{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:27:27Z","timestamp":1786976847562,"version":"build-2736575974"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T00:00:00Z","timestamp":1628640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["88882.333575\/2019\u201001"],"award-info":[{"award-number":["88882.333575\/2019\u201001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In low\u2010 and middle\u2010income countries, such as Brazil, studies on the causes of death in asbestos\u2010exposed workers are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cohort study was performed involving 988 males who had worked in the asbestos\u2010cement industry in the state of S\u00e3o Paulo, with a total of 12,217 person\u2010years of observation between 1995 and 2016. The standardized mortality ratio (SMR) stratified by age was calculated as the ratio between the observed rate and the expected rate in the state of S\u00e3o Paulo.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Increased SMRs were observed for overall mortality (SMR 1.1, 95% confidence interval [CI], 0.98\u20131.23) and mortality due to pleural malignant neoplasms (MN) (SMR, 69.4; 95% CI, 22.55\u2013162.1), asbestosis (SMR, 975.7; 95% CI, 396.4\u20132031), peritoneal MN (SMR, 5.0; 95% CI, 0.13\u201327.78), laryngeal MN (SMR, 1.4; 95% CI, 0.30\u20134.20), and pulmonary MN (SMR, 1.5; 95% CI, 0.82\u20132.64).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present study highlights the damage caused by asbestos exposure and reinforces the existing evidence of a causal association between exposure and increased mortality due to pleural MN, pulmonary MN, and asbestosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajim.23279","type":"journal-article","created":{"date-parts":[[2021,8,11]],"date-time":"2021-08-11T10:29:04Z","timestamp":1628677744000},"page":"952-959","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Causes of death in former asbestos\u2010cement workers in the state of S\u00e3o Paulo, Brazil"],"prefix":"10.1002","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5978-3279","authenticated-orcid":false,"given":"Gisele A.","family":"Fernandes","sequence":"first","affiliation":[{"name":"Department Epidemiology University of S\u00e3o Paulo S\u00e3o Paulo Brazil"},{"name":"Group of Epidemiology and Statistics on Cancer AC Camargo Cancer S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6908-7242","authenticated-orcid":false,"given":"Eduardo","family":"Algranti","sequence":"additional","affiliation":[{"name":"Division of Medicine Funda\u00e7\u00e3o Jorge Duprat e Figueiredo (Fundacentro) S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victor","family":"Wunsch\u2010Filho","sequence":"additional","affiliation":[{"name":"Department Epidemiology University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz F.","family":"Silva","sequence":"additional","affiliation":[{"name":"Institute of Natural Resources Federal University of Itajub\u00e1 Itajub\u00e1 Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana N.","family":"Toporcov","sequence":"additional","affiliation":[{"name":"Department Epidemiology University of S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,11]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15051000"},{"key":"e_1_2_11_3_1","unstructured":"World Health Organization. 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