Health monitoring of retired artisans in the ESPrI cohort: mortality analysis

Introduction: The lack of data on past occupational exposures and their health effects among skilled tradespeople led to the establishment of the ESPrI cohort of retirees in 2005. The objective of this article is to describe mortality among retired skilled tradespeople between 2004 and 2008 and to compare it with that of the French population. Method: After matching with vital status and cause-of-death data, the number of deaths and standardized mortality ratios (SMR) were calculated using INSEE reference rates for the French population by sex and age group. Results: Between 2005 and 2016, 700 deaths were recorded among the 8,583 retirees in the cohort. The cause of death was known for 634 of the deaths. A significant all-cause undermortality was observed among men (SMR=0.73, 95% CI: [0.67–0.79]) and was borderline significant among women (SMR=0.78 [0.59–1.00]). Conclusion: Retired craftsmen in the ESPrI cohort, although particularly exposed to asbestos and silica during their working lives, do not appear to die at a higher rate than the general French population 8 to 12 years after inclusion. Regular updates of these mortality data in the coming years will allow for more refined SMR analyses, particularly regarding deaths by sector and socio-professional category among those exposed and unexposed to asbestos and silica, in order to identify populations at risk of death. The risks of death by cancer site will then be studied.

Author(s): Goulard Hélène, Homère Julie, Bonmarin Isabelle

Publishing year: 2019

Pages: 211-216

Weekly Epidemiological Bulletin, 2019, n° 12, p. 211-216

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