{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:57:50Z","timestamp":1770512270469,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T00:00:00Z","timestamp":1371686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cancer registries can be used to monitor mesothelioma cases and to identify occupations and industries previously and newly associated with mesothelioma\u2010causing asbestos exposure by using standard registry data on the \u201cusual\u201d occupation and industry of the case.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used the National Institute for Occupational Safety and Health's Standardized Occupational Industry Coding Software to code 564 mesothelioma cases for occupation and 543 for industry of the 1,424 incident mesothelioma in the Massachusetts Cancer Registry from 1988 to 2003. Additionally, we coded the occupation and industry of 80,184 comparison cancer cases (35% of comparison cases in our database). These were used to compute Standardized Morbidity Odds Ratios (SMORs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventeen occupations and 11 industries had statistically significant elevated SMORs for mesothelioma. Occupations and industries historically associated with mesothelioma remained elevated in these results. However, we also found statistically significant elevated SMORs for several occupations and industries for which there was previously weak or no association such as chemical engineers, machine operators, and automobile mechanics and machine manufacturing, railroads, and the U.S. Postal Service.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incident cases of mesothelioma do not appear to be declining in Massachusetts, as legacy exposures to asbestos continue to produce cases in individuals involved in shipbuilding and construction. Exposures in occupations and industries not previously associated with mesothelioma also contribute cases. Cancer registries, with improved data collection, should continue to be monitored for mesothelioma cases and asbestos exposures. Am. J. Ind. Med. 56:985\u2013992, 2013. \u00a9 2013 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.22218","type":"journal-article","created":{"date-parts":[[2013,6,20]],"date-time":"2013-06-20T13:18:37Z","timestamp":1371734317000},"page":"985-992","source":"Crossref","is-referenced-by-count":20,"title":["Mesothelioma and employment in massachusetts: Analysis of cancer registry data 1988\u20132003"],"prefix":"10.1002","volume":"56","author":[{"given":"Cora R.","family":"Roelofs","sequence":"first","affiliation":[{"name":"Department of Work Environment University of Massachusetts Lowell Lowell Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriela J.","family":"Kernan","sequence":"additional","affiliation":[{"name":"Department of Work Environment University of Massachusetts Lowell Lowell Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Letitia K.","family":"Davis","sequence":"additional","affiliation":[{"name":"Occupational Health Surveillance Program Massachusetts Department of Public Health Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard W.","family":"Clapp","sequence":"additional","affiliation":[{"name":"Department of Environmental Health Boston University Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phillip R.","family":"Hunt","sequence":"additional","affiliation":[{"name":"Social Sectors Development Strategies, Inc. Boston Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,6,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.99107s2289"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcp.22724"},{"issue":"4","key":"e_1_2_8_4_1","first-page":"481","article-title":"Use of death certificates for mesothelioma surveillance","volume":"107","author":"Davis LK","year":"1992","journal-title":"Public Health Rep"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.56.8.505"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20549"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.1076"},{"issue":"1","key":"e_1_2_8_8_1","doi-asserted-by":"crossref","first-page":"144","DOI":"10.1093\/oxfordjournals.aje.a113161","article-title":"An alternative to the proportionate mortality ratio","volume":"114","author":"Miettinen OS","year":"1981","journal-title":"Am J Epidemiol"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20167"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2009.047019"},{"key":"e_1_2_8_11_1","unstructured":"Occupational Health Surveillance Program Massachusetts Department of Public Health.1991.Asbestos\u2010related respiratory disease in Massachusetts workers 1982\u20131987. (unpublished report)."},{"key":"e_1_2_8_12_1","unstructured":"Occupational Health Surveillance Program Massachusetts Department of Public Health.2011.Putting data to work: Occupational health indicators for Massachusetts. April (available at www.mass.gov\/eohhs\/docs\/\u2026\/occupational\u2010health\/putting\u2010data\u2010work.rtf)."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/10408440903044928"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6604879"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1964.03060270028006"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199501000-00011"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03403881"},{"key":"e_1_2_8_18_1","unstructured":"U.S. National Institute for Occupational Safety and Health.2009.Work\u2010related lung surveillance system: Volume 1 malignant Mesothelioma. March."},{"key":"e_1_2_8_19_1","unstructured":"U.S. National Institute for Occupational Safety and Health.2011.Current intelligence Bulletin 62: Asbestos fibers and other elongate mineral particles: State of the science and roadmap for research. 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