This dissertaion comprises three related papers. / The first paper reports a historical cohort mortality study which was carried out among 21,744 electrical utility workers in the province of Quebec. A total of 1582 deaths were observed at the end of follow-up (1970-1988). A job exposure matrix (JEM) was used to estimate the exposure to 60 Hz electric, magnetic, and pulsed electromagnetic fields (PEMF) from the code of the last job held by each worker. The results showed no evidence of excess of cause specific or general mortality relative to provincial death rates in the cohort overall. The ratios of Standardized Mortality Ratios (SMRs) as estimates of rate ratio (RR) in the exposed relative to the background group were also calculated. Statistically significant RRs were found for pancreatic cancer for electric fields (RR = 2.8, 95% Confidence intervals (CI) 1.13-7.01) and for lung cancer for PEMF (RR = 1.56, 95% CI 1.05-2.25). Deaths caused by accidents and violence showed significant RRs for electric fields (RR = 2.16, 95% CI 1.59-2.92), magnetic fields (RR = 1.76, 95% 1.29-2.39) and for PEMF (RR = 1.96, 95% CI, 1.40-2.71). Occupational accidents related to power lines explain for some of the excess of deaths from accidents and violence. There was a small non-significant association with magnetic fields for leukaemia (RR = 1.52, 95% CI 0.45-4.47) and brain cancer (RR = 1.59, 95% CI 0.57-4.31), but the results for these two sites were based on small numbers. / The second paper reports a case-cohort study to investigate a previously suggested association between exposure to electric and magnetic fields and suicide. Forty-nine deaths from suicide between 1970 and 1988 were identified in the above-mentioned cohort and a sub-cohort comprising a one percent random sample was selected from it. Cumulative and current exposures to electric fields, magnetic fields and PEMF were estimated for the sub-cohort and cases through the JEM. For cumulative exposure, rate ratios (RR) for all three fields showed mostly small non-significant increases in the medium and high exposure groups. The most elevated risk was found in the medium exposure group for electric field-geometric mean (RR = 2.76, 95% CI 1.15-6.62). The results did not differ after adjusting for socioeconomic status (SES), alcohol use, marital status and mental disorders. There was little evidence for an association of risk with exposure immediately prior to the suicide. Small sample size (deaths from suicide) and inability to control for all potential confounding factors were the main limitations of this study. / The third paper reports a study of validity attributing magnetic field exposure by using a worker's last job. This was done by comparing, in a sample of the cohort, estimates obtained using last job with those obtained using full work histories. The correlation between indices based on last job and those based on all jobs varied between 0.75 and 0.78. The study showed that the last job was particularly good in identifying the highest exposed individual. The results are most likely to be generalizable to other industries in which highest exposed jobs are also skilled jobs.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.28672 |
| Date | January 1995 |
| Creators | Baris, A. N. Dalsu |
| Contributors | Armstrong, B. (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Doctor of Philosophy (Department of Occupational Health.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001453482, proquestno: NN05668, Theses scanned by UMI/ProQuest. |
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