{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:24:34Z","timestamp":1782505474469,"version":"3.54.5"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:00:00Z","timestamp":1737763200000},"content-version":"am","delay-in-days":366,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000015","name":"U.S. Department of Energy","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000015","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":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To determine if construction and trades workers formerly employed at US Department of Energy (DOE) nuclear weapons sites are at significant risk for occupational diseases, we studied the mortality experience of participants in the Building Trades National Medical Screening Program (BTMed).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The cohort included 26,922 participants enrolled between 1998 and 2021 and 8367 deaths. Standardized mortality ratios were calculated based on US death rates. Cox models compared construction workers (<jats:italic>n<\/jats:italic>\u2009=\u200922,747; 7487 deaths) to two nonconstruction subpopulations: administrative, scientific and security workers (<jats:italic>n<\/jats:italic>\u2009=\u20091894; 330 deaths), and all other nonconstruction workers (<jats:italic>n<\/jats:italic>\u2009=\u20092218; 550 deaths).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mortality was elevated for all causes, all cancers, cancers of the trachea, bronchus, lung, kidneys, and lymphatic and hematopoietic system, mesothelioma, chronic obstructive pulmonary disease (COPD), asbestosis, transportation injuries, and other injuries, particularly accidental poisonings. There were 167 deaths from coronavirus disease 2019 (COVID\u201019), which was lower than expected using US death rates. Overall cause\u2010specific mortality was significantly higher among construction workers than for internal comparison groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Construction workers employed at DOE sites have a significantly increased risk for occupational illnesses. Apart from COVID\u201019 deaths, this update: (1) found that mortality among construction workers is significantly elevated compared to the US population and significantly higher than in the internal comparison populations, and (2) confirmed excess risk for these workers for first employment after 1990. Cancer mortality risks are similar to the cancers identified for DOE compensation from radiation exposures. The high lung cancer risk supports the value of early lung cancer detection. Continued medical surveillance is important.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.23567","type":"journal-article","created":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T05:29:31Z","timestamp":1706246971000},"page":"261-273","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Mortality of older construction and craft workers employed at Department of Energy (DOE) nuclear sites: Follow\u2010up through 2021"],"prefix":"10.1002","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5930-3768","authenticated-orcid":false,"given":"Knut","family":"Ringen","sequence":"first","affiliation":[{"name":"CPWR \u2010 The Center for Construction Research and Training Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Dement","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine Duke University Medical Center Durham North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3805-6504","authenticated-orcid":false,"given":"Marianne","family":"Cloeren","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine, School of Medicine University of Maryland College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5832-4970","authenticated-orcid":false,"given":"Sammy","family":"Almashat","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine, School of Medicine University of Maryland College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stella","family":"Hines","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine, School of Medicine University of Maryland College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Grier","sequence":"additional","affiliation":[{"name":"Division of Pulmonary and Critical Care Medicine, School of Medicine University of Maryland College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Quinn","sequence":"additional","affiliation":[{"name":"CPWR \u2010 The Center for Construction Research and Training Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Chen","sequence":"additional","affiliation":[{"name":"Zenith American Solutions Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Haas","sequence":"additional","affiliation":[{"name":"Zenith American Solutions Tampa Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23018"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.10226"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20059"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22827"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22406"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22495"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20792"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2016-104205"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22202"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2019-106196"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23406"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23411"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23474"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22366"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23445"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.20729"},{"key":"e_1_2_12_18_1","unstructured":"ILO.Guidelines for the Use of the ILO International Classification of Radiographs of Pneumoconiosis. International Labour Organization;1980."},{"key":"e_1_2_12_19_1","unstructured":"ILO.Guidelines for the Use of the ILO International Classification of Radiographs of Pneumoconiosis 2000 edition No 22. International Labour Organization;2002."},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.152.3.7663792"},{"key":"e_1_2_12_21_1","first-page":"319","article-title":"ATS\/ERS task force: standardisation of lung function testing","volume":"26","author":"ATS\/ERS","year":"2005","journal-title":"Eur Respir J"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2018-105431"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2018.0020"},{"key":"e_1_2_12_24_1","unstructured":"National Center for Health Statistics National Death Index User's Guide;2013."},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115470"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a113804"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-199011000-00008"},{"key":"e_1_2_12_28_1","unstructured":"National Institute for Occupational Safety and Health.LTAS manual;2014."},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2022-108462"},{"key":"e_1_2_12_30_1","volume-title":"R: A language and environment for statistical computing, version 4.2.3","author":"R Core Team","year":"2023"},{"key":"e_1_2_12_31_1","volume-title":"Paper no. SAS 2159\u20102018, Cause\u2010specific analysis of competing risks using the PHREG procedure","author":"Guo C","year":"2018"},{"key":"e_1_2_12_32_1","unstructured":"Sas.SAS\/STATt\u00ae 9.4 user's guide. SAS Institute Inc;2016."},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm7014e2"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2022.12686"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23244"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2016-104038"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.2762"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djaa143"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.2307\/3575353"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.108795"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6733a3"},{"issue":"7","key":"e_1_2_12_42_1","first-page":"1","article-title":"Drug overdose mortality by usual occupation and industry: 46 US. States and New York City, 2020","volume":"72","author":"Billock RM","year":"2023","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.23029"},{"key":"e_1_2_12_44_1","unstructured":"Department of Health and Human Services.Guidelines for Determining the Probability of Causation and Methods for Radiation Dose Reconstruction under the Employees Occupational Illness Compensation Program Act of 2000; Final rules. 42 CFR Parts 81 and 82 (p. 22296\u201022314). Federal Register;2002."},{"key":"e_1_2_12_45_1","unstructured":"U.S. Department of Labor.Division of Energy Employees Occupational Illness Compensation EEOICPA Circular No 15\u201006 Post\u20101995 Occupational Toxic Exposure Guidance.2014.https:\/\/www.dol.gov\/agencies\/owcp\/energy\/regs\/compliance\/PolicyandProcedures\/finalcircularhtml\/EEOICPACircular15-06"},{"key":"e_1_2_12_46_1","unstructured":"U.S. Department of Labor.Advisory Board on Toxic Substances and Worker Health Meeting Document January 27 2020."},{"key":"e_1_2_12_47_1","unstructured":"U.S. Department of Labor.Advisory Board on Toxic Substances and Worker Health Transcript of June 29 meeting(p. 22\u201052);2022."}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/am-pdf\/10.1002\/ajim.23567","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.23567","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T09:47:54Z","timestamp":1707817674000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.23567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,25]]},"references-count":46,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1002\/ajim.23567"],"URL":"https:\/\/doi.org\/10.1002\/ajim.23567","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,25]]},"assertion":[{"value":"2023-10-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}