title: Race, occupation, and lung cancer: detecting disparities with death certificate data.
abstract: OBJECTIVE
  To determine whether the analysis of death certificate data would reveal the same relationship among race, occupational exposure, and lung cancer mortality observed by a large cohort study.
  
  
  METHODS
  An occupation-specific mortality odds ratio (MOR) for lung cancer (ICD-162) versus all other causes was calculated for 218,341 black men and white men who had been employed in the metal industries.
  
  
  RESULTS
  Black men were at increased risk for lung cancer mortality when compared with white men among the 4668 oven workers (MOR = 1.38, 95% CI = 1.10 to 1.73), but not among the 33,605 white-collar workers (MOR = 0.95, 95% CI = 0.74 to 1.23).
  
  
  CONCLUSIONS
  Our findings corroborate a previously demonstrated association among exposure to carcinogenic coke oven emissions, race, and lung cancer mortality, and support the use of death certificate data to help identify occupations with racial disparities in lung cancer mortality.
authors.affiliation: Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, OH 45226, USA.
authors.forename: Jan
authors.initials: J
authors.lastname: Birdsey
authors.forename: Toni
authors.initials: T
authors.lastname: Alterman
authors.forename: Martin R
authors.initials: MR
authors.lastname: Petersen
mesh_terms: D000328:Adult; D001741:Black or African American; D015331:Cohort Studies; D015986:Confounding Factors, Epidemiologic; D003644:Death Certificates; D054624:Health Status Disparities; D006801:Humans; D008175:Lung Neoplasms / Q000208:ethnology* / Q000401:mortality; D008297:Male; D008669:Metallurgy; D008875:Middle Aged; D009784:Occupational Diseases / Q000208:ethnology* / Q000401:mortality; D016273:Occupational Exposure; D016017:Odds Ratio; D012907:Smoking; D014481:United States / Q000453:epidemiology; D044465:White People