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      Magnitude of asbestos-related lung cancer mortality in Italy

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          Abstract

          An ecological study, based on a data set containing all lung and pleural cancer deaths in each Italian municipality in the period 1980–2001, was performed. The pleural to lung cancer ratio was estimated to be 1 : 1 and 3% (around 700) of all male lung cancer deaths were found to be asbestos-related.

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          Proportion of lung and bladder cancers in males resulting from occupation: a systematic approach.

          P. Vineis, L Simonato (2015)
          Studies conducted in several countries that investigated the relationship of occupation and cancer in men were reviewed and compared. Estimates of the proportion of cancers due to occupational exposure that occurred in the general population were analyzed, and sources of variation were explored. A systematic and standardized evaluation of studies on lung and bladder cancer were undertaken, and only investigations that allowed for confounding from tobacco smoking were included. The proportion of lung cancers attributable to occupation ranged between 1 and 5% (when considering only exposure to asbestos) and 40% (in a study with a high proportion of subjects exposed to ionizing radiation); for bladder cancer, estimates were between 0 and 3% in a few studies and between 16 and 24% in several investigations. No similar attempt of systematic comparison was possible for other cancers.
          Article 0 comments Cited 24 times – based on 0 reviews     Review now
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            Asbestos and cancer: An overview of current trends in Europe.

            M Albin, C Magnani, S Krstev … (1999)
            This review assesses the contribution of occupational asbestos exposure to the occurrence of mesothelioma and lung cancer in Europe. Available information on national asbestos consumption, proportions of the population exposed, and exposure levels is summarized. Population-based studies from various European regions on occupational asbestos exposure, mesothelioma, and lung cancer are reviewed. Asbestos consumption in 1994 ranged, per capita, between 0. 004 kg in northern Europe and 2.4 kg in the former Soviet Union. Population surveys from northern Europe indicate that 15 to 30% of the male (and a few percent of the female) population has ever had occupational exposure to asbestos, mainly in construction (75% in Finland) or in shipyards. Studies on mesothelioma combining occupational history with biologic exposure indices indicate occupational asbestos exposure in 62 to 85% of the cases. Population attributable risks for lung cancer among males range between 2 and 50% for definite asbestos exposure. After exclusion of the most extreme values because of methodologic aspects, most of the remaining estimates are within the range of 10 to 20%. Estimates of women are lower. Extrapolation of the results to national figures would decrease the estimates. Norwegian estimates indicate that one-third of expected asbestos-related lung cancers might be avoided if former asbestos workers quit smoking. The combination of a current high asbestos consumption per capita, high exposure levels, and high underlying lung cancer rates in Central Europe and the former Soviet Union suggests that the lung cancers will arise from the smoking-asbestos interaction should be a major concern.
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              [Deprivation and mortality: a deprivation index suitable for geographical analysis of inequalities].

              E Cadum, Patrícia G. G. Costa, A B Biggeri … (2016)
              FOREGROUND: A national deprivation index suitable for geographical analysis of inequalities in health is not yet available in Italy, although the link between deprivation and health has been clearly demonstrated in our country in a number of studies. 1) To describe a deprivation index in Italy at municipal level, based on the percentage of selected census variables (simple components) 2) To analyse general mortality according to deprivation categories at municipal level in Italy 3) To measure the size of ecological bias using the Turin Longitudinal Study. Italy (1-2), Turin (3). 1) 1991 census data base at municipal level 2) General mortality in Italy by municipality and age bands in 1990-92. 3) Turin Longitudinal study 1991-1995. 1) Percentages of selected indicators of inequalities for all the 8.100 Italian municipalities present at 1991 census were calculated. Factorial analysis were performed in order to help in selecting the most valuable ones. The final choice led to five indicators (low education, unemployment, rented occupier housing, no indoor bathroom, lone parent with childhood). A simple additive index was computed using the method of the sum of normal standard deviates of each component 2) Correlation of indexes with mortality was performed; SMR for each deprivation category were computed; 3) Computation of the index at different levels: individual (one million individuals), census ward (3657 wards), statistic zone (92 statistic zones), two neighborough levels (23 and 10 neighboroughs) was conducted; differential analysis was performed for each level and index category, allowing for comparison among results, adjusting for age. Increasing deprivation was significantly associated with mortality from all causes: there was up to a 20 percent increase in mortality between the highest and lowest quintile. The relationship was linear with no apparent threshold. The slope of the relationship between deprivation and mortality varied among regions. Differentials in inequalities measured by individual and census tract level resulted to be very small; ecological bias arises when larger areas are taken into account. An area based measure of deprivation has proved a valuable tool in examining differentials in death and is likely to prove of continuing value to health authorities in planning the delivery of health care.
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                Author and article information

                Journal
                Journal ID (nlm-ta): Br J Cancer
                Title: British Journal of Cancer
                Publisher: Nature Publishing Group
                ISSN (Print): 0007-0920
                ISSN (Electronic): 1532-1827
                Publication date (Electronic): 24 June 2008
                Publication date Collection: 01 July 2008
                Publication date (Print): 08 July 2008
                Volume: 99
                Issue: 1
                Pages: 173-175
                Affiliations
                [1 ]Epidemiology Unit, Department of Occupational Medicine, Italian National Institute for Occupational Safety and Prevention, Via Alessandria 220/E Rome 00198, Italy
                [2 ]Unit of Toxicology and Biomedical Sciences, Italian National Agency for New Technologies, Energy and the Environment, Via Anguillarese 301, S.Maria di Galeria Rome 00060, Italy
                Author notes
                [* ]Author for correspondence: alessandro.marinaccio@ 123456ispesl.it
                Article
                Publisher Item ID: 6604450
                DOI: 10.1038/sj.bjc.6604450
                PMC ID: 2453024
                PubMed ID: 18577986
                SO-VID: e4a8f78b-552d-4db1-8001-03988f6e2c1b
                Copyright © Copyright 2008, Cancer Research UK
                History
                Date revision received : 21 April 2008
                Date accepted : 22 May 2008
                Categories
                Subject: Epidemiology

                ScienceOpen disciplines: Oncology & Radiotherapy
                Keywords: lung cancer,asbestos,mortality,pleural cancer,italy
                Data availability:
                ScienceOpen disciplines: Oncology & Radiotherapy
                Keywords: lung cancer, asbestos, mortality, pleural cancer, italy

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