Estimation of Occupational Exposure to Asbestos in Italy by the Linkage of Mesothelioma Registry (ReNaM) and National Insurance Archives. Methodology and Results

Chiara Airoldi, Daniela Ferrante, Lucia Miligi, Sara Piro, Giorgia Stoppa, Enrica Migliore, Elisabetta Chellini, Antonio Romanelli, Carlo Sciacchitano, Carolina Mensi, Domenica Cavone, Elisa Romeo, Stefania Massari, Alessandro Marinaccio and Corrado Magnani
Additional contact information
Chiara Airoldi: Unit of Medical Statistics and Cancer Epidemiology, Department of Translational Medicine, University of Eastern Piedmont, Novara, CPO-Piedmont, 28100 Novara, Italy
Daniela Ferrante: Unit of Medical Statistics and Cancer Epidemiology, Department of Translational Medicine, University of Eastern Piedmont, Novara, CPO-Piedmont, 28100 Novara, Italy
Lucia Miligi: Tuscany Regional Operating Centre of Low Etiological Fraction Occupational Cancer, Occupational and Environmental Epidemiology Branch, Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50141 Florence, Italy
Sara Piro: Tuscany Regional Operating Centre of Low Etiological Fraction Occupational Cancer, Occupational and Environmental Epidemiology Branch, Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50141 Florence, Italy
Giorgia Stoppa: Tuscany Regional Operating Centre of Low Etiological Fraction Occupational Cancer, Occupational and Environmental Epidemiology Branch, Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50141 Florence, Italy
Enrica Migliore: Piedmont Regional Operations Center of the National Mesothelioma Registry, Unit of Cancer Epidemiology, CPO-Piedmont and University of Turin, 10126 Turin, Italy
Elisabetta Chellini: Tuscan Occupational Cancer Registry and Tuscan Mesothelioma Registry, Occupational and Environmental Epidemiology Branch, Cancer Risk Factors and Lifestyle Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network (ISPRO), 50141 Florence, Italy
Antonio Romanelli: Emilia-Romagna Regional Operations Center of the National Mesothelioma Registry, 42122 Reggio Emilia, Italy
Carlo Sciacchitano: Cancer Registry of the Provinces Catania-Enna-Messina-Siracusa, University of Catania, 95123 Catania, Italy
Carolina Mensi: Lombardy Regional Operations Center of the National Mesothelioma Registry, Occupational Medicine Unit Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
Domenica Cavone: Apulian Regional Operations Center of the National Mesothelioma Registry, School of Medicine, Interdisciplinary Department of Medicine (DIM), Ramazzini Occupational Medicine Section, “Policlinico” University Hospital, University of Bari “A. Moro”, 70124 Bari, Italy
Elisa Romeo: Lazio Regional Operations Center of the National Mesothelioma Registry, Department of Epidemiology, Lazio Regional Health Service, 00147 Rome, Italy
Stefania Massari: Italian Workers’ Compensation Authority (INAIL), Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, 00143 Rome, Italy
Alessandro Marinaccio: Italian Workers’ Compensation Authority (INAIL), Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, 00143 Rome, Italy
Corrado Magnani: Unit of Medical Statistics and Cancer Epidemiology, Department of Translational Medicine, University of Eastern Piedmont, Novara, CPO-Piedmont, 28100 Novara, Italy

IJERPH, 2020, vol. 17, issue 3, 1-14

Abstract: The identification and monitoring of occupational cancer is an important aspect of occupational health protection. The Italian law on the protection of workers (D. Leg. 81/2008) includes different cancer monitoring systems for high and low etiologic fraction tumors. Record linkage between cancer registries and administrative data is a convenient procedure for occupational cancer monitoring. We aim to: (i) Create a list of industries with asbestos exposure and (ii) identify cancer cases who worked in these industries. The Italian National Mesothelioma Registry (ReNaM) includes information on occupational asbestos exposure of malignant mesothelioma (MM) cases. We developed using data from seven Italian regions a methodology for listing the industries with potential exposure to asbestos linking ReNaM to Italian National Social Security Institute (INPS) data. The methodology is iterative and adjusts for imprecision and inaccuracy in reporting firm names at interview. The list of asbestos exposing firms was applied to the list of cancer cases (all types associated or possibly associated with asbestos according to International Agency for Research on Cancer (IARC) monograph 100C) in two Italian regions for the indication of possible asbestos exposure. Eighteen percent of the cancer cases showed at least one work period in firms potentially exposing to asbestos, 48% of which in regions different from where the cases lived at diagnosis. The methodology offers support for the preliminary screening of asbestos exposing firms in the occupational history of cancer cases.

Keywords: occupational cancer; record linkage; asbestos; mesothelioma; lung cancer; ovarian cancer; larynx cancer; gastrointestinal cancer (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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