{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T09:29:38Z","timestamp":1782206978435,"version":"3.54.5"},"reference-count":53,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,12,19]],"date-time":"2018-12-19T00:00:00Z","timestamp":1545177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"North Carolina Occupational Safety and Health Education Research Center","award":["5-T42-OH008673-11"],"award-info":[{"award-number":["5-T42-OH008673-11"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Workers raised concerns over suspected excesses of mortality at automotive electronics manufacturing facilities in Huntsville, Alabama.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A study of 4396 UAW members ever\u2010employed at Huntsville facilities between 1972 and 1993 was conducted with mortality follow\u2010up through 2016. Standardized Mortality Ratios (SMRs) were estimated using U.S. and Alabama reference rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Relative to U.S. rates, there was a modest excess of all\u2010cause mortality among White female workers (SMR 1.08, 95%CI: 0.99\u20101.18) and among all workers hired &lt;1977 at the original plant building (SMR 1.10, 95%CI: 0.99\u20101.22). There was excess nervous system disorder (SMR 1.24, 95%CI: 0.91\u20101.65) and brain and nervous system cancer (SMR 1.31, 95%CI: 0.67\u20102.28) mortality. Estimates for several causes of interest were imprecise.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All\u2010cause mortality estimates were greater than anticipated based on results from other UAW cohorts. The excess of nervous system disease mortality is consistent with other studies of electronics workers exposed to lead\u2010solder and chlorinated solvents.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.22933","type":"journal-article","created":{"date-parts":[[2018,12,20]],"date-time":"2018-12-20T03:10:04Z","timestamp":1545275404000},"page":"282-295","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Mortality among autoworkers manufacturing electronics in Huntsville, Alabama"],"prefix":"10.1002","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5087-107X","authenticated-orcid":false,"given":"Nathan","family":"DeBono","sequence":"first","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlin","family":"Kelly\u2010Reif","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8550-0212","authenticated-orcid":false,"given":"David","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Keil","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Troester","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,19]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"LowryB.State school board slows Huntsville building purchase over toxic soil.2010.http:\/\/blog.al.com\/breaking\/2010\/06\/state_school_board_slows_hunts.html"},{"key":"e_1_2_13_3_1","unstructured":"DoyleS.Huntsville to check old Acustar factory site on Wynn Drive for chemical contamination.2013.https:\/\/www.al.com\/business\/index.ssf\/2013\/06\/huntsville_to_check_old_factor.html"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22288"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2013.862591"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-5-30"},{"key":"e_1_2_13_7_1","unstructured":"U.S. Environmental Protection Agency. Toxicological review of trichloroethylene.2011.https:\/\/cfpub.epa.gov\/ncea\/iris\/iris_documents\/documents\/toxreviews\/0199tr\/0199tr.pdf"},{"key":"e_1_2_13_8_1","unstructured":"U.S. Environmental Protection Agency. Toxicological review of 1 1 1\u2010trichloroethane.2007.https:\/\/cfpub.epa.gov\/ncea\/iris\/iris_documents\/documents\/toxreviews\/0197tr.pdf"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(12)70485-0"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ki.5001809"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1515\/REVEH.2009.24.1.15"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.9785"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000079092.95532.49"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700220604"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2006.026690"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20999"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kww205"},{"key":"e_1_2_13_18_1","first-page":"S43","article-title":"Methodological problems of time\u2010related variables in occupational cohort studies","volume":"40","author":"Pearce N","year":"1992","journal-title":"Rev Epidemiol Sante Publique"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199111000-00005"},{"key":"e_1_2_13_20_1","unstructured":"International Agency for Research on Cancer. Monographs on the evaluation of carcinogenic risks to humans: arsenic metals fibres and dusts.2012;100C.https:\/\/monographs.iarc.fr\/iarc\u2010monographs\u2010on\u2010the\u2010evaluation\u2010of\u2010carcinogenic\u2010risks\u2010to\u2010humans\u201019\/"},{"key":"e_1_2_13_21_1","unstructured":"U.S. Agency for Toxic Substances and Disease Registry. Toxicological profile for asbestos.2001.https:\/\/www.atsdr.cdc.gov\/toxprofiles\/tp61.pdf"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-7-13"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000183094.42763.f0"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00204-008-0345-3"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.taap.2011.05.008"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/WAD.0b013e3181902c3e"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1992.tb02015.x"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1179\/2049396713Y.0000000050"},{"key":"e_1_2_13_29_1","first-page":"233","article-title":"Brain tumor mortality risk among men with electrical and electronics jobs: a case\u2010control study","volume":"79","author":"Thomas TL","year":"1987","journal-title":"J Natl Cancer Inst"},{"key":"e_1_2_13_30_1","first-page":"633","article-title":"Mortality from brain cancer and leukaemia among electrical workers","volume":"47","author":"Loomis DP","year":"1990","journal-title":"Br J Ind Med"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700170501"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012833"},{"key":"e_1_2_13_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700260203"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-200207000-00013"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-199507000-00008"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2017.285"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199907)36:1<70::AID-AJIM10>3.0.CO;2-5"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000000323"},{"key":"e_1_2_13_39_1","unstructured":"U.S. Centers for Disease Control and Prevention National Center for Health Statistics. Compressed Mortality File1999\u20132016 on CDC WONDER Online Database released December 2017.http:\/\/wonder.cdc.gov\/cmf\u2010icd10.html"},{"key":"e_1_2_13_40_1","unstructured":"U.S. Census Bureau.2006\u20132016 American Community Survey 1\u2010Year Estimates Median household income (in 2016 inflation adjusted dollars) United States. 2018.https:\/\/factfinder.census.gov\/faces\/tableservices\/jsf\/pages\/productview.xhtml?src\u2009=\u2009bkmk"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1371.050"},{"key":"e_1_2_13_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.4150"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e3182788a04"},{"key":"e_1_2_13_44_1","unstructured":"International Agency for Research on Cancer. Monographs on the evaluation of carcinogenic risks to humans: trichloroethylene tetrachloroethylene and some other chlorinated solvents.2014; 106.https:\/\/monographs.iarc.fr\/iarc\u2010monographs\u2010on\u2010the\u2010evaluation\u2010of\u2010carcinogenic\u2010risks\u2010to\u2010humans\u201010\/"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1205879"},{"key":"e_1_2_13_46_1","unstructured":"U.S. National Cancer Institute. Surveillance Epidemiology and End Results (SEER) Cancer Stat Facts: Non\u2010Hodgkin Lymphoma.2017.https:\/\/seer.cancer.gov\/statfacts\/html\/nhl.html"},{"key":"e_1_2_13_47_1","unstructured":"U.S. National Cancer Institute. Surveillance Epidemiology and End Results (SEER) Cancer Stat Facts: Kidney and Renal Pelvis Cancer.2017.https:\/\/seer.cancer.gov\/statfacts\/html\/kidrp.html"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.00108s2161"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1018461406120"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2009.054809"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.55.3.161"},{"key":"e_1_2_13_52_1","doi-asserted-by":"publisher","DOI":"10.1078\/1438-4639-00175"},{"key":"e_1_2_13_53_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yrtph.2011.02.009"},{"key":"e_1_2_13_54_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22618"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fajim.22933","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.22933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T06:03:34Z","timestamp":1694671414000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.22933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,19]]},"references-count":53,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1002\/ajim.22933"],"URL":"https:\/\/doi.org\/10.1002\/ajim.22933","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,12,19]]},"assertion":[{"value":"2018-11-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-12-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}