{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T02:55:49Z","timestamp":1772852149530,"version":"3.50.1"},"reference-count":17,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":3336,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,9,30]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Inhalation of asbestos fibres is the predominant cause of malignant mesothelioma. Domestic exposure to asbestos is a major community concern in the Australian Capital Territory (ACT) because of loose-fill asbestos home insulation. Little is known about how trends in mesothelioma rates in the ACT compare with those elsewhere. The objective of this study was to describe trends in mesothelioma rates in the ACT and compare them with those for the rest of Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We used de-identified data from the ACT Cancer Registry (1982\u20132014), and the Western Australia (WA) Cancer Registry and the Australian Cancer Database (1982\u20132011). We calculated crude mesothelioma rates, by 3-year periods, for the ACT and for the rest of Australia (excluding WA). We used Poisson regression to analyse mesothelioma trends from 1994 to 2011 (complete reporting period) using an indirect standardisation approach to adjust for age and sex.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 140 mesothelioma cases reported to the ACT Cancer Registry between 1982 and 2014 \u2013 81% male and 19% female. Between 1994 and 2011, age- and sex-adjusted mesothelioma rates in the ACT increased over time, on average by 12% per 3-year period (relative risk [RR] 1.12; 95% confidence interval [CI] 0.99, 1.26). Compared with the rest of Australia (excluding WA), ACT rates were, on average, lower (RR 0.84; 95% CI 0.69, 1.02), but they increased at a higher rate (RR 1.12 per 3-year period; 95% CI 0.99, 1.27). These results are strongly influenced by the higher rate of mesothelioma observed in the ACT in 2009\u20132011, when ACT rates became similar to those for the rest of Australia (excluding WA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although mesothelioma rates may have increased more in the ACT than the rest of Australia (excluding WA) during the past two decades, there is considerable uncertainty in the trends. More information is needed regarding the health risks associated with living in a house with loose-fill asbestos insulation. This is the subject of further studies within the ACT Asbestos Health Study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.17061\/phrp2641646","type":"journal-article","created":{"date-parts":[[2016,10,15]],"date-time":"2016-10-15T07:43:27Z","timestamp":1476517407000},"source":"Crossref","is-referenced-by-count":5,"title":["Mesothelioma trends in the ACT and comparisons with the rest of Australia"],"prefix":"10.1071","volume":"26","author":[{"given":"Rosemary","family":"Korda","sequence":"first","affiliation":[{"name":"A National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, ACT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Clements","sequence":"additional","affiliation":[{"name":"B Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Armstrong","sequence":"additional","affiliation":[{"name":"C Sydney School of Public Health, University of Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan","family":"Trevenar","sequence":"additional","affiliation":[{"name":"A National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, ACT"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Chalker","sequence":"additional","affiliation":[{"name":"D ACT Health, Canberra, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leah","family":"Newman","sequence":"additional","affiliation":[{"name":"D ACT Health, Canberra, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martyn","family":"Kirk","sequence":"additional","affiliation":[{"name":"A National Centre for Epidemiology and Population Health, Research School of Population Health, Australian National University, Canberra, ACT"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2016,9,30]]},"reference":[{"key":"2026011122365440900_R1","doi-asserted-by":"crossref","unstructured":"Straif K, Benbrahim-Tallaa L, Baan R, Grosse Y, Secretan B, El Ghissassi F, et al. A review of human carcinogens--Part C: metals, arsenic, dusts, and fibres. Lancet Oncol. 2009;10(5):453\u20134. CrossRef | PubMed","DOI":"10.1016\/S1470-2045(09)70134-2"},{"key":"2026011122365440900_R2","doi-asserted-by":"crossref","unstructured":"Wolff H, Vehmas T, Oksa P, Rantanen J, Vainio H. Asbestos, asbestosis, and cancer, the Helsinki criteria for diagnosis and attribution 2014: recommendations. Scand J Work Environ Health. 2015;41(1):5\u201315. CrossRef | PubMed","DOI":"10.5271\/sjweh.3462"},{"key":"2026011122365440900_R3","doi-asserted-by":"crossref","unstructured":"Rake C, Gilham C, Hatch J, Darnton A, Hodgson J, Peto J. Occupational, domestic and environmental mesothelioma risks in the British population: a case-control study. Br J Cancer. 2009;100(7):1175\u201383. CrossRef | PubMed","DOI":"10.1038\/sj.bjc.6604879"},{"key":"2026011122365440900_R4","doi-asserted-by":"crossref","unstructured":"Goswami E, Craven V, Dahlstrom DL, Alexander D, Mowat F. Domestic asbestos exposure: a review of epidemiologic and exposure data. Int J Environ Res Public Health. 2013;10(11):5629\u201370. CrossRef | PubMed","DOI":"10.3390\/ijerph10115629"},{"key":"2026011122365440900_R5","unstructured":"ACT Government Asbestos Response Taskforce. Long term management of loose fill asbestos insulation in Canberra homes. Canberra: Asbestos Response Taskforce; 2014 [cited 2016 Jun 22]. Available from: www.asbestostaskforce.act.gov.au\/__data\/assets\/pdf_file\/0009\/675189\/Longterm-management-review.pdf"},{"key":"2026011122365440900_R6","unstructured":"ACT Government Asbestos Response Taskforce. Buyback and support. Canberra: Asbestos Response Taskforce; 2016 [cited 2016 Jun 28]. Available from: www.asbestostaskforce.act.gov.au\/voluntary-buyback-and-support"},{"key":"2026011122365440900_R7","unstructured":"Sterman D, Litzky L, Kaiser L, Albelda S. Epidemiology of malignant pleural mesothelioma. UpToDate. 2016 [cited 2016 Aug 11]. 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Mesothelioma. Canberra: AIHW; 2016 [cited 2016 Aug 11]. Available from: www.aihw.gov.au\/WorkArea\/\/DownloadAsset.aspx?id=60129554492"},{"key":"2026011122365440900_R12","unstructured":"Australian Bureau of Statistics. 3101.0 \u2013 Australian demographic statistics, Sep 2014. Canberra: ABS; 2015 [cited 2016 Aug 11]. Available from: www.abs.gov.au\/AUSSTATS\/abs@.nsf\/Lookup\/3101.0Main+Features1Sep%202014"},{"key":"2026011122365440900_R13","unstructured":"Australian Bureau of Statistics. 3105.0.65.001 \u2013 Australian historical population statistics. Cat no.. Canberra: ABS; 2015 [cited 2016 Aug 11]. Available from: www.abs.gov.au\/ausstats\/abs@.nsf\/mf\/3105.0.65.001"},{"key":"2026011122365440900_R14","doi-asserted-by":"crossref","unstructured":"Clements M, Berry G, Shi J, Ware S, Yates D, Johnson A. Projected mesothelioma incidence in men in New South Wales. Occup Environ Med. 2007;64(11):747\u201352. 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