Estimation of Occupational Exposure to Asbestos in Italy by the Linkage of Mesothelioma Registry (ReNaM) and National Insurance Archives. Methodology and Results
| Autor: | Domenica Cavone, Sara Piro, Chiara Airoldi, Alessandro Marinaccio, Elisa Romeo, Antonio Romanelli, Carlo Sciacchitano, Enrica Migliore, Elisabetta Chellini, Carolina Mensi, Giorgia Stoppa, Daniela Ferrante, Lucia Miligi, Corrado Magnani, Stefania Massari |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Occupational cancer
National Health Programs gastrointestinal cancer Health Toxicology and Mutagenesis lcsh:Medicine medicine.disease_cause Article Occupational safety and health Asbestos 03 medical and health sciences 0302 clinical medicine Occupational Exposure Environmental health Humans Industry Medicine Registries 030212 general & internal medicine Mesothelioma Estimation National Insurance business.industry lcsh:R Public Health Environmental and Occupational Health larynx cancer Cancer asbestos medicine.disease 030210 environmental & occupational health occupational cancer lung cancer ovarian cancer Italy mesothelioma record linkage business Record linkage |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 3 International Journal of Environmental Research and Public Health, Vol 17, Iss 3, p 1020 (2020) |
| Popis: | The identification and monitoring of occupational cancer is an important aspect of occupational health protection. The Italian law on the protection of workers (D. Leg. 81/2008) includes different cancer monitoring systems for high and low etiologic fraction tumors. Record linkage between cancer registries and administrative data is a convenient procedure for occupational cancer monitoring. We aim to: (i) Create a list of industries with asbestos exposure and (ii) identify cancer cases who worked in these industries. The Italian National Mesothelioma Registry (ReNaM) includes information on occupational asbestos exposure of malignant mesothelioma (MM) cases. We developed using data from seven Italian regions a methodology for listing the industries with potential exposure to asbestos linking ReNaM to Italian National Social Security Institute (INPS) data. The methodology is iterative and adjusts for imprecision and inaccuracy in reporting firm names at interview. The list of asbestos exposing firms was applied to the list of cancer cases (all types associated or possibly associated with asbestos according to International Agency for Research on Cancer (IARC) monograph 100C) in two Italian regions for the indication of possible asbestos exposure. Eighteen percent of the cancer cases showed at least one work period in firms potentially exposing to asbestos, 48% of which in regions different from where the cases lived at diagnosis. The methodology offers support for the preliminary screening of asbestos exposing firms in the occupational history of cancer cases. |
| Databáze: | OpenAIRE |
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