國家衛生研究院 NHRI:Item 3990099045/4379
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/4379


    Title: Recent mortality from pleural mesothelioma, historical patterns of asbestos use, and adoption of bans: A global assessment
    Authors: Nishikawa, K;Takahashi, K;Karjalainen, A;Wen, CP;Furuya, S;Hoshuyama, T;Todoroki, M;Kiyomoto, Y;Wilson, D;Higashi, T;Ohtaki, M;Pan, GW;Wagner, G
    Contributors: Division of Health Policy Research and Development
    Abstract: BACKGROUND: In response to the health risks posed by asbestos exposure, some countries have imposed strict regulations and adopted bans, whereas other countries have intervened less and continue to use varying quantities of asbestos. OBJECTIVES: This study was designed to assess, on a global scale, national experiences of recent mortality from pleural mesotheliomal historical trends in asbestos use, adoption of bans, and their possible interrelationships. METHODS: For 31 countries with available data, we analyzed recent pleural mesothelioma (International Classification of Diseases, 10th Revision) mortality rates (MRs) using age-adjusted period MRs (deaths/million/year) from 1996 to 2005. We calculated annual percent changes (APCs) in age-adjusted MRs to characterize trends during the period. We characterized historical patterns of asbestos use by per capita asbestos use (kilograms per capita/year) and the status of national bans. RESULTS: Period MRs increased with statistical significance in five countries, with marginal significance in two countries, and were equivocal in 24 countries (five countries in Northern and Western Europe recorded negative APC values). Countries adopting asbestos bans reduced use rates about twice as fast as those not adopting bans. Turning points in use preceded bans. Change in asbestos use during 1970-1985 was a significant predictor of APC in mortality for pleural mesothelioma, with an adjusted R-2 value of 0.47 (p < 0.0001). CONCLUSIONS: The observed disparities in global mesothelioma trends likely relate to country-to-country disparities in asbestos use trends.
    Date: 2008-12
    Relation: Environmental Health Perspectives. 2008 Dec;116(12):1675-1680.
    Link to: http://dx.doi.org/10.1289/ehp.11272
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0091-6765&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000261290300030
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=58149359594
    Appears in Collections:[Chi-Pang Wen(2001-2010)] Periodical Articles

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