{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T08:59:08Z","timestamp":1774601948748,"version":"3.50.1"},"reference-count":43,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2022,3,19]],"date-time":"2022-03-19T00:00:00Z","timestamp":1647648000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Labor Public Prosecutor Office of Campinas","award":["CODIN 45672\/2014"],"award-info":[{"award-number":["CODIN 45672\/2014"]}]},{"DOI":"10.13039\/501100007707","name":"Istituto Nazionale per l'Assicurazione Contro gli Infortuni sul Lavoro","doi-asserted-by":"publisher","award":["BRiC 55\/2019"],"award-info":[{"award-number":["BRiC 55\/2019"]}],"id":[{"id":"10.13039\/501100007707","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.mdpi.com"],"crossmark-restriction":true},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this study is to compare the mortality rates for typical asbestos-related diseases (ARD-T: mesothelioma, asbestosis, and pleural plaques) and for lung and ovarian cancer in Brazilian municipalities where asbestos mines and asbestos-cement plants had been operating (areas with high asbestos consumption, H-ASB) compared with in other municipalities. The death records for adults aged 30+ years were retrieved from multiple health information systems. In the 2000\u20132017 time period, age-standardized mortality rates (standard: Brazil 2010) and standardized rate ratios (SRR; H-ASB vs. others) were estimated. The SRRs for ARD-T were 2.56 for men (257 deaths in H-ASB municipalities) and 1.19 for women (136 deaths). For lung cancer, the SRRs were 1.33 for men (32,604 deaths) and 1.19 for women (20,735 deaths). The SRR for ovarian cancer was 1.34 (8446 deaths). Except for ARD-T and lung cancer in women, the SRRs were higher in municipalities that began using asbestos before 1970 than in municipalities that began utilizing asbestos from 1970 onwards. In conclusion, the mortality rates for ARD-T, and lung and ovarian cancer in municipalities with a history of asbestos mining and asbestos-cement production exceed those of the whole country. Caution is needed when interpreting the results of this ecological study. Analytical studies are necessary to document the impact of asbestos exposure on health, particularly in the future given the long latency of asbestos-related cancers.<\/jats:p>","DOI":"10.3390\/ijerph19063656","type":"journal-article","created":{"date-parts":[[2022,3,20]],"date-time":"2022-03-20T21:30:14Z","timestamp":1647811814000},"page":"3656","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Sex-Specific Mortality from Asbestos-Related Diseases, Lung and Ovarian Cancer in Municipalities with High Asbestos Consumption, Brazil, 2000\u20132017"],"prefix":"10.3390","volume":"19","author":[{"given":"C\u00e9zar Akiyoshi","family":"Saito","sequence":"first","affiliation":[{"name":"Fundacentro, Minist\u00e9rio do Trabalho e Previd\u00eancia, S\u00e3o Paulo 05409-002, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco Antonio","family":"Bussacos","sequence":"additional","affiliation":[{"name":"Fundacentro, Minist\u00e9rio do Trabalho e Previd\u00eancia, S\u00e3o Paulo 05409-002, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonardo","family":"Salvi","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade Ambiental e de Sa\u00fade do Trabalhador, Instituto de Sa\u00fade Coletiva, Universidade Federal da Bahia, Salvador 40110-040, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9075-3684","authenticated-orcid":false,"given":"Carolina","family":"Mensi","sequence":"additional","affiliation":[{"name":"Occupational Health Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8935-3843","authenticated-orcid":false,"given":"Dario","family":"Consonni","sequence":"additional","affiliation":[{"name":"Occupational Health Unit, Fondazione IRCCS Ca\u2019 Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2548-9685","authenticated-orcid":false,"given":"Fernando Timoteo","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Fundacentro, Minist\u00e9rio do Trabalho e Previd\u00eancia, S\u00e3o Paulo 05409-002, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe","family":"Campos","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade Ambiental e de Sa\u00fade do Trabalhador, Instituto de Sa\u00fade Coletiva, Universidade Federal da Bahia, Salvador 40110-040, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franciana","family":"Cavalcante","sequence":"additional","affiliation":[{"name":"Programa de Sa\u00fade Ambiental e de Sa\u00fade do Trabalhador, Instituto de Sa\u00fade Coletiva, Universidade Federal da Bahia, Salvador 40110-040, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6908-7242","authenticated-orcid":false,"given":"Eduardo","family":"Algranti","sequence":"additional","affiliation":[{"name":"Fundacentro, Minist\u00e9rio do Trabalho e Previd\u00eancia, S\u00e3o Paulo 05409-002, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1002\/ijc.2910390104","article-title":"Epidemiological and environmental evidence of the health effects of exposure to erionite fibres: A four-year study in the Cappadocian region of Turkey","volume":"39","author":"Baris","year":"1987","journal-title":"Int. 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