{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:07:21Z","timestamp":1784696841337,"version":"3.55.0"},"reference-count":34,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2017,3,7]],"date-time":"2017-03-07T00:00:00Z","timestamp":1488844800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>While working underground, miners are exposed to a number of risk factors that have a negative impact on their health and may be a cause of an increased mortality in miners. The aim of the study was to compare total and specific mortality in black coal miners with acknowledged coal-workers\u2019 pneumoconiosis (CWP) and without CWP, and the mortality of the general male population in the Czech Republic in the period 1992\u20132013. The sample consisted of 3476 coal miners with CWP and 6687 ex-coal miners without CWP, who were removed after achieving the maximum permissible exposure (MPE). The mortality risk differences were analyzed with the use of the standardized mortality ratio (SMR) and 95% confidence interval. Significantly higher total mortality (SMR = 1.10; 95% CI: 1.02\u20131.17), and mortality from malignant neoplasm (SMR = 1.16; 95% CI: 1.03\u20131.30), lung cancers (SMR = 1.70; 95% CI: 1.41\u20132.04), and non-malignant respiratory diseases (SMR = 2.78; 95% CI: 2.32\u20133.31) were found in the sample of coal miners with CWP. In this sample, the severity of CWP was assessed, and the SMR increased with the severity of CWP. The total (SMR = 0.86; 95% CI: 0.82\u20130.91) and specific mortality of miners without CWP were not higher compared with the general population. In the case where the miners were removed from underground work after achieving the MPE (without CWP), their mortality was not higher than that of the general population, but the mortality of miners with CWP was higher compared to the general population. This mortality was affected by malignant and non-malignant respiratory diseases.<\/jats:p>","DOI":"10.3390\/ijerph14030269","type":"journal-article","created":{"date-parts":[[2017,3,7]],"date-time":"2017-03-07T11:12:32Z","timestamp":1488885152000},"page":"269","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Mortality in Miners with Coal-Workers\u2019 Pneumoconiosis in the Czech Republic in the Period 1992\u20132013"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9608-1276","authenticated-orcid":false,"given":"Hana","family":"Tom\u00e1\u0161kov\u00e1","sequence":"first","affiliation":[{"name":"Institute of Public Health, Ostrava 70200, Czech Republic"},{"name":"Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, Ostrava 70103, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"\u0160pl\u00edchalov\u00e1","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Ostrava 70200, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana","family":"\u0160lachtov\u00e1","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Ostrava 70200, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavel","family":"Urban","sequence":"additional","affiliation":[{"name":"The National Institute of Public Health, Prague 10042, Czech Republic"},{"name":"Department of Occupational Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague 12108, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zde\u0148ka","family":"Hajdukov\u00e1","sequence":"additional","affiliation":[{"name":"Clinic of Occupational Health and Preventive Medicine, University Hospital in Ostrava, Ostrava 70852, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irena","family":"Landeck\u00e1","sequence":"additional","affiliation":[{"name":"Centre of Occupational Medicine, Miners\u2019 Hospital in Karvina, Karvina 73506, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rostislav","family":"Gromnica","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, Miners\u2019 Clinic, Ostrava 70200, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petr","family":"Brhel","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, St. Anne\u2019s University Hospital and Faculty of Medicine, Masaryk University in Brno, Brno 62500, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0240-5146","authenticated-orcid":false,"given":"Daniela","family":"Pelclov\u00e1","sequence":"additional","affiliation":[{"name":"Department of Occupational Medicine, 1st Faculty of Medicine, Charles University in Prague, Prague 12108, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zden\u011bk","family":"Jir\u00e1k","sequence":"additional","affiliation":[{"name":"Institute of Public Health, Ostrava 70200, Czech Republic"},{"name":"Department of Physiology and Pathophysiology, Faculty of Medicine, University of Ostrava, Ostrava 70103, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2017,3,7]]},"reference":[{"key":"ref_1","unstructured":"Government Decree No. 168\/2014 Coll. of Laws. Available online: https:\/\/www.zakonyprolidi.cz\/cs\/1995-290."},{"key":"ref_2","first-page":"69","article-title":"Maximum allowable concentration of coal dust\u2014An epidemiological study","volume":"42","author":"Jirak","year":"1990","journal-title":"Pracov. L\u00e9k."},{"key":"ref_3","first-page":"115","article-title":"Maximum allowable concentration of dust in the coal mines and a recommendation of medical and organizational measures form the standpoint of pneumoconiosis prevention in miners of the Ostrava-Karvina coal mines","volume":"46","author":"Jirak","year":"1994","journal-title":"Pracov. L\u00e9k."},{"key":"ref_4","first-page":"172","article-title":"Evaluation of preventive replacement of miners after achieving the maximum permissible exposure to reduce the number of occupational disease\u2014Pneumoconiosis","volume":"49","author":"Kubina","year":"1997","journal-title":"Pracov. L\u00e9k."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1002\/ajim.20560","article-title":"Mortality among U.S. underground coal miners: A 23-year follow-up","volume":"51","author":"Attfield","year":"2008","journal-title":"Am. J. Ind. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1002\/ajim.4700280203","article-title":"Exposure-response analysis of mortality among coal miners in the United States","volume":"28","author":"Kuempel","year":"1995","journal-title":"Am. J. Ind. Med."},{"key":"ref_7","first-page":"15","article-title":"Mortality of British coal miners in 1961","volume":"30","author":"Liddell","year":"1973","journal-title":"Br. J. Ind. Med."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1136\/oem.54.10.708","article-title":"Mortality of Dutch coal miners in relation to pneumoconiosis, chronic obstructive pulmonary disease, and lung function","volume":"54","author":"Meijers","year":"1997","journal-title":"Occup. Environ. Med."},{"key":"ref_9","first-page":"723","article-title":"Dust exposure, pneumoconiosis, and mortality of coalminers","volume":"42","author":"Miller","year":"1985","journal-title":"Br. J. Ind. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1136\/oem.2009.046151","article-title":"Cause-specific mortality in British coal workers and exposure to respirable dust and quartz","volume":"67","author":"Miller","year":"2010","journal-title":"Occup. Environ. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1002\/ajim.20207","article-title":"Respiratory outcomes among South African coal miners at autopsy","volume":"48","author":"Naidoo","year":"2005","journal-title":"Am. J. Ind. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1097\/00043764-197712000-00004","article-title":"Cause specific mortality of coal miners","volume":"19","author":"Rockette","year":"1977","journal-title":"J. Occup. Med."},{"key":"ref_13","first-page":"279","article-title":"Mortality among coal miners with pneumoconiosis in Poland","volume":"9","author":"Marek","year":"1996","journal-title":"Int. J. Occup. Med. Environ. Health"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2486\/indhealth.33.67","article-title":"A prospective study on mortality among Japanese coal miners","volume":"33","author":"Une","year":"1995","journal-title":"Ind. Health"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"222","DOI":"10.2105\/AJPH.64.3.222","article-title":"Mortality from lung cancer in U.S. coal miners","volume":"64","author":"Costello","year":"1974","journal-title":"Am. J. Public Health"},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Jenkins, W.D., Christian, W.J., Mueller, G., and Robbins, K.T. (2013). Population cancer risks associated with coal mining: A systematic review. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0071312"},{"key":"ref_17","first-page":"424","article-title":"Lungenkrebsrisiko bei quarz-und kohlengrubenstaubexposition","volume":"35","author":"Latza","year":"2000","journal-title":"Arbeitsmed. Sozialmed. Umweltmed."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1539\/joh.43.225","article-title":"Risk of lung cancer among Japanese coal miners on hazard risk and interaction between smoking and coal mining","volume":"43","author":"Miyazaki","year":"2001","journal-title":"J. Occup. Health"},{"key":"ref_19","first-page":"382","article-title":"Dust exposure, pneumoconiosis and lung cancer: An epidemiological study in the Saar hard coal mining","volume":"52","author":"Morfeld","year":"2002","journal-title":"Zentralbl. Arbeitsmed. Arbeitsschutz Ergon."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1136\/oemed-2013-101597","article-title":"Respiratory disease mortality among US coal miners; results after 37 years of follow-up","volume":"71","author":"Graber","year":"2014","journal-title":"Occup. Environ. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"443","DOI":"10.5271\/sjweh.2391","article-title":"Lung cancer, stomach cancer, and smoking status among coal miners: A preliminary test of a hypothesis","volume":"9","author":"Ames","year":"1983","journal-title":"Scand. J. Work Environ. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"137","DOI":"10.2478\/s13382-012-0015-9","article-title":"Cancer incidence in Czech black coal miners in association with coalworkers\u2019 pneumoconiosis","volume":"25","author":"Tomaskova","year":"2012","journal-title":"Int. J. Occup. Med. Environ. Health"},{"key":"ref_23","unstructured":"International Labour Organization (1980). Guidelines for the Use of ILO International Classification of Radiographs of Pneumoconiosis, International Labour Organization."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Checkoway, H., Pearce, N., and Kriebel, D. (2004). Research Methods in Occupational Epidemiology, Oxford University Press.","DOI":"10.1093\/acprof:oso\/9780195092424.001.0001"},{"key":"ref_25","unstructured":"Stata Statistical Software: Release 14.0. Available online: http:\/\/www.stata.com\/new-in-stata\/."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1164\/ajrccm\/148.1.38","article-title":"Occupational dust exposure and chronic obstructive pulmonary disease: A systematic overview of the evidence","volume":"148","author":"Oxman","year":"1993","journal-title":"Am. Rev. Respir. Dis."},{"key":"ref_27","first-page":"1","article-title":"Chronic obstructive pulmonary disease (COPD) and occupational exposures","volume":"7","author":"Boschetto","year":"2006","journal-title":"J. Occup. Med. Toxicol."},{"key":"ref_28","unstructured":"Dobias, L., Gajdosova, D., Sram, R.J., Janca, L., and Roda, S. (1989, January 4\u20137). Risk associated with inhalation of fungal metabolites. Proceedings of the Conference on Genetic Toxicology of Complex Mixtures, Washington, DC, USA."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"2936","DOI":"10.1002\/ijc.24636","article-title":"Facts and fiction of the relationship between preexisting tuberculosis and lung cancer risk: A systematic review","volume":"125","author":"Liang","year":"2009","journal-title":"Int. J. Cancer"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.5588\/ijtld.14.0161","article-title":"Tuberculosis and risk of cancer: A Danish nationwide cohort study","volume":"18","author":"Simonsen","year":"2014","journal-title":"Int. J. Tuberc. Lung. Dis."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"757","DOI":"10.5588\/ijtld.15.0783","article-title":"Incidence of lung cancer among patients with tuberculosis: A nationwide cohort study in Lithuania","volume":"20","author":"Everatt","year":"2016","journal-title":"Int. J. Tuberc. Lung. Dis."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.chest.2016.03.060","article-title":"SmokeHaz: Systematic reviews and meta-analyses of the effects of smoking on respiratory health","volume":"150","author":"Jayes","year":"2016","journal-title":"Chest"},{"key":"ref_33","unstructured":"Kubinova, R., Capkova, N., Lustigova, M., Kratenova, J., and Zejglicova, K. (2016). Health Status of the Czech Population\u2014Results from EHES Study 2014, National Institute of Public Health."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/j.freeradbiomed.2007.12.027","article-title":"Silica binding and toxicity in alveolar macrophages","volume":"44","author":"Hamilton","year":"2008","journal-title":"Free Radic. Biol. Med."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/3\/269\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T18:29:55Z","timestamp":1760207395000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/14\/3\/269"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,7]]},"references-count":34,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2017,3]]}},"alternative-id":["ijerph14030269"],"URL":"https:\/\/doi.org\/10.3390\/ijerph14030269","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,7]]}}}