Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark

OBJECTIVES: Diffuse malignant mesothelioma (MM) is mainly caused by asbestos inhalation. The malignancy is rare among women and studies of the prevalence and causative role of non-occupational asbestos exposure among women with MM are scarce. This observational study aimed to elucidate the asbestos...

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Main Authors: Vasiliki Panou, Mogens Vyberg, Christos Meristoudis, Johnni Hansen, Martin Bøgsted, Øyvind Omland, Ulla Møller Weinreich, Oluf Dimitri Røe
Format: Article
Language:English
Published: Nordic Association of Occupational Safety and Health (NOROSH) 2019-01-01
Series:Scandinavian Journal of Work, Environment & Health
Subjects:
Online Access: https://www.sjweh.fi/show_abstract.php?abstract_id=3756
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author Vasiliki Panou
Mogens Vyberg
Christos Meristoudis
Johnni Hansen
Martin Bøgsted
Øyvind Omland
Ulla Møller Weinreich
Oluf Dimitri Røe
author_facet Vasiliki Panou
Mogens Vyberg
Christos Meristoudis
Johnni Hansen
Martin Bøgsted
Øyvind Omland
Ulla Møller Weinreich
Oluf Dimitri Røe
author_sort Vasiliki Panou
collection DOAJ
description OBJECTIVES: Diffuse malignant mesothelioma (MM) is mainly caused by asbestos inhalation. The malignancy is rare among women and studies of the prevalence and causative role of non-occupational asbestos exposure among women with MM are scarce. This observational study aimed to elucidate the asbestos exposure patterns among women with MM. METHODS: All histological and cytological specimens from women diagnosed with MM between 1974–2015 at the Institute of Pathology, Aalborg University Hospital in Denmark, were re-evaluated. Occupational and habitation information were obtained from Danish registries and medical journals based on record linkage via the unique person ID. The number of MM cases in each parish in the region of North Jutland was determined and the incidence density in parishes was used to calculate the spatial relative risk (RR) of MM among women. RESULTS: Diagnosis of MM was confirmed in 91 women. Exposure types were classified as occupational (9%), domestic (10%), environmental (22%), combination of domestic and environmental (34%) and unknown (25%). Twenty continuous parishes formed a MM “hotspot” around the asbestos-consuming industries in the city of Aalborg. Of these, the maximum RR was found in a parish housing an asbestos factory [RR 10.5, 95% confidence interval (CI) 5.5–19.4, environmental exposure in particular RR 2.9, 95% CI 0.7–6.1]. CONCLUSION: Non-occupational asbestos exposure is the main cause of MM and may account for up to 66% of MM cases among women in North Jutland, Denmark.
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spelling doaj.art-3671f6075e7c455d9c2af2a0561f4b112022-12-21T21:29:49ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2019-01-01451828910.5271/sjweh.37563756Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, DenmarkVasiliki Panou0Mogens VybergChristos MeristoudisJohnni HansenMartin BøgstedØyvind OmlandUlla Møller WeinreichOluf Dimitri RøeDepartment of Respiratory Diseases, Mølleparkvej 4, 9000 Aalborg, Denmark.OBJECTIVES: Diffuse malignant mesothelioma (MM) is mainly caused by asbestos inhalation. The malignancy is rare among women and studies of the prevalence and causative role of non-occupational asbestos exposure among women with MM are scarce. This observational study aimed to elucidate the asbestos exposure patterns among women with MM. METHODS: All histological and cytological specimens from women diagnosed with MM between 1974–2015 at the Institute of Pathology, Aalborg University Hospital in Denmark, were re-evaluated. Occupational and habitation information were obtained from Danish registries and medical journals based on record linkage via the unique person ID. The number of MM cases in each parish in the region of North Jutland was determined and the incidence density in parishes was used to calculate the spatial relative risk (RR) of MM among women. RESULTS: Diagnosis of MM was confirmed in 91 women. Exposure types were classified as occupational (9%), domestic (10%), environmental (22%), combination of domestic and environmental (34%) and unknown (25%). Twenty continuous parishes formed a MM “hotspot” around the asbestos-consuming industries in the city of Aalborg. Of these, the maximum RR was found in a parish housing an asbestos factory [RR 10.5, 95% confidence interval (CI) 5.5–19.4, environmental exposure in particular RR 2.9, 95% CI 0.7–6.1]. CONCLUSION: Non-occupational asbestos exposure is the main cause of MM and may account for up to 66% of MM cases among women in North Jutland, Denmark. https://www.sjweh.fi/show_abstract.php?abstract_id=3756 non-occupational exposurenorth jutlandrisk for malignant mesotheliomahotspotasbestos industryexposurewomenasbestosasbestos exposuredenmarkmalignant mesothelioma
spellingShingle Vasiliki Panou
Mogens Vyberg
Christos Meristoudis
Johnni Hansen
Martin Bøgsted
Øyvind Omland
Ulla Møller Weinreich
Oluf Dimitri Røe
Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark
Scandinavian Journal of Work, Environment & Health
non-occupational exposure
north jutland
risk for malignant mesothelioma
hotspot
asbestos industry
exposure
women
asbestos
asbestos exposure
denmark
malignant mesothelioma
title Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark
title_full Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark
title_fullStr Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark
title_full_unstemmed Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark
title_short Non-occupational exposure to asbestos is the main cause of malignant mesothelioma in women in North Jutland, Denmark
title_sort non occupational exposure to asbestos is the main cause of malignant mesothelioma in women in north jutland denmark
topic non-occupational exposure
north jutland
risk for malignant mesothelioma
hotspot
asbestos industry
exposure
women
asbestos
asbestos exposure
denmark
malignant mesothelioma
url https://www.sjweh.fi/show_abstract.php?abstract_id=3756
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