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This study aimed to investigate these concerns.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study cohort was enumerated from United Steel Workers\u2019 records of workers employed from 1980 to 2007. Cause\u2010specific mortality rates in the cohort were compared with North Carolina population mortality rates using standardized mortality ratios (SMRs), standardized by age, sex, race, and calendar period. We estimated cause\u2010specific adjusted standardized mortality ratios (aSMRs) using negative controls to mitigate healthy worker survivor bias (HWSB). Standardized rate ratios (SRRs) were calculated to compare mortality rates between workers ever employed vs never employed in the pot room.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All\u2010cause mortality among Badin workers was lower than in the general population (SMR: 0.81, 95% confidence interval [CI]: 0.71\u20100.92). After adjusting for HWSB, excesses for all cancers (aSMR: 1.55, 95% CI: 1.10\u20102.21), bladder cancer (3.47, 95% CI: 1.25\u20109.62), mesothelioma (17.33, 95% CI: 5.40\u201055.59), and respiratory cancer (1.24, 95% CI: 0.77\u20101.99) were observed. Black males worked the highest proportion of their employed years in the pot room. Potroom workers experienced higher respiratory cancer (SRR: 2.99, 95% CI: 1.23\u20107.26), bladder cancer (SRR: 1.58, 95% CI: 0.15\u201015.28), and mesothelioma (SRR: 3.36, 95% CI: 0.21\u201053.78) mortality rates than never workers in the pot room.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study responds to concerns of a group of former aluminum workers. The results, while imprecise, suggest excess respiratory and bladder cancers among pot room workers in a contemporary cohort of union employees at a US smelter.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23150","type":"journal-article","created":{"date-parts":[[2020,7,10]],"date-time":"2020-07-10T13:09:01Z","timestamp":1594386541000},"page":"755-765","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Cancer and noncancer mortality among aluminum smelting workers in Badin, North Carolina"],"prefix":"10.1002","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2339-8766","authenticated-orcid":false,"given":"Elizabeth S.","family":"McClure","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Carolina Population Center, University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavithra","family":"Vasudevan","sequence":"additional","affiliation":[{"name":"Department of African and African Diaspora Studies, Center for Women's and Gender Studies University of Texas Austin Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"DeBono","sequence":"additional","affiliation":[{"name":"Occupational Cancer Research Centre Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Whitney R.","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina"},{"name":"Carolina Population Center, University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen W.","family":"Marshall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health 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, Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,7,10]]},"reference":[{"issue":"100","key":"e_1_2_9_2_1","first-page":"215","article-title":"Occupational exposures during aluminium production","volume":"2005","author":"IARC","year":"2012","journal-title":"IARC Monographs"},{"key":"e_1_2_9_3_1","unstructured":"World Health Organization.IARC Monographs on the Evaluation of Carcinogenic Risks to Humans\u2014PREAMBLE; 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