American Journal of Epidemiology Vol. 121, No. 3: 391-402
Copyright © 1985 by The Johns Hopkins University School of Hygiene and Public Health
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MORTALITY AMONG WHITE AND NONWHITE FARMERS IN NORTH CAROLINA, 1976–1978
1Dept. of Community and Family Medicine, Duke University Medical Center Durham, NC
3Comprehensive Cancer Center, Duke University Medical Center Durham, NC
4Dept. of Pediatrics, Duke University Medical Center Durham, NC
Send reprint requests to Dr. Delzell at this address
Death certificate information identified 9,245 white and 3,508 nonwhite men who died in North Carolina during 1976–1978 and who had been farmers. The distribution of deaths from various causes among these men was compared to that of other male decedents in the state. For both white and nonwhite farmers, proportional mortality ratios (PMRs) were elevated for tuberculosis (whites, 1.6; nonwhites, 1.7), diseases of the skin and subcutaneous tissue (whites, 2.5; nonwhites, 1.5), and external causes (whites, 1.2; nonwhites, 1.1) and were decreased for cancers of the esophagus (whites and nonwhites, 0.5) and large intestine and rectum (whites and nonwhites, 0.7). White farmers had an increased relative frequency of melanoma (PMR = 1.2) and other skin cancer (PMR = 1.8), while nonwhite farmers had an increased relative frequency of melanoma (PMR = 6.3), brain cancer (PMR = 2.3), and leukemia (PMR = 1.9). In addition, among decedents under 65 years of age, both white and nonwhite farmers had an elevated proportional mortality ratio for prostate cancer (whites, 1.6; nonwhites, 1.3). Many of these results are consistent with observations from other studies. Some of these findings, particularly those for nonwhites, warrant further evaluation, including detailed investigation of possibly related farming practices.
agricultural workers' diseases; brain neoplasms; leukemia; melanoma; mortality; neoplasms; tuberculosis
2Present address: Dept. of Epidemiology, School of Public Health, University of Alabama in Birmingham, University Station, Birmingham, AL 35294.
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