Preprint Article Version 1 This version is not peer-reviewed

Relationships of Lower Lung Fibrosis, Pleural Disease, and Lung Mass with Occupational, Household, Neighborhood, and Slate Roof-Dense Area Residential Asbestos Exposure

Version 1 : Received: 26 June 2018 / Approved: 26 June 2018 / Online: 26 June 2018 (15:36:02 CEST)

A peer-reviewed article of this Preprint also exists.

Kang, D.; Kim, Y.-Y.; Shin, M.; Lee, M.-S.; Bae, H.-J.; Kim, S.-Y.; Kim, Y.-K. Relationships of Lower Lung Fibrosis, Pleural Disease, and Lung Mass with Occupational, Household, Neighborhood, and Slate Roof-Dense Area Residential Asbestos Exposure. Int. J. Environ. Res. Public Health 2018, 15, 1638. Kang, D.; Kim, Y.-Y.; Shin, M.; Lee, M.-S.; Bae, H.-J.; Kim, S.-Y.; Kim, Y.-K. Relationships of Lower Lung Fibrosis, Pleural Disease, and Lung Mass with Occupational, Household, Neighborhood, and Slate Roof-Dense Area Residential Asbestos Exposure. Int. J. Environ. Res. Public Health 2018, 15, 1638.

Journal reference: Int. J. Environ. Res. Public Health 2018, 15, 1638
DOI: 10.3390/ijerph15081638

Abstract

This study aimed to evaluate the relationship between various asbestos exposure routes and asbestos-related disorders (ARDs). The study population comprised 11,186 residents of a metropolitan city who lived near asbestos factories, shipyards, or in slate roof-dense areas. ARDs were defined from chest X-rays indicating lower lung fibrosis (LFF), pleural disease (PD), and lung masses (LMs). Of the subjects, 11.2%, 10.4%, 67.2% and 8.3% were exposed to asbestos via occupational, household, neighborhood, and slate roof routes, respectively. Regarding adjusted confounders and other exposure routes, the odds ratio (OR) of PD from household exposure (i.e., living with asbestos-producing workers) was 1.9 (95% confidence interval: 0.9–4.2), and that of LLF and PD from neighborhood exposure, or residing near asbestos factories) for <19 or >20 years, or near a mine, were 4.1 (2.8–5.8) and 4.8 (3.4–6.7), 8.3 (5.5–12.3) and 8.0 (5.5–11.6), and 4.8 (2.7–8.5) and 9.0 (5.6–14.4), respectively. The ORs of LLF, PD, and LM among those residing in slate-dense areas were 5.5 (3.3–9.0), 8.8 (5.6–13.8), and 20.5 (10.4–40.4), respectively. Substantial proportions of citizens residing in industrialized city have potentially been exposed to asbestos, and various exposure routes are associated with the development of ARDs. Notably, this may be the first finding of the health effects of slate roof exposure. However, given the limitations of this study, including potential confounders such as socioeconomic status, further research is needed.

Subject Areas

asbestos; domestic; environmental; health impact survey; household; Korea; neighbor; roof; slate

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