{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:46:57Z","timestamp":1782384417114,"version":"3.54.5"},"reference-count":40,"publisher":"BMJ","issue":"3","funder":[{"name":"Australian Institute of Petroleum","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2026,4,17]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To report estimates of cancer incidence (1982\u20132016)\u2009and mortality (1980\u20132020) in the Health Watch cohort after four decades of follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Health Watch is a prospective cohort study of 18\u2009040 (16 666 men, 1374\u2009women) employees recruited between 1981 and 2000.<\/jats:p>\n                    <jats:p>Personal data were linked to national and state cancer and death registries. Standardised mortality ratios (SMRs) and standardised incidence ratios were calculated using national population rates adjusted for age, sex and calendar period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All-cause mortality was reduced compared with Australian population rates (men: SMR 0.79, 95% CI 0.77 to 0.82; women: SMR 0.70, 95% CI 0.59 to 0.83).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Lower mortality likely reflects the healthy worker effect. Persistent excesses of mesothelioma, melanoma and prostate cancer may reflect ongoing occupational risks warranting targeted prevention and surveillance. In particular, melanoma risk underscores the need to minimise both occupational and recreational ultraviolet exposure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/oemed-2025-110739","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T17:20:22Z","timestamp":1778174422000},"page":"138-145","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Health Watch: cancer and mortality update in a 40-year prospective cohort study of Australian petroleum workers"],"prefix":"10.1136","volume":"83","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2439-1909","authenticated-orcid":false,"given":"Elisa","family":"Wood","sequence":"first","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7559-008X","authenticated-orcid":false,"given":"Deborah C","family":"Glass","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0295-4575","authenticated-orcid":false,"given":"Stella M","family":"Gwini","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4739-2817","authenticated-orcid":false,"given":"Malcolm R","family":"Sim","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Vander Hoorn","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9352-0552","authenticated-orcid":false,"given":"Anthony","family":"Del Monaco","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5992-1459","authenticated-orcid":false,"given":"Karen","family":"Walker-Bone","sequence":"additional","affiliation":[{"name":"Monash Centre for Occupational and Environmental Health, Monash University School of Public Health and Preventive Medicine, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"2026062501401036000_83.3.138.1","unstructured":"IARC . Occupational Exposures in Petroleum Refining. Lyon: IARC WHO, 1989."},{"key":"2026062501401036000_83.3.138.2","unstructured":"IARC . Monographs on the Evaluation of Carcinogenic Risks to Humans, Volume 120: Benzene. Lyon, France: IARC, 2018."},{"key":"2026062501401036000_83.3.138.3","unstructured":"IARC . IARC monographs on the evaluation of carcinogenic risks to humans, volume 100c: asbestos (chrysotile, amosite, crocidolite, tremolite, actinolite, and anthophyllite). Lyon, France: IARC, 2012."},{"key":"2026062501401036000_83.3.138.4","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(200003)37:3<275::AID-AJIM5>3.0.CO;2-I"},{"key":"2026062501401036000_83.3.138.5","unstructured":"Christie D , Rockette I , Robinson K , et al . Health watch annual report 1981. Melbourne, Australia The University of Melbourne, Department of Community Medicine; 1982."},{"key":"2026062501401036000_83.3.138.6","first-page":"1305","article-title":"Comprehensive cancer control in the U.S.: summarizing twenty years of progress and looking ahead","volume":"29","author":"Hayes","year":"2018","journal-title":"Cancer Causes Control"},{"key":"2026062501401036000_83.3.138.7","unstructured":"AIHW . Tobacco Smoking in the National Drug Strategy Household Survey (NDSHS) 2022-2023; Canberra, Australia Australian Institute of Health and Welfare; 2024."},{"key":"2026062501401036000_83.3.138.8","unstructured":"Safe Work Australia . Workplace exposure standards for airborne contaminants 2024. 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Geneva World Health Organization; 1992."},{"key":"2026062501401036000_83.3.138.12","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-197603000-00009"},{"key":"2026062501401036000_83.3.138.13","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-198606000-00009"},{"key":"2026062501401036000_83.3.138.14","doi-asserted-by":"crossref","DOI":"10.1093\/ije\/dyae130","article-title":"Healthy worker hire and survivor effects in a cohort of medical radiation workers","volume":"53","author":"Lee","year":"2024","journal-title":"Int J Epidemiol"},{"key":"2026062501401036000_83.3.138.15","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009819"},{"key":"2026062501401036000_83.3.138.16","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws373"},{"key":"2026062501401036000_83.3.138.17","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1378\/chest.12-1068","article-title":"The association between smoking quantity and lung cancer in men and women","volume":"143","author":"Powell","year":"2013","journal-title":"Chest"},{"key":"2026062501401036000_83.3.138.18","doi-asserted-by":"publisher","DOI":"10.1097\/00001648-199309000-00010"},{"key":"2026062501401036000_83.3.138.19","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18084343","article-title":"Cancer Incidence and Mortality among Petroleum Industry Workers and Residents Living in Oil Producing Communities: A Systematic Review and Meta-Analysis","volume":"18","author":"Onyije","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2026062501401036000_83.3.138.20","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21572"},{"key":"2026062501401036000_83.3.138.21","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1016\/j.aogh.2014.09.016","article-title":"The Global Spread of Asbestos","volume":"80","author":"L. 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