title: [Cohort mortality study of workers in an automobile foundry factory].
abstract: OBJECTIVE
  To understand the major causes of death in automobile foundry workers and investigate casting manipulations hazards to health.
  
  
  METHODS
  A cohort study of 3529 foundry workers registered in one big automobile factory in Shiyan city of China was performed. Standardized mortality ratios (SMRs) were calculated for the main causes of death by using Chinese national mortality rates as reference.
  
  
  RESULTS
  The cohort mortality was traced from 1980 to the end of 2005 with an accumulation of 84 999 person-years, revealed 265 deaths. The results of this study showed that the standardized mortality ratio for all subjects was 0.96 (95% CI: 0.85 approximately 1.08), which was very close to that expected on the basis of the China national mortality rates. The SMR increased with age, the SMR became greater than 1 in all groups of age 50 and higher. The results showed that malignant neoplasm (3.43%), accidents (1.16%), cerebro-vascular diseases (1.08%), cardio-vascular diseases (0.79%) were the first four illnesses that threatened workers' life span. Statistically significant mortality of malignant neoplasm (SMR = 7.87), accidents (SMR = 2.70), cardio-vascular diseases (SMR = 2.68) and digestive diseases (SMR = 2.79) were found in the foundry workers. The relative risk of malignant neoplasm for first line workers to assistant workers was 1.99 (P < 0.05).
  
  
  CONCLUSIONS
  The occupational hazards in foundry factory have harmful impact on the workers' health and life span.
authors.affiliation: Key Lab of Environment and Health and Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430030, China.
authors.forename: Yu-Yu
authors.initials: YY
authors.lastname: Zeng
authors.forename: Fu-Ying
authors.initials: FY
authors.lastname: Liu
authors.forename: Min
authors.initials: M
authors.lastname: Zhang
authors.forename: Rui
authors.initials: R
authors.lastname: Lu
authors.forename: Hui-Lin
authors.initials: HL
authors.lastname: Yao
authors.forename: Qiu-Ling
authors.initials: QL
authors.lastname: Yang
authors.forename: Wei-Hong
authors.initials: WH
authors.lastname: Chen
mesh_terms: D001336:Automobiles; D002423:Cause of Death; D002681:China / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008669:Metallurgy; D009026:Mortality; D009784:Occupational Diseases / Q000401:mortality; D016273:Occupational Exposure / Q000706:statistics & numerical data; D012189:Retrospective Studies