis - mortality autopsies Coal Mining coal worker's pneumoconiosis comorbid conditions Death Certificates Female Humans Kentucky - epidemiology Male Middle Aged mortality rates pneumoconiosis Pneumoconiosis - mortality Retrospective Studies Young Adult |
title | Patterns of pneumoconiosis mortality in Kentucky: Analysis of death certificate data |
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