ArticleBMC public health2018
Precarious transition: a mortality study of South African ex-miners.
Article in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Hospitalizations in the public health system and mining disasters in Mariana and Brumadinho, Brazil.BMC health services research · 2024Article
- Exploring medical terminology inexpediencies: Tripledemic vs. triple epidemic.Experimental and therapeutic medicine · 2023Article
- Global Health Perspectives on Race in Research: Neocolonial Extraction and Local Marginalization.International journal of environmental research and public health · 2023Review
- Occupational Safety and Health of Women in Mining.Journal of women's health (2002) · 2023Article
- Morbidity patterns among current and ex-mine workers in Karauli district of Rajasthan, India.Journal of family medicine and primary care · 2022Article
- The Utility of Length of Mining Service and Latency in Predicting Silicosis among Claimants to a Compensation Trust.International journal of environmental research and public health · 2022Article
- Factors associated with self-rated health among mineworkers in Zambia: a cross-sectional study.Tropical medicine and health · 2021Article
- Access of migrant gold miners to compensation for occupational lung disease: Quantifying a legacy of injustice.Journal of migration and health · 2021Article
- Accessing Occupational Health Services in the Southern African Development Community Region.International journal of environmental research and public health · 2020Review
- Predictors of silicosis and variation in prevalence across mines among employed gold miners in South Africa.BMC public health · 2020Article
- Mining is bad for health: a voyage of discovery.Environmental geochemistry and health · 2020Article
- Excess Mortality Due to External Causes in Women in the South African Mining Industry: 2013-2015.International journal of environmental research and public health · 2020Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite their burden of a triple epidemic of silicosis, tuberculosis and HIV infection, little is known about the mortality experience of miners from the South African mining industry once they leave employment. Such information is important because of the size and dispersion of this population across a number of countries and the progressive nature of these diseases.
methodsThis study included 306,297 South African miners who left the industry during 2001-2013. The study aimed to calculate crude and standardised mortality rates, identify secular trends in mortality and model demographic and occupational risk factors for mortality.
resultsCrude mortality rates peaked in the first year after exit (32.8/1000 person-years), decreasing with each year from exit. Overall mortality was 20% higher than in the general population. Adjusted annual mortality halved over the 12 year period. Mortality predictors were being a black miner [adjusted hazard ratio (aHR) 3.30; 95% confidence interval (CI) 3.15-3.46]; underground work (aHR 1.33; 95% CI 1.28-1.39); and gold aHR 1.15 (95% CI 1.12-1.19) or multiple commodity employment (aHR 1.15; 95% CI 1.11-1.19).
conclusionsThis is the first long-term mortality assessment in the large ex-miner population from the South African mining industry. Mortality patterns follow that of the national HIV-tuberculosis epidemic and antiretroviral treatment availability. However, ex-miners have further elevated mortality and a very high mortality risk in the year after leaving the workforce. Coordinated action between the mining industry, governments and non-governmental organisations is needed to reduce the impact of this precarious transition.
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