Evidence map›Paper›PMID 41813116›Full record

ArticleOccupational and environmental medicine2026

Cancer and all-cause mortality among United States union poultry workers.

M Alexander Ball, Benjamin C Amick, Wendy N Nembhard, Christina C Joshua, Leanna M Delhey, Samuel L Schach, Jaimi L Allen

Abstract read
In one paragraph

Article in Occupational and environmental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

M Alexander BallDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0009-0004-5764-3194
Benjamin C AmickDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Wendy N NembhardDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.ORCID 0000-0002-8318-4049
Christina C JoshuaDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Leanna M DelheyDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Samuel L SchachCollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Jaimi L AllenDepartment of Epidemiology, Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA jlallen@uams.edu.ORCID 0000-0002-3781-939X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSeveral industry-specific hazards are present in the poultry working environment. It is not well known whether risk factors unique to poultry working increase all-cause and cancer mortality relative to other industry types. The study objective was to compare all-cause and cancer mortality among poultry workers to non-poultry food workers.

methodsOccupational data for 30 411 poultry and 16 405 non-poultry workers were obtained from United Food and Commercial Workers union records and matched to the National Death Index up to 31 December 2019 to conduct a retrospective cohort study. Unadjusted and adjusted hazard ratios (aHR) and their 95% CIs from time-stratified Cox proportional hazard regression models were run to compare all-cause and cancer mortality among poultry and non-poultry workers.

resultsAcross the full cohort, no statistically significant elevation in all-cause or cancer mortality among poultry workers was observed (all-cause: aHR 0.98, 95% CI 0.95 to 1.01; cancer: aHR 1.05, 95% CI 0.97 to 1.13); however, time-period sensitivity was evident. After accounting for calendar time, poultry workers hired before 1960 had a 62% greater cancer mortality hazard compared with non-poultry workers (aHR 1.62, 95% CI 1.25 to 2.11). Poultry workers hired between 1980 and 1989 had a 59% (aHR 1.59, 95% CI 1.40 to 1.79) and 86% (aHR 1.86, 95% CI 1.39 to 2.48) greater all-cause and cancer mortality risk, respectively.

conclusionsUnion poultry workers hired in the United States during the 20th century faced greater all-cause and cancer mortality compared with non-poultry workers; however, this elevation was period-sensitive, varying by employment start date.

Indexed as

NeoplasmsOccupational DiseasesOccupational ExposurePoultryAdultAnimalsCause of DeathFemaleHumansLabor UnionsMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsUnited StatesCancerEpidemiologyLongitudinal studiesMortalityWorkers

Identifiers

PMID41813116
PMCPMC13151466

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.