Table 2

HRs for first time acute myocardial infarction in male and female workers occupationally exposed to respirable crystalline silica (RCS) during the follow-up period 1992–2006

RCS (mg/m3-year)Person-years (n)Cases (n)HR* (95% CI)HR† (95% CI)
Men
 Unexposed 6 289 437 28 298 1 1
 Ever exposed 2 193 607 10 612 1.01 (0.99 to 1.04) 1.02 (1.00 to 1.04)
 Cumulative exposure
 Q1 0–0.27
 573 528 1907 0.97 (0.93 to 1.02) 0.98 (0.94 to 1.03)
 Q2 0.27–0.62 518 674 2163 0.95 (0.91 to 1.00) 0.97 (0.92 to 1.01)
 Q3 0.62–1.54 549 361 2629 1.03 (0.99 to 1.07) 1.03 (0.99 to 1.07)
 Q4 1.54+ 552 045 3913 1.06 (1.03 to 1.10) 1.07 (1.03 to 1.10)
 Trend per mg/m3-year 1.02 (1.01 to 1.02), p<0.001
 Trend per mg/m3-year among the exposed 1.02 (1.01 to 1.03), p<0.001
Women
 Unexposed 6 788 714 9301 1 1
 Ever exposed 168 186 281 1.30 (1.15 to 1.46) 1.29 (1.15 to 1.46)
 Cumulative exposure
 Q1 0–0.27
 57 076 73 1.18 (0.94 to 1.48) 1.18 (0.94 to 1.48)
 Q2 0.27–0.62 48 832 62 1.08 (0.84 to 1.38) 1.07 (0.84 to 1.38)
 Q3 0.62–1.54 43 295 93 1.43 (1.17 to 1.75) 1.42 (1.15 to 1.74)
 Q4 1.54+ 18 983 53 1.66 (1.27 to 2.18) 1.66 (1.27 to 2.18)
 Trend per mg/m3-year 1.18 (1.10 to 1.27), p<0.001
 Trend per mg/m3-year among exposed 1.16 (1.03 to 1.30), p=0.016
  • Results are presented for cumulative exposure (quartile 1–4), for subjects ever exposed to RCS. The HR for trend indicates the increase in risk per mg-year of RCS.

  • *HRs adjusted for age.

  • †HRs adjusted for age, socioeconomic group and urbanisation index.