ArticleArthritis care & research2019
Prevalence of Arthritis and Rheumatoid Arthritis in Coal Mining Counties of the United States.
Article in Arthritis care & research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.
- Exposure to Occupational Inhalants and the Risk of Developing Rheumatoid Arthritis: A Systematic Review and Meta-Analysis.Arthritis & rheumatology (Hoboken, N.J.) · 2026Pooled it
- Systematic Review and Meta-analysis on the Association of Occupational Exposure to Free Crystalline Silica and Rheumatoid Arthritis.Clinical reviews in allergy & immunology · 2022Pooled it
- Genetically predicted susceptibility to dust-induced lung diseases and risk of autoimmune diseases: a two sample Mendelian randomization study.Journal of neuroinflammation · 2026Article
- Evaluating tramadol utilization and patterns by county-level social determinants of health characteristics from 2015 to 2022.medRxiv : the preprint server for health sciences · 2025Article
- Clinical characteristics and risk factors in pneumoconiosis patients with asthma.Scientific reports · 2025Article
- Psychological morbidity among coal miners compared to other occupations in Appalachia.Journal of occupational medicine and toxicology (London, England) · 2024Article
- Survey self-report of rheumatoid arthritis and treatments versus specialist clinician confirmation.BMC rheumatology · 2024Article
- Pneumoconiosis combined with connective tissue disease in China: a cross-sectional study.BMJ open · 2023Article
- Modifiable risk factors linked to the development of rheumatoid arthritis: evidence, immunological mechanisms and prevention.Frontiers in immunology · 2023Review
- Prevention vs treatment of rheumatoid arthritis.Immunotherapy advances · 2023Review
- Inhalant and Additional Mucosal-Related Environmental Risks for Rheumatoid Arthritis.Rheumatic diseases clinics of North America · 2022Review
- Assessment of Risk of Rheumatoid Arthritis Among Underground Hard Rock and Other Mining Industry Workers in Colorado, New Mexico, and Utah.JAMA network open · 2022Article
- Occupational Exposures in Rheumatoid Arthritis-related Airway Disease: A Missing Link?Annals of the American Thoracic Society · 2022Article
- Inorganic Dust Exposure During Military Service as a Predictor of Rheumatoid Arthritis and Other Autoimmune Conditions.ACR open rheumatology · 2021Article
- Article
- Causes of death among Federal Black Lung Benefits Program beneficiaries enrolled in Medicare, 1999-2016.American journal of industrial medicine · 2020Article
- Environment and Lifestyle: Their Influence on the Risk of RA.Journal of clinical medicine · 2020Review
- Inhalants other than personal cigarette smoking and risk for developing rheumatoid arthritis.Current opinion in rheumatology · 2020Review
- Occupational Burden in Chronic Respiratory Disease: Call for Recognition, Training, and Data Capture.American journal of respiratory and critical care medicine · 2019Article
- Asthma and elevation of anti-citrullinated protein antibodies prior to the onset of rheumatoid arthritis.Arthritis research & therapy · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
objectiveExposure to inhaled mineral dust, in particular silica, is associated with increased odds of rheumatoid arthritis (RA) and other autoimmune diseases. We studied the association of RA with work-related coal and silica exposure in the Appalachian region of the US.
methodsWe carried out a random-digit dialed telephone survey in selected counties in Appalachia that had elevated coal workers' pneumoconiosis mortality. Our study cohort included men ages ≥50 with any employment history, and we assessed exposure to coal mining employment, other work-related dust, and ergonomic factors. We ascertained self-reported physician diagnosis of any arthritis and of RA with glucocorticoid treatment. We used multivariable logistic regression analysis to estimate the odds ratios (ORs) and associated population attributable fraction (PAF) estimates.
resultsAmong the 973 men who met study entry criteria (mean ± SD ages 66 ± 10 years; 54% ever smokers), 266 (27%) reported coal mining work and 189 (19%) reported other work-related silica exposure. There were 517 men (53%), who reported any arthritis and 112 (12%) whose disease met the study definition of RA. Adjusting for covariates, coal mining was associated with elevated odds of RA (OR 3.6 [95% confidence interval (95% CI) 2.1-6.2]), which accounted for a PAF of 33% (95% CI 26-40%) of the men studied. For any arthritis, the coal mining-associated OR was 2.3 (95% CI 1.6-3.2), with an associated PAF of 20% (95% CI 14-25%).
conclusionIn this population of older males living in a coal mining region, we estimated that 20% of arthritis and 33% of RA may be attributable to coal mining work.
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