Multicentric study on malignant pleural mesothelioma and non-occupational exposure to asbestos
2000

Study on Mesothelioma and Asbestos Exposure

Sample size: 663 publication Evidence: moderate

Author Information

Author(s): Magnani C, Agudo A, González C A, Andrion A, Calleja A, Chellini E, Dalmasso P, Escolar A, Hernandez S, Ivaldi C, Mirabelli D, Ramirez J, Turuguet D, Usel M, Terracini B

Primary Institution: Cancer Epidemiology Unit, S Giovanni B Hospital and Regional Centre for Cancer Epidemiology and Prevention, Torino, Italy

Hypothesis

Is there a risk of malignant pleural mesothelioma from non-occupational exposure to asbestos?

Conclusion

Low-dose exposure to asbestos at home or in the environment is associated with an increased risk of malignant pleural mesothelioma.

Supporting Evidence

  • The study included 215 new histologically confirmed cases and 448 controls.
  • Moderate or high probability of domestic exposure was associated with an odds ratio of 4.81.
  • High probability of environmental exposure had an odds ratio of 11.5.
  • A dose–response pattern was observed with intensity of exposure.

Takeaway

If people are around asbestos at home or in their neighborhood, it can make them sick with a type of lung cancer called mesothelioma.

Methodology

A population-based case–control study was conducted in six areas from Italy, Spain, and Switzerland, collecting data from 215 cases and 448 controls.

Potential Biases

Potential biases in self-reported exposure and case selection.

Limitations

The study may not account for all potential sources of exposure or confounding factors.

Participant Demographics

Participants included individuals from Italy, Spain, and Switzerland with confirmed cases of mesothelioma and matched controls.

Statistical Information

Confidence Interval

95% CI 1.8–13.1 for domestic exposure; 95% CI 3.5–38.2 for environmental exposure

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2000.1161

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