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Am J Epidemiol 2002; 156:913-918.
Copyright © 2002 by Johns Hopkins Bloomberg School of Public Health


ORIGINAL CONTRIBUTIONS

Occupational Magnetic Field Exposure and Cardiovascular Mortality in a Cohort of Electric Utility Workers

Jack Sahl1, Gabor Mezei2, Robert Kavet2, Alex McMillan3, Abe Silvers4, Antonio Sastre5 and Leeka Kheifets2

1 J. Sahl & Associates, Upland, CA.
2 Electric Power Research Institute (EPRI), Palo Alto, CA.
3 University of California, San Francisco Cancer Center, San Francisco, CA.
4 Biotech Research Associates, Palo Alto, CA.
5 A. S. Consulting & Research, Inc., Overland Park, KS.

In electric utility workers, occupational exposure to magnetic fields has previously been associated with mortality from acute myocardial infarction (AMI) and arrhythmia but not from chronic coronary heart disease (CCHD) or atherosclerosis. To investigate these health endpoints further, the authors examined mortality from AMI (n = 407) and CCHD (n = 369) in a cohort of 35,391 male workers at the Southern California Edison Company between 1960 and 1992. Exposure was estimated according to duration of employment in occupations associated with high levels of magnetic field exposure and was calculated as cumulative exposure to magnetic fields expressed in micro-Tesla-years. Adjustment was made for age, calendar time, socioeconomic status, race, and worker status (active or inactive). The authors found that men working longer in high-exposure occupations or working as electricians, linemen, or power plant operators had no increased risk of dying from either AMI or CCHD compared with men who never worked in high-exposure occupations. For cumulative exposure, no association was observed with mortality from AMI (rate ratio per 1 µT-year = 1.01, 95% confidence interval: 0.99, 1.02) or CCHD (rate ratio per 1 µT-year = 1.00, 95% confidence interval: 0.99, 1.02). These results, indicating no exposure-related risk increase for AMI mortality, do not confirm previous results.

cardiovascular diseases; electromagnetic fields; mortality; occupational exposure

Abbreviations: Abbreviations: AMI, acute myocardial infarction; CCHD, chronic coronary heart disease; CI, confidence interval; COPD, chronic obstructive pulmonary disease; ICD-9, International Classification of Diseases, Ninth Revision; RR, rate ratio.


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