Distribution and trends in mesothelioma mortality in Italy from 1974 to 2006

Purpose Using the epidemiological data of pleural cancer mortality, the authors estimated time trends and distribution of malignant mesothelioma in Italy during the period 1974–2006. Methods To describe temporal trends of the standardized mortality ratios (SMRs) in all the 20 Italian regions, we app...

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Bibliographic Details
Published in:International archives of occupational and environmental health 2013-05, Vol.86 (4), p.489-496
Main Authors: Gatto, M. P., Tanna, G. L. Di
Format: Article
Language:English
Subjects:
Asbestos
Biological and medical sciences
Cancer
Construction Industry - statistics & numerical data
Death Certificates
Earth and Environmental Science
Environment
Environment. Living conditions
Environmental Health
Female
Housing. Living conditions
Human exposure
Humans
Italy - epidemiology
Male
Medical sciences
Mesothelioma - mortality
Mortality
Mortality - trends
Multiple tumors. Solid tumors. Tumors in childhood (general aspects)
Occupational Medicine/Industrial Medicine
Original Article
Pleural Neoplasms - mortality
Public health. Hygiene
Public health. Hygiene-occupational medicine
Rehabilitation
Ships - statistics & numerical data
Trends
Tumors
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Summary:Purpose Using the epidemiological data of pleural cancer mortality, the authors estimated time trends and distribution of malignant mesothelioma in Italy during the period 1974–2006. Methods To describe temporal trends of the standardized mortality ratios (SMRs) in all the 20 Italian regions, we applied the Joinpoint Regression Model, developed by the National Cancer Institute (USA). The 107 provincial SMRs are represented on maps by using the Arcview GIS software (version 3.2). Results The high values from mesothelioma mortality in construction and shipbuilding sectors, previously reported, are confirmed by our analyses. Furthermore, data show that the annual percentage change is still growing: statistically significant increments in time trends are observed for 11 of 20 Italian regions. Of additional concern has been the identification of changes in 9 of 20 trends partially due to the misdiagnosis in the past. Conclusions Given the long latency of mesothelioma, preventive and legal measures with the ban of asbestos in Italy since 1992 are still not giving effects on mesothelioma mortality trends.
ISSN:0340-0131
1432-1246
DOI:10.1007/s00420-012-0780-6